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首页> 外文期刊>Journal of women’s health >Breast and cervical cancer screening among Asian American women and Latinas: does race/ethnicity matter?
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Breast and cervical cancer screening among Asian American women and Latinas: does race/ethnicity matter?

机译：在亚裔美国妇女和拉丁美洲人中进行乳腺癌和子宫颈癌筛查：种族/民族重要吗？

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BACKGROUND: Ethnic minorities are frequently considered as one homogeneous group in research, and this trend is particularly true for Asian Americans. This article seeks to uncover the intragroup differences in cancer screening behavior among subgroups of Asian American women by disaggregating them into six subgroups. The subgroups were compared with non-Latina white women to examine differences in breast and cancer screening rates and relevant factors associated with receiving these screenings. METHODS: Three-year merged data from the 2001, 2003, and 2005 California Health Interview Survey (CHIS) were used to investigate the subgroup differences. Samples for the current study were restricted to non-Latina white and Asian American women whose age was >/= 18 years (n = 58,000) for cervical cancer screening and >/= 40 years (n = 43,518) for breast cancer screening at the time of the interview. RESULTS: Results showed marked differences in cancer screening rates among Asian American subgroups and between cancer types. Cervical cancer screening rates were noticeably higher than breast cancer screening rates in all groups. The Korean group consistently showed the lowest rates of both cancer screenings. Japanese ranked the highest (79.5%) in breast cancer screening but the second lowest (79.7%) in cervical cancer screening. Enabling factors, such as having private health insurance and a usual source of care, were found to be the strongest predictors of receiving both breast and cervical cancer screening. Screenings for both types of cancer increased if a woman was married or was born in the United States. CONCLUSIONS: The findings of this study illustrate the heterogeneity that exists among Asian American subgroups in their cancer screening behaviors. Further development of culturally relevant and ethnic-specific cancer prevention strategies and policies that address the subgroup differences within the larger racial/ethnic population are needed. Public health outreach and cancer education should be prioritized to the Asian American women who are more recent arrivals in the United States and have minimal access to healthcare.
机译：背景：少数民族在研究中经常被视为一个同质群体，这一趋势对于亚裔美国人尤其如此。本文旨在通过将亚裔妇女分为六个亚组来揭示其亚裔人群亚组间癌症筛查行为的差异。将亚组与非拉丁裔白人妇女进行比较，以检查乳腺癌和癌症筛查率的差异以及与接受这些筛查有关的相关因素。方法：使用2001年，2003年和2005年加州健康访问调查（CHIS）的三年合并数据来调查亚组差异。本研究的样本仅限于非拉丁裔白人和亚裔美国人，她们在宫颈癌筛查时年龄大于/ = 18岁（n = 58,000），在乳腺癌筛查时年龄大于/ = 40岁（n = 43,518）。面试时间。结果：结果显示亚裔美国人亚组之间和癌症类型之间的癌症筛查率存在显着差异。宫颈癌筛查率在所有组中均显着高于乳腺癌筛查率。韩国小组始终显示出两次癌症筛查的最低比率。日本人在乳腺癌筛查中排名最高（79.5％），但在宫颈癌筛查中排名第二（79.7％）。人们发现，诸如拥有私人健康保险和通常的护理来源之类的因素是接受乳腺癌和宫颈癌筛查的最强预测因素。如果妇女在美国结婚或出生，对这两种癌症的筛查率都会增加。结论：这项研究的结果说明了亚裔美国人亚组在其癌症筛查行为中存在异质性。需要进一步发展具有文化相关性和特定种族的癌症预防策略和政策，以解决更大的种族/族裔人群中亚组的差异。应优先考虑亚裔美国人，这些人是美国的新移民，她们对医疗保健的访问很少，因此应该优先进行公共卫生服务和癌症教育。

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