Mammograms and healthcare access among US Hispanic and non-Hispanic women 40 years and older
Mammograms and healthcare access among US Hispanic and non-Hispanic women 40 years and older
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DOI：
10.1097/00003727-200604000-00004
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发表时间：
2006-04-01
影响因子：
2.3
通讯作者：
Jukic, AM
中科院分区：
文献类型：
--
作者：
Aldridge, ML;Daniels, JL;Jukic, AM
与非西班牙裔女性相比，西班牙裔女性因乳腺癌导致的死亡率不成比例。乳房X线检查可在早期发现乳腺癌，降低死亡率。我们对2002年行为危险因素监测系统问卷调查中获得的数据进行了logistic回归分析，以研究40岁及以上的西班牙裔和非西班牙裔白色女性中人口统计学和医疗保健因素与乳腺X线摄影使用之间的关系。总的来说，当调整了年龄、就业状况和其他人口统计学变量后，西班牙裔和非西班牙裔白色女性进行乳房X线检查的几率相似（比值比= 1.2; 95%置信区间= 0.9，1.6）。拥有私人医生和通常使用的医疗机构类型与乳房X光检查的使用相关，无论西班牙裔种族如何。尽管不同种族之间乳房X光检查的使用与人口统计学因素之间的相关性相似，但更大比例的西班牙裔人口统计学特征与乳房X光检查的使用呈负相关。建立政策和机制，为所有妇女提供定期获得私人医生或医疗保健专业人员的预防和非紧急医疗保健需求，可能会改善西班牙裔和非西班牙裔白色妇女的乳房X线摄影使用。同样，向没有保险和使用医生办公室以外的设施满足其医疗保健需求的妇女伸出援手，可能会增加两个族裔群体中乳房X光检查的使用。
Compared to non-Hispanic women, Hispanic women have disproportional mortality rates due to breast cancer. Mammographic screening detects breast cancer in its early stages and reduces mortality. We examined data obtained from the 2002 Behavioral Risk Factor Surveillance System questionnare using logistic regression analyses to study the relationships between demographic and healthcare factors and mammography use among Hispanic and non-Hispanic White women 40 years and older. Overall, the odds of ever having had a mammogram were similar among Hispanic and non-Hispanic White women (odds ratio = 1.2; 95% confidence interval =0.9,1.6), when adjusted for age, employment status, and other demographic variables. Having a personal physician and the type of healthcare facility typically used were associated with mammography use, regardless of Hispanic ethnicity Although associations between mammography use and demographic factors were similar between ethnic groups, larger proportions of Hispanics had demographic characteristics that were negatively associated with mammography use. Establishing policies and mechanisms to provide all women with regular access to a personal physician or healthcare professional for their preventive and nonemergency healthcare needs may improve mammography use among both Hispanic and non-Hispanic White women. Similarly, reaching out to women who are uninsured and who use facilities other than physicians' offices for their healthcare needs may increase the use of mammography among both ethnic groups.