缺乏服务的西班牙裔妇女对乳腺癌风险的看法:对基于风险的查方法的影响
Jessica D Austin1, Sarah M Jenkins2, Vera J Suman2
1Department of Quantitative Health Sciences, Division of Epidemiology, Mayo Clinic, 13400 E. Shea Blvd, Scottsdale, AZ, 85259, USA. Austin.Jessica2@mayo.edu.
Journal of racial and ethnic health disparities
|February 22, 2024
概括
了解西班牙裔女性对乳腺癌风险的看法至关重要. 年龄和家族病史等因素显著影响感知风险,而先前查可能起到较小的作用.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
背景情况:
- 准确的乳腺癌风险感知对于有效的检测和预防策略至关重要.
- 缺乏支持的西班牙裔女性对乳腺癌风险的看法受到各种因素的影响.
- 这项研究调查了多层次因素,包括先前查行为,影响了这一群体对乳腺癌风险的看法.
研究的目的:
- 评估塑造乳腺癌风险观念的多层次因素在服务不足的西班牙裔妇女.
- 检查先前查行为对感知乳腺癌风险的影响.
- 确定影响乳腺癌风险认知的特定年龄因素.
主要方法:
- 对1325名西班牙裔女性调查数据的二次分析 (92%的西班牙语,64%的50岁以下).
- 分析了两个年龄组 (<50岁和50岁以上) 的数据,以考虑查指南差异.
- 多变量分析检查了乳房扫描史和感知终身乳腺癌风险之间的关联.
主要成果:
- 大多数女性认为他们的终身风险很低 (75%在0-10%之间),顺序风险"不高" (96%),比较风险"低得多" (50%).
- 年轻女性 (<50岁) 有乳腺癌家族病史报告感知风险更高.
- 在老年女性 (50+) 中,较低的感知风险与说西班牙语相关;乳房镜史与感知终身风险没有显著相关.
结论:
- 乳腺癌风险感知受到与年龄相关的因素的影响.
- 之前的乳房镜查史似乎在塑造风险感知方面发挥着有限的作用.
- 需要文化和语言定制的策略来加强基于风险的查在这个人群中的实施.
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