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首页> 外文期刊>American Journal of Preventive Medicine >Breast and cervical screening by race/ethnicity: Comparative analyses before and during the great recession
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Breast and cervical screening by race/ethnicity: Comparative analyses before and during the great recession

机译：按种族/种族进行的乳腺癌和宫颈癌筛查：大萧条之前和期间的比较分析

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Background Traditionally, economic recessions have resulted in decreased utilization of preventive health services. Purpose To explore racial and ethnic differences in breast and cervical cancer screening rates before and during the Great Recession. Methods The Medical Expenditure Panel was the source for identifying 10,894 women, ages 50-74 for breast screening and 19,957 women, ages 21-65 for cervical screening. Survey years included 2004-2005 and 2009-2010. Dependent variables were as follows: 1) receipt of mammogram within the past 2 years; and 2) receipt of a Pap smear within the past 3 years. The interaction of the recession and the likelihood of screening between whites and minorities was analyzed. Multivariate regressions were applied to estimate the likelihood of screening for the two time periods while controlling for a recession variable. Results Nationally, breast and cervical cancer screening rates dropped during the recession period; white women contributed most to the decline. However, there were significant improvements in timely screening for both cancers among Hispanics during the recession period. After controlling for the recession, African American women were more likely to have timely screenings compared to white women. Screening rates during the recession were lowest in the South, Midwest and West. Conclusion There was a national reduction in the percentages of women who obtained timely breast and cervical screenings during the Great Recession. Outreach efforts are needed to ensure that women who were not screened during the recession are screened. Widespread education about the Affordable Care Act may be helpful.
机译：背景技术传统上，经济衰退导致预防性保健服务的利用率下降。目的探讨大萧条之前和期间乳腺癌和宫颈癌筛查率的种族和种族差异。方法：医疗支出小组的资料来源是对10894名年龄在50-74岁之间的女性进行乳腺筛查，以及19957位女性在21-65岁之间的宫颈癌筛查。调查年份包括2004-2005年和2009-2010年。因变量如下：1）在过去2年内收到乳房X线照片; 2）在过去3年内收到子宫颈抹片检查。分析了经济衰退的相互作用以及白人与少数族裔之间进行筛查的可能性。在控制经济衰退变量的同时，应用多元回归估计两个时间段的筛选可能性。结果在全国范围内，乳腺癌和子宫颈癌的筛查率在经济衰退时期有所下降。白人妇女对下降的影响最大。但是，在衰退期间，对西班牙裔人群中的两种癌症进行及时筛查的能力有了显着提高。在控制了经济衰退之后，与白人妇女相比，非洲裔美国妇女更有可能接受及时筛查。经济衰退期间的筛查率在南部，中西部和西部最低。结论大萧条期间接受及时乳房和宫颈筛查的女性比例在全国范围内有所下降。需要开展外联工作，以确保对在经济衰退期间未接受筛查的妇女进行筛查。关于《平价医疗法案》的广泛教育可能会有所帮助。

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