Low rates of colorectal, cervical, and breast cancer screening in Asian Americans compared with non-Hispanic whites - Cultural influences or access to care?
Low rates of colorectal, cervical, and breast cancer screening in Asian Americans compared with non-Hispanic whites - Cultural influences or access to care?
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DOI：
10.1002/cncr.21968
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发表时间：
2006-07-01
期刊：
影响因子：
6.2
通讯作者：
Lauderdale, Diane S.
中科院分区：
文献类型：
--
作者：
Kandula, Namratha R.;Wen, Ming;Lauderdale, Diane S.
背景与非西班牙裔白人（NHWs）相比，亚裔美国人的癌症筛查率较低。人们对癌症筛查差异的机制知之甚少。本研究的目的是：1）确定NHWs和亚裔美国人的出生时间、在美国的年数、语言和癌症筛查之间的关系，独立于获得护理的机会; 2）确定亚洲人是否报告了与NHWs不同的未获得癌症筛查的原因。这项基于人群的研究包括来自2001年加州健康访谈调查的36，660名NHW、1298名中国人、944名菲律宾人、803名韩国人、857名越南人和1036名其他亚洲人。主要研究结果是1）自我报告的结直肠癌、宫颈癌和乳腺癌筛查，2）未进行癌症筛查的原因。在调整获得护理的机会后，与NHWs相比，几个亚洲亚组的所有类型癌症筛查率仍然显着较低。调整出生地，在美国的年数和英语减弱了亚洲种族与结直肠癌和乳腺癌筛查率较低之间的关系。当他们被问及没有进行每项筛查测试的最重要原因是什么时，外国出生的亚洲人比美国出生的NHW更有可能报告他们“没有问题/症状”（P
BACKGROUND. Asian Americans have lower cancer screening rates compared with non-Hispanic whites (NHWs). Little is known about mechanisms that underlie disparities in cancer screening. The objectives of the current study were 1) to determine the relation between nativity, years in the United States, language, and cancer screening in NHWs and Asian Americans, independent of access to care and 2) to determine whether Asians reported different reasons than NHWs for not obtaining cancer screening.METHODS. This population-based study included 36,660 NHWs, 1298 Chinese, 944 Filipinos, 803 Koreans, 857 Vietnamese, and 1036 Other Asians from the 2001 California Health Interview Survey. The main study outcomes were 1) self-reported colorectal, cervical, and breast cancer screening and 2) reasons for not obtaining cancer screening.RESULTS. After adjusting for access to care, several Asian subgroups still had significantly lower rates of all types of cancer screening compared with NHWs. Adjusting for nativity, years in the United States, and English language attenuated the relation between Asian ethnicity and lower rates of colorectal and breast cancer screening. When they were asked what the most important reason was for not having each screening test, foreign-born Asians were significantly more likely than United States-born NHWs to report that they "didn't have problems/symptoms" (P