CHANGES IN THE USE OF SCREENING MAMMOGRAPHY - EVIDENCE FROM THE 1987 AND 1990 NATIONAL-HEALTH INTERVIEW SURVEYS
CHANGES IN THE USE OF SCREENING MAMMOGRAPHY - EVIDENCE FROM THE 1987 AND 1990 NATIONAL-HEALTH INTERVIEW SURVEYS
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DOI：
10.2105/ajph.84.1.62
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发表时间：
1994-01-01
影响因子：
12.7
通讯作者：
KESSLER, L
中科院分区：
文献类型：
--
作者：
BREEN, N;KESSLER, L
目标。对 1990 年和 1987 年全国健康访谈调查中妇女报告的乳房 X 光检查率进行了检查。探讨了为什么这种筛查方式没有更频繁地使用。方法。对国家卫生统计中心进行的 1987 年和 1990 年全国健康访谈调查的数据进行交叉制表和比较。结果。 1987 年，大约 17% 的 40 岁以上女性表示在前一年曾进行过乳房 X 光检查。 1990年，这一比率翻了一番。种族重要性下降；收入和教育程度仍然强劲，是筛查的积极预测因素。结论。尽管人数大幅增加，但三分之二的女性并未进行乳房X光检查。使用率并不高，主要是因为女性没有意识到在无症状的女性中进行乳房X光检查可以筛查乳腺癌。初级保健医生是筛查乳房X光检查的健康教育的主要来源。数据表明，促进乳房X光检查筛查的公共卫生计划应特别针对初级保健医生和低收入和受教育程度的妇女。同样，医疗保健提供者应确保将患者转诊至能够以低成本提供高质量乳房X光检查的机构，以使手术更容易进行。
Objectives. Mammography rates reported by women in the National Health Interview Surveys of 1990 and 1987 are examined. Why this screening modality is not more frequently used is explored.Methods. Data from the 1987 and 1990 National Health Interview Surveys, conducted by the National Center for Health Statistics, are cross-tabulated and compared.Results. In 1987, approximately 17% of women over 40 years of age reported having had a screening mammogram in the previous year. In 1990, the rate doubled. Race declined in importance; income and education remained strong, positive predictors of screening.Conclusions. Despite this dramatic increase, two thirds of women, are not having screening mammograms. Use was not higher primarily because women did not realize that screening mammography tests for breast cancer in asymptomatic, women. Primary care physicians are the main source of health education for screening mammography. The data suggest that public health programs to promote screening mammography should especially target primary care physicians and women with low incomes and education. Likewise, health care providers should ensure that their patients are referred to facilities that deliver high-quality mammography at low cost to make the procedure more accessible.