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不同种族低收入女性乳腺钼靶筛查的预测因素

Predictors of mammography screening among ethnically diverse low-income women.

作者信息

Cronan Terry A, Villalta Ian, Gottfried Emily, Vaden Yavette, Ribas Mabel, Conway Terry L

机构信息

San Diego State University, San Diego, California, USA.

出版信息

J Womens Health (Larchmt). 2008 May;17(4):527-37. doi: 10.1089/jwh.2007.0331.

Abstract

BACKGROUND AND PURPOSE

Breast cancer is the second leading cause of cancer deaths among women in the United States. Minority women are less likely to be screened and more likely to die from breast cancer than are Caucasian women. Although some studies have examined ethnic disparities in mammography screening, no study has examined whether there are ethnic disparities among low-income, ethnically diverse women. The present study was designed to determine whether there are ethnic disparities in mammography screening and predictors of screening among low-income African American, Mexican American, and Caucasian women, and to determine whether the disparities and predictors vary across ethnic groups.

METHODS

The participants were 146 low-income women who were Mexican American (32%), African American (31%), or Caucasian (37%). Statistical analyses were performed to assess the relationships between mammography screening during the past 2 years and potential predictors of screening, both within ethnic groups and for the combined sample.

RESULTS

The results varied depending on whether analyses combined ethnic groups or were performed within each of the three ethnic groups.

CONCLUSIONS

It is, therefore, important to examine within-group differences when examining ethnic disparities in predictors of mammography.

摘要

背景与目的

在美国,乳腺癌是女性癌症死亡的第二大主要原因。少数族裔女性接受筛查的可能性低于白人女性,且死于乳腺癌的可能性更高。尽管一些研究探讨了乳腺钼靶筛查中的种族差异,但尚无研究考察低收入、种族多样的女性群体中是否存在种族差异。本研究旨在确定低收入非裔美国女性、墨西哥裔美国女性和白人女性在乳腺钼靶筛查方面是否存在种族差异以及筛查的预测因素,并确定这些差异和预测因素在不同种族群体中是否有所不同。

方法

研究对象为146名低收入女性,其中墨西哥裔美国人占32%,非裔美国人占31%,白人占37%。进行统计分析以评估过去两年内乳腺钼靶筛查与筛查潜在预测因素之间在种族群体内部以及合并样本中的关系。

结果

结果因分析是合并种族群体进行还是在三个种族群体各自内部进行而有所不同。

结论

因此,在研究乳腺钼靶筛查预测因素的种族差异时,考察群体内部差异很重要。

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