Investigating reversals of association for utilization of recent mammography among Hispanic and Non-Hispanic Black women.
Investigating reversals of association for utilization of recent mammography among Hispanic and Non-Hispanic Black women.
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DOI：
10.1007/s10552-009-9345-8
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发表时间：
2009-10
影响因子：
2.3
通讯作者：
Weitzen, Sherry
中科院分区：
文献类型：
--
作者：
Rakowski, William;Clark, Melissa A.;Rogers, Michelle L.;Weitzen, Sherry
几篇论文发现，与非西班牙裔白人女性相比，西班牙裔和非西班牙裔黑人女性最近进行乳房X光检查的调整比值比更高，尽管她们的粗略百分比低于或大约等于非西班牙裔白人女性。本文研究了近期乳房 X 光检查关联“逆转”的存在性，并描述了一种识别可能产生这种逆转的变量的分析策略。我们使用了 1996-2006 年行为危险因素监测系统以及 1999 年、2000 年、2003 年和 2005 年全国健康访谈调查中 40-80 岁女性每隔一年的数据。所有数据集都使用了一组一致的协变量。几乎所有调查年份的西班牙裔女性都出现了逆转。非西班牙裔黑人女性的未调整比率通常与非西班牙裔白人相当，但在大多数调查中，她们的调整后优势比明显更高。有限数量的变量对逆转产生了强烈影响，并且对于西班牙裔和黑人女性来说有些不同。调整后的分析中发现的反向关联对解释提出了挑战，但也可能表明提高筛查率的计划取得了成功。人口层面调查的使用者应该警惕逆转并尝试寻找解释。
Several papers have found that Hispanic and Non-Hispanic Black women have higher adjusted odds ratios for recent mammography when compared with Non-Hispanic White women, even though their crude percentages were lower than, or about equal to, Non-Hispanic White women’s. This paper investigates the existence of “reversals” of association for recent mammography and describes an analysis strategy for identifying variables that might produce them. We used every-other-year data for women aged 40–80 from the 1996–2006 Behavioral Risk Factor Surveillance System and the 1999, 2000, 2003, and 2005 National Health Interview Survey. A consistent set of covariates was used across all datasets. Reversals were found in almost all survey years for Hispanic women. Non-Hispanic Black women often had unadjusted rates comparable to Non-Hispanic Whites, but their adjusted odds ratios were significantly higher in most surveys. A limited number of variables contributed strongly to reversals, and differed somewhat for Hispanic and Black women. Reversed associations found in adjusted analyses present a challenge for interpretation, but could also denote success of programs to increase screening rates. Users of population-level surveys should be alert for reversals and attempt to find explanations.
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影响因子：
6.2
作者：
Adams, E. Kathleen;Breen, Nancy;Joski, Peter J.
通讯作者：
Joski, Peter J.
影响因子：
5
作者：
ANDERSEN, RM
通讯作者：
ANDERSEN, RM
影响因子：
4.4
作者：
Ostbye, Truls;Greenberg, Gary N;Lee, Ann Marie M
通讯作者：
Lee, Ann Marie M
DOI：
10.1093/jnci/93.22.1704
发表时间：
2001-11-21
期刊：
JOURNAL OF THE NATIONAL CANCER INSTITUTE
影响因子：
--
作者：
Breen, N;Wagener, DK;Ballard-Barbash, R
通讯作者：
Ballard-Barbash, R
影响因子：
5.5
作者：
Adams, EK;Florence, CS;Joski, PJ
通讯作者：
Joski, PJ