社会文化因素,例如健康保险状况,收入,教育,和文化适应,预测美国西班牙裔/拉丁美洲人的癌症筛查。然而,这些因素很难修改。需要更多的研究来确定个体水平的可改变因素,这些因素可能会改善该人群的筛查和随后的癌症结局。这项研究的目的是检查癌症宿命论(即,认为很少或根本没有办法降低他/她患癌症的风险)作为遵守国家结直肠筛查指南的决定因素,乳房,前列腺,西班牙裔/拉丁裔的宫颈癌。
参与者来自多点西班牙裔社区健康研究/拉丁美洲人研究(HCHS/SOL)社会文化辅助研究(N=5313)。国家癌症研究所(NCI)健康访谈国家趋势调查用于评估癌症宿命论和接受癌症筛查。坚持的定义是在研究期间遵循美国预防服务工作组和美国癌症协会的筛查指南。
调整癌症筛查和协变量(健康保险状况,收入,教育,文化适应,年龄,西班牙裔/拉丁裔背景),较低的癌症宿命论与更高的结直肠筛查依从性相关(OR1.13,95%CI[.99-1.30],p=.07),乳房(OR1.16,95%CI[.99-1.36],p=.08)和前列腺癌(OR1.18,95%CI[.97-1.43],p=.10),但不是宫颈癌.
癌症宿命论的关联是小而边缘的,强调社会文化因素是西班牙裔/拉丁美洲人癌症筛查依从性的更强有力的决定因素。
Sociocultural factors, such as health insurance status, income, education, and
acculturation, predict cancer screening among U.S. Hispanics/Latinos. However, these factors can be difficult to modify. More research is needed to identify individual-level modifiable factors that may improve screening and subsequent cancer outcomes in this population. The aim of this study was to examine cancer fatalism (i.e., the belief that there is little or nothing one can do to lower his/her risk of developing cancer) as a determinant of adherence to national screening
guidelines for colorectal, breast, prostate, and cervical cancer among Hispanics/Latinos.
Participants were from the multi-site Hispanic Community Health Study/Study of Latinos (HCHS/SOL) Sociocultural Ancillary Study (N = 5313). The National Cancer Institute (NCI) Health Interview National Trends Survey was used to assess cancer fatalism and receipt of cancer screening. Adherence was defined as following screening
guidelines from United States Preventive Services Task Force and the American Cancer Society during the study period.
Adjusting for well-established determinants of cancer screening and covariates (health insurance status, income, education,
acculturation, age, Hispanic/Latino background), lower cancer fatalism was marginally associated with greater adherence to screening for colorectal (OR 1.13, 95% CI [.99-1.30], p = .07), breast (OR 1.16, 95% CI [.99-1.36], p = .08) and prostate cancer (OR 1.18, 95% CI [.97-1.43], p = .10), but not cervical cancer.
The associations of cancer fatalism were small and marginal, underlining that sociocultural factors are more robust determinants of cancer screening adherence among Hispanics/Latinos.