Disparities in Vaccinations and Cancer Screening Among USand Foreign-Born Arab and European American Non-Hispanic White Women
Disparities in Vaccinations and Cancer Screening Among USand Foreign-Born Arab and European American Non-Hispanic White Women
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DOI：
10.1016/j.whi.2014.10.002
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发表时间：
2015-01-01
影响因子：
3.2
通讯作者：
Kindratt, Tiffany B.
中科院分区：
文献类型：
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作者：
Dallo, Florence J.;Kindratt, Tiffany B.
背景：当比较外国出生的妇女和美国出生的妇女并按种族和民族分类时，在接种疫苗和癌症筛查方面存在差异。这项研究的目的是估计和比较出生在美国和外国出生的白人妇女中未接种流感或肺炎疫苗、临床乳房检查、乳房X光检查或巴氏涂片的年龄调整后的患病率，并检查相关因素，同时控制潜在的混杂因素。方法：我们汇集了12年的全国健康访谈调查数据(n=117,893)。为了接近“阿拉伯裔美国人”的种族，我们确定了来自中东地区的15个“阿拉伯”国家，它们构成了阿拉伯国家。数据是从国家卫生统计研究数据中心请求的。我们使用chi(2)统计来比较描述性统计和优势比(OR)与95%的CLS用于推断统计。结果：与在美国出生的外国出生的阿拉伯国家的白人相比，他们没有接受推荐的疫苗接种和癌症筛查的估计更高。在粗略和调整后的分析中，与美国出生的白人妇女相比，外国出生的阿拉伯裔美国妇女报告接种流感疫苗(OR，0.34；95%CI，0.21-0.58)、肺炎疫苗(OR，0.14；95%CI，0.060.32)、巴氏涂片(OR，0.13；95%CI，0.05-0.31)或临床乳房检查(OR，0.16；95%CI，0.07-0.37)的可能性较小。乳房X光检查没有差异。结论：这项全国性研究检查了流感和肺炎疫苗的摄入量和预防性癌症筛查，表明外国出生的阿拉伯裔美国妇女的估计数低于美国出生的白人妇女。未来的研究应该收集定性数据，评估围绕阿拉伯裔美国妇女预防和筛查行为的文化背景。版权所有(C)2015年，由雅各布斯妇女健康研究所所有。由爱思唯尔公司出版。
Background: Disparities in vaccinations and cancer screening exist when comparing foreign-born and U.S.-born women collectively and disaggregated by race and ethnicity. The purpose of this study was to estimate and compare the age-adjusted prevalence of not receiving a flu or pneumonia vaccine, clinical breast examination, mammogram or Pap smear among U.S.- and foreign-born White women by region of birth and examine associations while controlling for potential confounders.Methods: We pooled 12 years of National Health Interview Survey data (n = 117,893). To approximate an "Arab-American" ethnicity, we identified 15 "Arab" countries from the Middle East region that comprise the Arab Nations. Data was requested from the National Center for Health Statistics Research Data Center. We used the chi(2) statistic to compare descriptive statistics and odds ratios (ORs) with 95% Cls were used for inferential statistics.Findings: Compared to U.S.-born, foreign-born Whites from the Arab Nations had higher estimates of not receiving recommended vaccinations and cancer screenings. In crude and adjusted analyses, foreign-born Arab-American women were less likely to report receiving a flu vaccine (OR, 0.34; 95% Cl, 0.21-0.58), pneumonia vaccine (OR, 0.14; 95% Cl, 0.060.32), Pap smear (OR, 0.13; 95% Cl, 0.05-0.31), or clinical breast examination (OR, 0.16; 95% Cl, 0.07-0.37) compared with U.S.-born White women. There were no differences for mammography.Conclusions: This national study examining uptake of flu and pneumonia vaccines and preventive cancer screenings suggests that estimates are lower for foreign-born Arab-American women compared with U.S.-born White women. Future studies should collect qualitative data that assess the cultural context surrounding prevention and screening behaviors among Arab-American women. Copyright (C) 2015 by the Jacobs Institute of Women's Health. Published by Elsevier Inc.