Why women resist screening mammography: patient-related barriers.
Why women resist screening mammography: patient-related barriers.
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为什么女性拒绝筛查乳房X光检查：与患者相关的障碍。
DOI：
10.1148/radiology.172.1.2740510
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发表时间：
1989
期刊：
影响因子：
19.7
通讯作者：
Rosan,JR
中科院分区：
文献类型：
--
作者：
Rimer,BK;Keintz,MK;Kessler,HB;Engstrom,PF;Rosan,JR
乳房 X 光检查的利用率仍然低于实现国家癌症研究所 2000 年将乳腺癌死亡率降低 50% 的目标所需的水平。先前的研究已经发现了患者和医生的障碍。作者随机采访了 600 名接受免费乳房 X 光检查的女性。访谈由专业访谈员使用简短的结构化调查问卷进行。使用chi 2 Wilcoxon 和Kruskal-Wallis 秩和统计和判别分析对数据进行分析。不合规的受试者比合规的受试者报告了更多的障碍。前者更有可能认为在没有症状的情况下没有必要进行乳房X光检查，而且不方便。在双变量和多变量分析中，女性相信她的医生相信定期进行乳房X光检查是依从性的重要预测因素。
Mammography utilization remains below the level needed to achieve the National Cancer Institute's year-2000 goals for reducing breast cancer mortality by 50%. Previous research has identified both patient and physician barriers. The authors interviewed 600 randomly selected women who were offered a free mammographic examination. Interviews were conducted by professional interviewers using a brief, structured questionnaire. Data were analyzed with chi 2 Wilcoxon and Kruskal-Wallis rank-sum statistics and discriminant analysis. Noncompliant subjects reported more barriers than compliant subjects. The former were more likely to believe that mammography is unnecessary in the absence of symptoms and that it is inconvenient. In both the bivariate and multivariate analyses, the woman's belief that her doctor believes in regular mammography was an important predictor of compliance.