Acculturation and cancer screening among Latinas:: Results from the national health interview survey
Acculturation and cancer screening among Latinas:: Results from the national health interview survey
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DOI：
10.1207/s15324796abm2901_4
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发表时间：
2005-02-01
影响因子：
3.8
通讯作者：
Gates, CY
中科院分区：
文献类型：
--
作者：
Abraído-Lanza, AF;Chao, MT;Gates, CY
背景：尽管乳腺癌和宫颈癌的早期检测是确保及时治疗和生存的最有效手段之一，但文化假说认为，传统规范、价值观和信仰阻碍了拉丁裔女性接受筛查。
目的：我们评估了文化适应是否与拉丁裔女性近期接受乳房X光检查、临床乳腺检查（CBE）和巴氏涂片检查（Pap test）有关，以及在调整社会人口统计学变量后文化适应对筛查的贡献。
方法：我们使用了1991年全国健康访谈调查的健康促进和疾病预防补充数据。用于分析巴氏涂片检查利用情况的样本包括1370名18岁及以上的拉丁裔女性，用于乳房X光检查和临床乳腺检查的样本包括525名40岁及以上的拉丁裔女性。
结果：文化适应与近期接受乳房X光检查的可能性较高有关，但在控制社会人口统计学因素时，这种影响并不显著。在调整和未调整的分析中，文化适应都不能预测近期的巴氏涂片检查。在控制社会人口统计学因素的情况下，文化适应与近期接受临床乳腺检查的可能性较高有关。
结论：文化适应与癌症筛查之间的关联并不一致。需要理论模型来解释文化适应与筛查之间关联（或缺乏关联）所涉及的机制。
Background: Although early detection of breast and cervical cancer is one of the most effective means of assuring timely treatment and survival, the cultural hypothesis proposes that traditional norms, values, and beliefs deter Latinas from being screened. Purpose: We assessed whether acculturation is associated with Latinas' receipt of a recent mammogram, clinical breast examination (CBE), and Papanicolaou (Pap) test, and the contribution of acculturation to screening after adjusting for sociodemographic variables. Methods: We used data from the Health Promotion and Disease Prevention Supplement of the 1991 National Health Interview Survey. The sample,for analyses of Pal) test utilization included 1,370 Latinas age 18 and over and for mammography and CBE, 525 Latina women age 40 and over. Results: Acculturation was associated with a higher likelihood of having had a recent mammogram, but this effect was not significant when controlling for sociodemographic factors. In both adjusted and unadjusted analyses, acculturation did not predict recent Pap smears. Acculturation was associated with greater likelihood of recent CBE, controlling for sociodemographic factors. Conclusions: The association between acculturation and cancer screening is inconsistent. Theoretical models are needed to explain the mechanisms involved in the association (or lack thereof) between acculturation and screening.