EVALUATION OF AN INTERVENTION TO INCREASE MAMMOGRAPHY SCREENING IN LOS-ANGELES
EVALUATION OF AN INTERVENTION TO INCREASE MAMMOGRAPHY SCREENING IN LOS-ANGELES
复制标题
DOI：
10.1006/pmed.1994.1012
复制
发表时间：
1994-01-01
影响因子：
5.1
通讯作者：
YAN, KX
中科院分区：
文献类型：
--
作者：
BASTANI, R;MARCUS, AC;YAN, KX
方法.采用随机前测后测对照组设计，评价邮寄干预对提高筛查乳腺X线摄影率的有效性。随机抽取洛杉矶县的802名40岁以上的妇女，在基线和干预后12个月进行电话调查。50%的干预组和56%的对照组在随访期间获得了筛查性乳房X光检查。这一差异在统计学上并不显著，表明低成本干预在影响该样本的筛查乳腺X线摄影率方面并不成功。在联合干预和对照组中，逐步logistic回归分析显示，四个基线变量是随访期间乳腺X线检查行为的重要前瞻性预测因素：在基线时遵守特定年龄筛查指南的女性和有健康保险的女性更有可能在随访期间获得乳房X线检查，老年女性也是如此。此外，在乳房X光检查期间非常担心辐射暴露的女性在随访期间获得乳房X光检查的可能性比不太担心的女性低约2.5倍。还描述了自我报告的遵守和不遵守筛查指南的原因。(C)1994年出版社出版。
Methods. A randomized pretest post-test control group design was used to evaluate the effectiveness of a mail-out intervention for increasing screening mammography rates. A random sample of 802 women, 40+, residing in Los Angeles County, was surveyed by telephone at baseline and again 12 months after the intervention.Results. Fifty percent of the intervention group and 56% of the control group had obtained a screening mammogram during the follow-up period. This difference was not statistically significant, indicating that the low-cost intervention was not successful in influencing screening mammography rates in this sample. In the combined intervention and control group, a stepwise logistic regression analysis revealed four baseline variables to be significant prospective predictors of mammography behavior during the follow-up period: Women who were adherent to the age-specific screening guidelines at baseline and women who had health insurance were more likely to obtain a mammogram during the follow-up, as were older women. Also, women who were greatly concerned about radiation exposure during a mammogram were about two and a half times less likely to obtain a mammogram during the follow-up than women who were less concerned. Self-reported reasons for adherence and nonadherence to screening guidelines are also described. (C) 1994 Academic Press, Inc.