感知到的日常歧视,社会经济地位和乳房图像行为
Jessica Vinegar1, Marissa Ericson2, Lilia Espinoza1
1Department of Public Health, California State University, Fullerton, USA.
Scientific reports
|December 27, 2024
概括
黑人女性面临更高的乳腺癌死亡率. 感知到的歧视和较低的社会经济地位显著影响了乳房镜查行为,突出了解决这些差异的必要性.
科学领域:
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
- 社会流行病学 社会流行病学
背景情况:
- 与白人女性相比,黑人女性 (BW) 的年龄调整后乳腺癌死亡率比白人女性高40%.
- 虽然乳腺癌查率相似,但乳房扫描的利用率在较低社会经济地位 (SES) 的女性之间有所不同.
- 感知到的日常歧视 (PED) 与身体健康查行为相反相关.
研究的目的:
- 调查女性对歧视的看法,社会经济地位和乳房扫描查行为之间的关系.
- 了解PED和SES如何影响黑人妇女的乳房影像利用.
主要方法:
- 一项基于社区的参与式研究研究在2020-2022年期间招募了参与者.
- 一项41项调查评估了乳房扫描行为,感知日常歧视 (PED),社会经济地位 (SES) 和种族/种族.
- 用物流回归模型来分析这些关联.
主要成果:
- 在初始模型中,种族/种族,收入和PED是乳房扫描行为的显著预测因素.
- 在一个逐步的模型中,控制乳腺癌病史,种族/种族,收入,PED和教育解释了35%的乳房扫描查行为.
- 发现乳房扫描行为与种族/种族,收入,教育和PED之间存在显著的关联.
结论:
- 解决健康的社会决定因素,包括感知到的歧视和社会经济因素至关重要.
- 了解这些因素可以帮助减轻黑人妇女的健康结果差异,特别是乳腺癌.
- 针对PED和SES的干预措施可以改善乳房扫描查,并降低黑人女性乳腺癌死亡率.
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