宫癌查的交叉方法 种族/种族和移民身份的差异
Jane J Chen1, Indra N Sarkar1,2,3,4, Emily Hsu1,3
1Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA.
Journal of women's health (2002)
|October 23, 2024
概括
宫癌查差异不成比例地影响移民妇女. 解决语言,融入文化,保险和医疗保健等障碍对于改善不同种族和族裔移民群体的查率至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康差距 研究 研究 研究 研究
背景情况:
- 在种族/少数民族和移民人口中,宫癌 (CC) 查存在显著差异.
- 现有的研究不足以解释种族/种族和移民地位对CC查的综合影响.
- 了解这些共同影响对于制定有针对性的公共卫生干预措施至关重要.
研究的目的:
- 调查种族/种族和移民地位对宫癌查的联合影响.
- 确定有助于在移民妇女中观察到的CC查差异的具体障碍.
- 为改善CC查提供文化和语言上适当的策略.
主要方法:
- 横截面分析利用了2005年,2010年和2015年全国健康访谈调查中25660名美国妇女的数据.
- 使用后勤回归模型,根据种族/种族和移民身份分析宫癌查状况.
- 调解因素包括社会经济地位,医疗保健准入,语言和文化融合被纳入解释差异.
主要成果:
- 与美国出生的非西班牙裔白人女性相比,所有移民群体的子宫癌查最新几率都较低.
- 外国出生的非西班牙裔亚洲人查率最低 (aOR:0.36),其次是外国出生的非西班牙裔白人,西班牙裔/拉丁裔和非西班牙裔黑人女性.
- 社会经济地位和获得医疗保健的机会部分解释了外国出生的西班牙裔/拉丁裔和非西班牙裔黑人女性的差异,而语言和同文化是所有移民群体的关键.
结论:
- 宫癌查差异主要集中在各种种族/种族群体的移民人口中.
- 建议针对移民西班牙裔/拉丁裔和非西班牙裔黑人妇女提供保险和医疗保健.
- 对非西班牙裔亚裔和白人女性来说,文化和语言上有能力的护理和有针对性的教育对于减少查差异至关重要.
更多相关视频
相关概念视频
02:55Stereotypes, Prejudice, and Discrimination
Humans are very diverse and although we share many similarities, we also have many differences. The social groups we belong to help form our identities (Tajfel, 1974). These differences may be difficult for some people to reconcile, which may lead to prejudice toward people who are different. Prejudice is a negative attitude and feeling toward an individual based solely on one’s membership in a particular social group (Allport, 1954; Brown, 2010). Prejudice is common against people who are...
01:30Preventive Healthcare Services
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
02:59Cancer Prevention
Several factors can increase the risk of cancer in an individual. About 50% of cancer cases can be prevented by adopting a healthy lifestyle, regular exercise, eating healthy, and following a modest cancer prevention diet. Epidemiological studies have consistently shown that populations with vegetable and fruit-rich diets have reduced the incidence of cancer. On the other hand, populations who have a diet rich in animal fat, red meat, junk food, or high calories are predisposed to cancer.
Some...
Some...
01:25Strategies for Assessing and Addressing Confounding
Confounding is a critical issue in epidemiological studies, often leading to misleading conclusions about associations between exposures and outcomes. It occurs when the relationship between the exposure and the outcome is mixed with the effects of other factors that influence the outcome. Given that, addressing confounding is of high importance for drawing accurate inferences in research.
Confounding can be addressed at both the design phase of a study and through analytical methods after data...
Confounding can be addressed at both the design phase of a study and through analytical methods after data...