• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>International journal for equity in health >Breast, cervical, and colorectal cancer screening rates amongst female Cambodian, Somali, and Vietnamese immigrants in the USA
【24h】

Breast, cervical, and colorectal cancer screening rates amongst female Cambodian, Somali, and Vietnamese immigrants in the USA

机译：美国女性柬埔寨，索马里和越南移民中的乳腺癌，子宫颈癌和结肠直肠癌的筛查率

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Introduction Minority women, particularly immigrants, have lower cancer screening rates than Caucasian women, but little else is known about cancer screening among immigrant women. Our objective was to assess breast, cervical, and colorectal cancer screening rates among immigrant women from Cambodia, Somalia, and Vietnam and explore screening barriers. Methods We measured screening rates by systematic chart review (N = 100) and qualitatively explored screening barriers via face-to-face questionnaire (N = 15) of women aged 50–75 from Cambodia, Somalia, and Vietnam attending a general medicine clinic (Portland, Maine, USA). Results Chart Review – Somali women were at higher risk of being unscreened for breast, cervical, and colorectal cancer compared with Cambodian and Vietnamese women. A longer period of US residency was associated with being screened for colorectal cancer. We observed a 7% (OR 1.07, 95% CI 1.01–1.13, p = 0.01) increase in the odds that a woman would undergo a fecal occult blood test for each additional year in the US, and a 39% increase in the odds of a woman being screened by colonoscopy or flexible sigmoidoscopy for every five years of additional US residence (OR 1.39, 95% CI 1.21–1.61, p = 0.02). We did not observe statistically significant relationships between odds of being screened by mammography, clinical breast exam or papanicolaou test according to years in the US. Questionnaire – We identified several barriers to breast, cervical, and colorectal cancer screening, including discomfort with exams conducted by male physicians. Discussion Somali women were less likely to be screened for breast, cervical, and colorectal cancer than Cambodian and Vietnamese women in this population, and uptake of colorectal cancer screening is associated with years of residency in this country. Future efforts to improve equity in cancer screening among immigrants may require both provider and community education.
机译：引言少数族裔妇女，特别是移民，其癌症筛查率低于白人妇女，但对移民妇女进行癌筛查知之甚少。我们的目标是评估来自柬埔寨，索马里和越南的移民妇女的乳腺癌，宫颈癌和结肠直肠癌的筛查率，并探讨筛查的障碍。方法我们通过系统图表审查（N = 100）来衡量筛查率，并通过面对面问卷调查（N = 15）从柬埔寨，索马里和越南的50-75岁就诊于普通科门诊的女性中筛选筛查障碍。美国缅因州波特兰）。结果表回顾–与柬埔寨和越南妇女相比，索马里妇女未接受乳腺癌，宫颈癌和结肠直肠癌筛查的风险更高。美国居留时间较长与筛查大肠癌有关。我们观察到，在美国，每增加一年，女性接受粪便潜血测试的几率就会增加7％（OR 1.07，95％CI 1.01-1.13，p = 0.01），并且几率增加39％每五年在美国额外居住一次接受结肠镜检查或柔性乙状结肠镜检查的女性的比例（OR 1.39，95％CI 1.21-1.61，p = 0.02）。根据美国的年限，我们没有观察到乳房X光检查，临床乳房检查或papanicolaou试验筛查的几率之间的统计学显着性关系。问卷调查-我们确定了乳腺癌，宫颈癌和结肠直肠癌筛查的一些障碍，包括男性医师进行检查时的不适感。讨论在这一人群中，与柬埔寨和越南妇女相比，索马里妇女接受乳腺癌，宫颈癌和结肠直肠癌筛查的可能性较小，而且接受结肠直肠癌筛查与该国居住年限有关。未来为提高移民在癌症筛查中的公平性的努力可能需要提供者和社区教育。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号