Breast cancer rescreening in low-income women
Breast cancer rescreening in low-income women
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DOI：
10.1016/s0749-3797(98)00039-7
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发表时间：
1998-08-01
影响因子：
5.5
通讯作者：
Fletcher, R
中科院分区：
文献类型：
--
作者：
Song, L;Fletcher, R
前言：常规钼靶筛查结合临床乳房检查可有效降低乳腺癌死亡率。华盛顿州的乳腺癌和宫颈健康计划(BCHP)为低收入女性提供免费的乳腺癌和宫颈癌筛查，重点是有色人种女性。这项研究调查了华盛顿州金县参加BCHP的妇女的初次乳腺癌重新筛查及其相关因素。方法：数据来自华盛顿州BCHP跟踪系统。我们使用生存分析估计了1994年7月至1995年12月间登记的妇女接受乳腺癌重新筛查的百分比。结果：生存分析显示，50-69岁女性15个月和27个月重新筛查的总百分比分别为25.7%和45.0%。在40-49岁的女性中，相应的百分比分别为26.0%和40.3%。不同年龄组、种族/民族、受教育程度、外国出生身份、既往乳房X光检查病史和登记临床情况不同。结论：本研究结果表明，除了最初的登记工作外，筛查项目应强调增加重新筛查，特别是对具有一定人口统计学和筛查史特征的女性。
Introduction: Routine mammography screening with clinical breast examination is effective in reducing breast cancer mortality. The Breast and Cervical Health Program (BCHP) in Washington State provides free breast and cervical cancer screening for low-income women, with an emphasis on women of color. This study examined initial breast cancer rescreening and factors associated with rescreening for women enrolled in BCHP in King County, Washington.Methods: Data were obtained from the Washington State BCHP tracking system. We estimated the percentages who received breast cancer rescreening for women enrolled between July 1994 and December 1995 using survival analysis. Cox proportional regression was also used to examine factors associated with time-until-rescreening.Results: Survival analysis showed that the overall percentages rescreened at 15 and 27 months for women aged 50-69 were 25.7% and 45.0%, respectively. For women aged 40-49, the corresponding percentages were 26.0% and 40.3%. Rescreening differ ed by age groups, race/ethnicity, level of education, foreign born status, history of previous mammography, and enrollment clinic.Conclusions: Results from this study suggested that in addition to initial efforts for enrollment, screening programs should emphasize increased rescreening especially for women with certain demographic and screening history characteristics.