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Prevalence and associated factors of cancer screening: why are so many older Mexican American women never screened?

机译:癌症筛查的患病率及其相关因素:为什么这么多墨西哥裔美国老年妇女从未筛查过?

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OBJECTIVES: The aim of this study was to identify patterns of mammogram and Papanicolaou (Pap) screenings among Mexican American women ages 67 and over. METHODS: Data on 1,403 Mexican American women from the Hispanic Established Population for the Epidemiological Study of the Elderly, a cohort study of community-dwelling Mexican Americans ages 65 years or over from the southwestern United States, were analyzed. RESULTS: Mexican American women age 75 or older were less likely to ever have had breast or cervical screening than women ages 67 to 74, even controlling for sociodemographic, cultural, and selected health factors. Overall, fewer medical conditions and never having had a hysterectomy were found to be associated with a decreased chance of ever having had a mammogram or a Pap test. Women who lacked insurance coverage and had fewer doctor visits were less likely to ever have had a mammogram, whereas women with low education, low acculturation, and lower cognitive status scores were less likely to ever have had a Pap test. CONCLUSIONS: If these results withstand more detailed studies (e.g., with the addition of important variables such as awareness), better communication with health professional doctors and improvement of access to heath care services should increase rates of both mammogram and Pap screenings. Copyright 2001 American Health Foundation and Academic Press.
机译:目的:本研究的目的是确定年龄在67岁及以上的墨西哥裔墨西哥妇女的乳房X线照片和Papanicolaou(Pap)筛查的模式。方法:对来自西班牙裔老龄人口流行病学研究的1403名墨西哥裔美国妇女的数据进行了分析,该队列研究来自美国西南部,居住在墨西哥的年龄在65岁以上的墨西哥裔美国人。结果:与67岁至74岁的女性相比,年龄在75岁或75岁以上的墨西哥裔美国人的女性进行乳房或宫颈癌筛查的可能性更低,甚至可以控制社会人口统计学,文化和特定的健康因素。总体而言,发现较少的医疗条件和从未做过子宫切除术与进行乳房X线照片或Pap检查的机会减少有关。缺乏保险,医生就诊次数较少的妇女接受乳房X线检查的可能性较小,而教育程度低,适应性低和认知状态得分较低的妇女接受Pap测试的可能性较小。结论:如果这些结果经得起更详细的研究(例如,添加了诸如意识等重要变量),与卫生专业医生的更好交流以及对健康护理服务的访问机会增加,则乳房X线照片和子宫颈抹片检查的比率将会增加。版权所有2001美国健康基金会和学术出版社。

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