Cancer screening among Latinas and non-Latina whites

拉丁裔和非拉丁裔白人的癌症筛查

• 批准号: 6784330
• 负责人: Ana F. Abraido-Lanza
• 金额: $ 7.44万
• 依托单位: COLUMBIA UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-08-13 至 2006-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6784330
• 关键词: American; Hispanic Americans; age difference; attitude; breast neoplasms; breast self examination; cancer risk; clinical research; culture; female; health behavior; health care service availability; health care service utilization; health disparity; health services research tag; human data; human middle age (35-64); human old age (65+); mammography; racial /ethnic difference; socioeconomics; statistics /biometry; women' s health

DESCRIPTION (provided by applicant): This study aims to examine the effects of ethnicity, socioeconomic status (SES) and acculturation on breast cancer screening tests. Various studies document disparities between Latina (Hispanic) and non-Latina white women in incidence and mortality rates of breast cancer, as well as survival rates. Several studies indicate that Latina women receive fewer breast cancer screening tests than non-Latina whites, possibly accounting for some of the observed differences in breast cancer mortality and survival rates. Research on acculturation (the process by which immigrant groups espouse the values, beliefs and behaviors of a dominant culture), suggests that Latino cultural values may be associated with decreased screening. Other research indicates that SES and other structural factors (e.g., access to health care) account for differences in screening. The proposed study will significantly contribute to the literature on breast cancer screening among Latina and non-Latina white women by testing theoretical models on the effects of cultural and sociodemographic factors on cancer screening, as well as the mechanisms that mediate these effects. Using data from the Cancer Control Supplement of the 1992 National Health Interview Survey, the study will examine two screening behaviors: recent mammography and clinical breast examination and among Latinas and non-Latina whites. The following research questions will be addressed: (1) What is the relationship between ethnicity, sociodemographic variables (SES, age), acculturation and cancer screening?; (2) Are ethnicity and acculturation related to breast cancer screening behaviors even when controlling for age and socioeconomic status variables? ; and (3) To what extent do cancer knowledge, beliefs about the chances of survival of cancer, and access to health care mediate the relationships between ethnicity, acculturation, SES and cancer screening? Few studies have tested mediating processes involved in the relationship between acculturation, SES, age, and screening. Furthermore, we know of no published studies which have tested mediation models among nationally representative samples of Latina and non-Latina white women in the United States.

描述（由申请人提供）： 这项研究旨在检查种族，社会经济地位（SES）和培养对乳腺癌筛查测试的影响。各种研究记录了拉丁裔（西班牙裔）与非拉丁裔白人妇女之间的差异，乳腺癌的发病率和死亡率以及生存率。几项研究表明，拉丁裔女性接受的乳腺癌筛查测试少于非latina白人，这可能考虑到观察到的乳腺癌死亡率和存活率的某些差异。适应研究的研究（移民群体拥护主导文化的价值观，信念和行为的过程）表明，拉丁裔文化价值可能与筛查减少有关。其他研究表明，SES和其他结构因素（例如，获得医疗保健）占了筛查的差异。拟议的研究将通过测试理论模型对文化和社会人口统计学因素对癌症筛查的影响以及介导这些作用的机制，通过测试理论模型对拉丁裔和非拉丁裔白人妇女之间的乳腺癌筛查的文献显着贡献。利用1992年国家健康访谈调查的癌症控制补充剂的数据，该研究将检查两种筛查行为：最近的乳房X线摄影和临床乳房检查以及拉丁裔和非拉丁裔白人。将解决以下研究问题：（1）种族，社会人口统计学变量（SES，年龄），适应和癌症筛查之间的关系是什么？ （2）即使控制年龄和社会经济状况变量，种族和适应性是否与乳腺癌筛查行为有关？ ; （3）癌症知识，对癌症生存机会的信念以及获得医疗保健的信念在多大程度上调解了种族，适应，SES和癌症筛查之间的关系？很少有研究测试了对适应，SES，年龄和筛查之间关系的中介过程。此外，我们知道没有发表的研究，该研究已经测试了美国拉丁裔和非拉丁裔白人妇女的国家代表性样本中的调解模型。