Breast cancer screening among southwest American Indian women living on-reservation
Breast cancer screening among southwest American Indian women living on-reservation
复制标题
DOI：
10.1006/pmed.1997.0258
复制
发表时间：
1998-01-01
影响因子：
5.1
通讯作者：
Nuvayestewa, L
中科院分区：
文献类型：
--
作者：
Giuliano, A;Papenfuss, M;Nuvayestewa, L
背景与非西班牙裔白人相比，西南美洲印第安人（AI）女性的一年和五年乳腺癌生存率显着降低，主要是由于诊断时的晚期。通过在早期阶段检测癌症，筛查性乳房X光检查可以将50-69岁女性的乳腺癌死亡率降低30%。为了确定西南人工智能妇女参与乳腺癌筛查服务的比率和预测因素，随机选择居住在亚利桑那州霍皮人保留地的人工智能妇女进行了采访。在年龄大于或等于40岁（n = 314）的受访者中，使用logistic回归分析确定乳腺癌筛查的独立预测因素。在年龄大于或等于40岁的受访者中，26.4%的人在过去2年内接受过乳房X光检查，23.2%的年龄大于或等于50岁的女性接受过乳房X光检查和临床乳房检查，过去2年的乳房X光检查筛查与年龄在50至59岁之间，程序知识，相信乳房X光检查可以发现乳腺癌，每年进行巴氏涂片检查，使用霍皮语。这一人工流产妇女人口中自我报告的乳腺癌筛查率远远低于为2000年设定的目标。本研究证实了乳腺癌筛查知识和参与常规医疗服务对乳腺癌筛查率的重要性。(C)北京：科学出版社.
Background. One-and five-year breast cancer survival rates are significantly lower among Southwest American Indian (AI) women compared with non-Hispanic whites, primarily due to late stage at diagnosis. By detecting cancers at an earlier stage, screening mammography can reduce breast cancer mortality by 30% among women ages 50-69 years.Methods. To determine rate of and predictors of participation in breast cancer screening services among Southwest AI women, randomly selected AI women living on the Arizona Hopi reservation were interviewed. Independent predictors of breast cancer screening were determined using logistic regression analyses among respondents ages "greater than or equal to 40 years (n = 314).Results. Of respondents greater than or equal to 40 years, 26.4% had had a mammogram in the past 2 years, and 23.2% of women greater than or equal to 50 years had had both a mammogram and a clinical breast examination, Mammography screening in the past 2 years was independently associated with an age between 50 and 59 years, knowledge of the procedure, belief that mammography can detect breast cancer, having yearly Pap smears, and use of the Hopi-language.Conclusion. Self-reported breast cancer screening rates among this population of AI women are far below objectives set for the Year 2000. This study confirms the importance of breast cancer screening knowledge and participation in routine medical services to rates of breast cancer screening. (C) 1998 Academic Press.