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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Cancer screening among Latino subgroups in the United States.
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Cancer screening among Latino subgroups in the United States.

机译：在美国拉丁裔亚人群中进行癌症筛查。

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BACKGROUND: Relying upon the Health Belief Model and a behavioral model of health care utilization, the purpose of this study was to examine current adherence to cancer screening among Latino subgroups. METHODS: Using data from the 2000 National Health Interview Survey, 5377 Latinos were surveyed for their use of Pap smear, mammogram, breast self-examination and the clinical breast exam among women, prostate specific antigen test among men, and the fecal occult blood test, sigmoidoscopy, colonoscopy, and proctoscopy among both men and women. Using sampling weights, multivariate logistic regression models were used to assess screening use. RESULTS: Dominican women had 2.4 times greater likelihood of having had mammography than other Latinos. In addition, Latinas aged 50-69, who had more years of education, a personal history of cancer, who were not current smokers, had health insurance, had visited a primary care provider over the past 12 months, and had at least one other screening test had greater useof mammography. Younger age, marriage, greater acculturation, visits to a primary care provider, health insurance, and the use of other cancer screening tests predicted the uptake of the Pap smear. Latinas were more likely to use a CBE if they were younger, had a Bachelor's degree, a personal history of cancer, were more acculturated, had visits to a primary care provider over the past 12 months, and used other cancer screening tests. Puerto Ricans, Central or South Americans had half the likelihood of having colorectal cancer screening than other groups. Ages between 50 and 69, male sex, marriage, history of visiting a health care provider, and use of other screening tests predicted use of the FOBT. Older age, greater education, male sex, history of visiting a health care provider in the previous year, use of other screening tests, and better health status influenced the uptake of endoscopy for colorectal cancer screening. Cuban males had fivefold greater utilization of PSA testing. Additionally, PSA use among Latinos was predicted by older age, history of visiting a primary care provider in the past 12 months, and use of other screening tests. CONCLUSIONS: Cancer screening programs must take into account differences among Latinos in age, gender, educational levels, marital status, cancer history, risk behaviors, insurance, health status and health services utilization.
机译：背景：基于健康信念模型和卫生保健利用的行为模型，本研究的目的是检查拉丁裔亚组当前对癌症筛查的依从性。方法：使用来自2000年国家健康访问调查的数据，对5377名拉丁裔进行了巴氏涂片检查，乳房X线照片，乳房自我检查和女性临床乳房检查，男性前列腺特异性抗原测试以及粪便潜血测试，乙状结肠镜，结肠镜和直肠镜检查。使用抽样权重，使用多元逻辑回归模型评估筛查使用。结果：多米尼加妇女的乳房X线摄影可能性比其他拉丁裔高2.4倍。此外，拉丁裔年龄在50-69岁之间，他们受过多年的教育，有个人癌症史，不吸烟，有医疗保险，过去12个月曾去过初级保健提供者，并且至少有其他人筛查检查更多地使用了乳腺摄影。年龄较小，结婚，适应能力更强，去初级保健提供者就诊，健康保险以及使用其他癌症筛查测试都可以预测巴氏涂片的摄取。拉美裔人年龄较小，具有学士学位，癌症的个人病史，受累程度更高，在过去的12个月中曾拜访初级保健提供者并使用过其他癌症筛查测试，则更有可能使用CBE。波多黎各人，中美洲或南美人进行大肠癌筛查的可能性是其他人群的一半。 50至69岁之间的年龄，男性，婚姻，就医经历以及其他筛查测试都预测了FOBT的使用。年龄较大，受过高等教育，男性，上一年曾去过医疗保健人员的病史，使用其他筛查检查以及健康状况的改善影响了内窥镜检查对大肠癌筛查的吸收。古巴男性的PSA测试利用率提高了五倍。此外，拉丁美洲人对PSA的使用是根据年龄，过去12个月内拜访初级保健提供者的历史以及使用其他筛查测试来预测的。结论：癌症筛查计划必须考虑拉丁美洲人在年龄，性别，受教育程度，婚姻状况，癌症病史，危险行为，保险，健康状况和卫生服务利用方面的差异。

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