Cervical cancer screening among Latinas recently immigrated to the United States
Cervical cancer screening among Latinas recently immigrated to the United States
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DOI：
10.1016/j.ypmed.2003.12.009
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发表时间：
2004-05-01
影响因子：
5.1
通讯作者：
Cardenas-Turanzas, M
中科院分区：
文献类型：
--
作者：
Fernández-Esquer, ME;Cardenas-Turanzas, M
背景对于那些行为可能使她们处于宫颈癌高风险的妇女的癌症筛查做法知之甚少。我们探讨了影响在酒吧（也称为cantinas）工作的新移民拉丁裔重复巴氏涂片筛查的因素。方法。对在60个酒吧工作的360名妇女进行了面对面的访谈。参与者提供了有关他们的癌症筛查实践的信息，包括在访谈前5年完成的巴氏涂片检查的数量。一个基于理论的模型提出人口统计学特征，癌症筛查的障碍和促进者，和心理社会因素影响重复巴氏涂片筛查进行了测试与分层线性回归。癌症筛查的促进者（最近去看医生并在诊所接受巴氏涂片检查）和心理社会变量（巴氏涂片信念，癌症筛查意图和缺乏鼓励）与报告的巴氏涂片检查总数显著相关（校正R-2 = 0.31，P < 0.0001）。宫颈癌危险行为与重复筛查无显著相关性。虽然危险行为并没有成为障碍，但获得保健措施有助于反复进行巴氏涂片检查。假设作为子宫颈抹片检查的先行因素的心理社会因素似乎是从重复的检查经验中得出的。(C)2004年癌症预防研究所和爱思唯尔公司。All rights reserved.
Background. Little is known about the cancer screening practices of women whose behavior may place them at a high risk for cervical cancer. We explored factors that influence repeated Pap smear screening among recently immigrated Latinas working in bars also called cantinas.Methods. Face-to-face interview were administered to 360 women working in 60 cantinas. Participants provided information about their cancer screening practices including the number of Pap smears completed in the 5 years before the interview. A theory-based model proposing that demographic characteristics, cancer screening barriers and facilitators, and psychosocial factors influence repeated Pap smear screening was tested with a hierarchical linear regression.Results. Facilitators of cancer screening (recent visit to a physician and receiving a Pap smear in a clinic) and psychosocial variables (Pap smear beliefs, cancer screening intentions and lack of encouragement) were significantly associated with the total number reported Pap smears (adjusted R-2 = 0.31, P < 0.0001). Cervical cancer risk behaviors were not significantly associated with repeated screening.Conclusions. While risk behaviors did not act as barriers, access to health care measures facilitated repeated Pap smear screening. Psychosocial factors hypothesized to function as antecedents of Pap smear screening appear instead to follow from repeated experience with the examination. (C) 2004 The Institute For Cancer Prevention and Elsevier Inc. All rights reserved.