Cancer preventive screening: A cross-border comparison of United States and Canadian Chinese women

被引:29
作者
Tu, SP [1 ]
Jackson, SL
Yasui, Y
Deschamps, M
Hislop, TG
Taylor, VM
机构
[1] Univ Washington, Seattle, WA 98195 USA
[2] Univ Washington, Dept Med, Seattle, WA 98105 USA
[3] VA Puget Sount, NW Hlth Serv Res & Dev Program, Seattle, WA 98105 USA
[4] Fred Hutchinson Canc Res Ctr, Div Publ Hlth Sci, Seattle, WA 98109 USA
[5] Univ Washington, Fred Hutchinson Canc Res Ctr, Div Publ Hlth Sci, Seattle, WA 98109 USA
[6] Univ Washington, Dept Hlth Serv, Seattle, WA 98109 USA
关键词
Chinese; PAP testing; mammography; preventive screening; universal health coverage;
D O I
10.1016/j.ypmed.2005.01.005
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objective. To compare screening mammography and Pap testing among Chinese women in Seattle, Washington to Vancouver, and British Columbia. Methods. Using community-based sampling methods, trilingual female interviewers surveyed Chinese women in Seattle and Vancouver. Multiple preventive health behaviors and health care access variables were assessed. Mammography analysis included 409 women aged 50-74 years. Pap testing analysis included 973 women aged 20-69 years. Main outcome measures were ever use and use in the last 2 years of screening mammography and Pap testing. Results. Chinese women in Vancouver were younger, more educated and fluent in English. Unadjusted rates of mammography and Pap testing were similar between the two cities. Provider type was consistently associated with screening in both cities; female providers had the highest rates and Chinese male providers the lowest. Adjusted logistic regression analysis demonstrated similar mammography use in the two cities. However, for Pap testing, women in Seattle had higher odds of screening compared to Vancouver. Conclusion. Despite universal health care coverage and baseline characteristics typically associated with greater utilization of preventive screening services, Chinese women in Vancouver did not have higher rates of screening mammography and Pap testing compared to Chinese women in Seattle. (c) 2005 Elsevier Inc. All rights reserved.
引用
收藏
页码:36 / 46
页数:11
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