English proficiency and physicians' recommendation of Pap smears among Hispanics
English proficiency and physicians' recommendation of Pap smears among Hispanics
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DOI：
10.1016/j.cdp.2006.05.003
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发表时间：
2006-01-01
影响因子：
--
通讯作者：
Sweningson, Jamie M.
中科院分区：
文献类型：
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作者：
De Alba, Israel;Sweningson, Jamie M.
背景：西班牙裔是宫颈癌发病率最高的人群之一。医生的建议是癌症筛查最重要的线索之一；然而，西班牙裔人的英语水平较低可能会阻碍医疗服务提供者推荐子宫颈抹片检查。方法：分析 2000 年全国健康访谈调查的数据。所有年龄 >= 18 岁、在过去 3 年内或从未进行过子宫颈抹片检查以及在过去一年内曾就诊过医疗保健提供者的所有西班牙裔女性均被纳入其中。主要结果是收到医疗保健提供者建议的子宫颈抹片检查。结果：共有 314 名西班牙裔女性参与分析，其中 44.9% 的英语水平较高。在英语水平较低、未及时进行癌症筛查的西班牙裔中，只有 7.7% 的人建议进行子宫颈抹片检查，而英语水平较高的西班牙裔中，这一比例为 14.3%。在调整社会人口统计、健康获取和利用因素后，英语水平较高的西班牙裔人报告接受子宫颈抹片检查建议的可能性是英语水平较低的人的两倍多（aOR 2.2，95% CI 1.1-4.5）。结论：对于未及时进行宫颈癌筛查的西班牙裔女性来说，英语水平较低是接受子宫颈抹片检查建议的障碍。需要进一步研究来探索造成推荐率低的具体机制，并评估口译员或西班牙语提供者对子宫颈抹片检查推荐率的影响。 (c) 2006 年国际预防肿瘤学会。由爱思唯尔有限公司出版。保留所有权利。
Background: Hispanics have one of the highest incidence rates of cervical cancer. Physician recommendation is one of the most important cues to cancer screening; however, low English proficiency among Hispanics may hinder health providers' recommendation of Pap smears. Methods: Analysis of data from the 2000 National Health Interview Survey. All Hispanic women, age >= 18, without a Pap smear in the past 3 years or ever and who visited a health care provider in the past year were included. The main outcome was receipt of Pap smear recommendation by a,health care provider. Results: A total of 314 Hispanic women were included in the analysis, 44.9% were highly English proficient. Only 7.7% of low English proficient Hispanics not up-to-date in cancer screening reported a recommendation for a Pap smear as compared to 14.3% of highly proficient Hispanics. After adjusting for sociodemographics and health access and utilization factors, highly English proficient Hispanics were more than two times as likely to report receiving a recommendation for a Pap smear as compared to the less proficient (aOR 2.2, 95 % CI 1.1-4.5). Conclusions: Low English language proficiency is a barrier to receive a recommendation for Pap smear among Hispanic women not up-to-date with cervical cancer screening. Further research is needed to explore specific mechanisms responsible for the low recommendation rates and to assess the impact of interpreters or Spanish-speaking providers on Pap smear recommendation rates. (c) 2006 International Society for Preventive Oncology. Published by Elsevier Ltd. All rights reserved.