Effects of healthcare access and healthcare provider status on recommendation for Pap test among Korean American women in Alameda and Santa Clara Counties, California

서지정보

· 발행기관 : 한국보건교육건강증진학회
· 수록지 정보 : 보건교육건강증진학회지 / 25권 / 5호 / 79 ~ 93페이지
· 저자명 : 김영복

초록

Purpose: Recommendation for regular Pap test in the past 3 years as a cue to action
affects on an increased likelihood of receiving a cervical cancer screening in that period.
This study performed to estimate the association with healthcare access, healthcare
provider status, and physician recommendation for Pap test in the past 3 years among
Korean American women.
Method: Korean Health survey was carried out in 2002. These population-based
telephone surveys were conducted with Korean American women who resided in Alameda
and Santa Clara Counties, California (n=865). We preformed multiple logistic regression
analyses to estimate predictors of physician recommendation for Pap test by SAS 8.2.
Results: Korean women in two California Counties were 37.9% who received physician
recommendation for Pap test in the past 3 years. The predictors on physician
recommendation for Pap test in the past 3 years were health insurance coverage, visiting
number to doctor in the past year, and healthcare provider status. For healthcare access,
no matter who had enrolled in public or private health insurances, the women were more
likely to get the recommendation for Pap test from their regular healthcare provider.
Particularly, for ethnicity of healthcare provider, the women were more likely to get
the recommendation for Pap test from non-Korean female doctors (OR=6.21, 95%
CI=2.63, 14.66), Korean male doctors (OR=2.19, 95% CI=1.30, 3.68), and non-Korean
male doctors (OR=2.07, 95% CI=1.15, 3.71).
Conclusion: (삭제) Effect of healthcare access and healthcare provider status on
recommendation for Pap test among Korean American women in two California Counties
would contribute to our understanding of developing strategies to promote adherence
of Pap test and reduce morbidity and mortality for cervical cancer among Korean American
women in the U.S.

참고자료

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