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第5卷第4期,2008年10月

原創研究
2005 年美墨邊境地區分娩女性的宮頸癌篩查:布朗斯維爾-馬塔莫羅斯姊妹城女性健康項目


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Brian C. Castrucci, MA, Alonso Echegollen Guzmán, MD, Mona Saraiya, MD, MPH, Brian R. Smith, MD, MPH, Kayan L. Lewis, PhD, Steven S. Coughlin, PhD, Ginger L. Gossman, PhD, Jill A. McDonald, PhD, Hillary Foulkes, MPH, Gita Mirchandani, PhD, Luz Correa-Nieto Canedo, MD, Imelda M. Garcia, MPH, Juan Acuña, MD, MSc

建議在引用本文時注明下列出處:由 Castrucci BC、Echegollen Guzmán A、Saraiya M、Smith BR、Lewis KL、Coughlin SS 等所著的《2005 年美墨邊境地區分娩女性的宮頸癌篩查:布朗斯維爾-馬塔莫羅斯姊妹城女性健康項目》[摘要]。刊載於《慢性疾病預防》2008;5(4) [網上期刊]。 http://www.cdc.gov/pcd/
issues/2008/
oct/08_0063_zht.htm
。登錄[日期]。

經同行評審

摘要

簡介
這項研究的目標,是分析最近分娩活產兒且居住在美墨邊境附近的女性曾做巴氏 (Pap) 塗片化驗的關聯因素。

方法
該項橫斷面研究的物件包括在以下地區分娩活產兒的女性:墨西哥馬塔莫羅斯 (Matamoros) (n = 488) 和德克薩斯州卡梅倫縣 (Cameron County) (n = 453)。從 2005 年 8 月 21 日至 11 月 9 日,我們在醫院與尚未出院的女性進行了訪談。運用多變數邏輯回歸分析,評估曾做巴氏塗片化驗的幾率。

結果
馬塔莫羅斯報告做過巴氏塗片化驗的女性 (62.1%),明顯要少於卡梅倫縣(95.7%)。馬塔莫羅斯僅有 12%的女性表示,她們最近在產前護理中做過巴氏塗片化驗,與之相比的是,卡梅倫縣有近75% 的女性做過這項化驗。調整潛在的混淆因素後,卡梅倫縣做過巴氏塗片化驗的女性比馬塔莫羅斯高7.41 倍(95% 可信區間,4.07-13.48)。

結論
《健康邊境 2010》的目標是將美墨邊境地區宮頸癌的致死率降低 20% 到 30%。受訪者中巴氏塗片化驗普及率的顯著差異,可能反映出例行的產前巴氏塗片化驗在美國比在墨西哥更普遍。由於女性接受產前護理提高了與醫護人員的互動,因此可能需要向馬塔莫羅斯的醫護人員宣講這一時期篩查宮頸癌的必要性。

 



 



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