背景:美国(美国)的巴西移民妇女人口不断增长。然而,有限的研究探索了该人群中的巴氏试验和人乳头瘤病毒(HPV)疫苗接种。
方法:参与者在2020年7月至8月之间完成了一项在线调查。双变量分析检查了医疗保健相关变量之间的关联(例如,保险,拥有初级保健提供者)和人口统计(例如,年龄,教育,收入,婚姻状况,在美国生活了几年,在家里说的主要语言)与1)巴氏试验最近(在过去3年内)和2)HPV疫苗接种(0剂量与1+剂量)。双变量分析中p<0.10时显著的变量包括在检查Pap检验新近度和HPV疫苗接种的多变量逻辑回归模型中。
结果:研究发现,在过去三年中,有83.7%的样本进行了巴氏试验。不知道家庭收入的妇女比报告家庭收入<25,000美元的妇女的可能性要小(调整后的OR[aOR]=0.34,95%CI:0.12,0.95)。在过去一年中看过医疗保健提供者的女性比在过去一年中没有看过医疗保健提供者的女性更有可能在过去三年中进行巴氏试验([aOR]=2.43,95%CI:1.32,4.47)。关于HPV疫苗接种,30.3%的受访者表示接受了一剂或多剂HPV疫苗。多变量逻辑回归模型确定27-45岁的女性(aOR=0.35,95%CI:0.18,0.67)比18-26岁的女性接种HPV疫苗的可能性更低)。并且患有PCP的女性比没有PCP的女性更有可能接种疫苗(aOR=2.47。95%CI:1.30,4.59)。
结论:这项研究发现,巴西移民妇女在最年轻的年龄组(21-29岁)进行巴氏试验,18-26对于HPV疫苗接种)的巴氏筛查和HPV疫苗接种率比美国一般情况更好
方法:这项研究增加了有关巴西移民妇女宫颈癌预防和控制行为的新信息。
BACKGROUND: The United States (U.S.) has a growing population of Brazilian immigrant women. However, limited research has explored Pap tests and human papillomavirus (HPV) vaccination among this population.
METHODS: Participants completed an online survey between July-August 2020. Bivariate analyses examined associations between healthcare-related variables (e.g., insurance, having a primary care provider) and demographics (e.g., age, education, income, marital status, years living in the U.S., primary language spoken at home) with 1) Pap test recency (within the past 3 years) and 2) HPV vaccination (0 doses vs. 1 + doses). Variables significant at p < 0.10 in bivariate analyses were included in multivariable logistic regression models examining Pap test recency and HPV vaccination.
RESULTS: The study found that 83.7% of the sample had a Pap test in the past three years. Women who did not know their household income were less likely to be than women who reported a household income of < $25,000 (adjusted OR [aOR] = 0.34, 95% CI: 0.12, 0.95). Women who had seen a healthcare provider in the past year were more likely to have had a Pap test within the last three years than those who had not seen a provider in the past year ([aOR] = 2.43, 95% CI: 1.32, 4.47). Regarding HPV vaccination, 30.3% of respondents reported receiving one or more doses of the HPV vaccine. The multivariable logic regression models determined that women aged 27 -45 (aOR = 0.35, 95% CI: 0.18, 0.67) were less likely than women aged 18-26 to have been vaccinated against HPV). and that women with a PCP were more likely to be vaccinated than those without a PCP (aOR = 2.47. 95% CI:1.30, 4.59).
CONCLUSIONS: This study found that Brazilian immigrant women in the youngest age groups (21 - 29) for Pap test, 18- 26 for HPV vaccination) had somewhat better rates of Pap screening and HPV vaccination than the general U.S.
METHODS: This study adds new information about cervical cancer prevention and control behaviors among Brazilian immigrant women.