纽约市的中国、韩国和南亚居民的癌症筛查、知识和宿命论。
Cancer Screening, Knowledge, and Fatalism among Chinese, Korean, and South Asian Residents of New York City.
机构信息
Department of Epidemiology and Biostatistics, CUNY Graduate School of Public Health and Health Policy, City University of New York, New York, New York.
CUNY Institute for Implementation Science in Population Health, City University of New York, New York, New York.
出版信息
Cancer Epidemiol Biomarkers Prev. 2024 Nov 1;33(11):1475-1483. doi: 10.1158/1055-9965.EPI-24-0399.
BACKGROUND
Asian New York City residents have the lowest cancer screening uptake across race and ethnicity. Few studies have examined screening differences across Asian ethnic subgroups in New York City.
METHODS
Cross-sectional survey data were analyzed using multivariable logistic and multinomial regression analyses. Differences among Chinese, Korean, and South Asian adults in breast, cervical, and colorectal cancer screening uptake; breast and colorectal cancer screening knowledge; and cancer fatalism were examined. Associations between breast and colorectal cancer screening knowledge and their uptake were also assessed along with associations between cancer fatalism and breast, cervical, and colorectal cancer screening uptake.
RESULTS
Korean women reported 0.52 times [95% confidence interval (CI), 0.31-0.89] lower odds of Pap test uptake compared with Chinese women; South Asian adults had 0.43 times (95% CI, 0.24-0.79) lower odds of colorectal cancer screening uptake compared with Chinese adults. Korean adults reported 1.80 times (95% CI, 1.26-2.58) higher odds of knowing the correct age to begin having mammograms compared with Chinese adults; South Asian adults had 0.67 times (95% CI, 0.47-0.96) lower odds of knowing the correct age to begin colorectal cancer screening compared with Chinese adults. Korean adults had 0.37 times (95% CI, 0.27-0.53) lower odds of reporting cancer fatalism compared with Chinese adults.
CONCLUSIONS
Low cancer screening uptake among Asian American adults, low screening knowledge, and high cancer fatalism were found. Cancer screening uptake, knowledge, and fatalism varied by ethnic subgroup.
IMPACT
Findings indicate the need for ethnicity-specific cultural and linguistic tailoring for future cancer screening interventions.
背景
在不同种族和族裔中，纽约市的亚洲居民癌症筛查率最低。很少有研究检查过在纽约市的亚裔亚群中，不同种族之间的筛查差异。
方法
使用多变量逻辑和多项回归分析对横断面调查数据进行了分析。检查了中国、韩国和南亚成年人在乳腺癌、宫颈癌和结直肠癌筛查率、乳腺癌和结直肠癌筛查知识以及癌症宿命论方面的差异。还评估了乳腺癌和结直肠癌筛查知识与其采用之间的关联，以及癌症宿命论与乳腺癌、宫颈癌和结直肠癌筛查率之间的关联。
结果
与中国女性相比，韩国女性接受巴氏试验的可能性低 0.52 倍（95%置信区间[CI]，0.31-0.89）；与中国成年人相比，南亚成年人接受结直肠癌筛查的可能性低 0.43 倍（95%CI，0.24-0.79）。与中国成年人相比，韩国成年人报告正确开始进行乳房 X 光检查的年龄的可能性高 1.80 倍（95%CI，1.26-2.58）；南亚成年人知道正确开始结直肠癌筛查年龄的可能性低 0.67 倍（95%CI，0.47-0.96）。与中国成年人相比，韩国成年人报告癌症宿命论的可能性低 0.37 倍（95%CI，0.27-0.53）。
结论
发现亚裔美国成年人的癌症筛查率低、筛查知识水平低和癌症宿命论高。癌症筛查率、知识和宿命论因族裔群体而异。
影响
研究结果表明，需要针对未来的癌症筛查干预措施，根据种族和族裔特点进行文化和语言上的调整。
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