SCREENING MAMMOGRAPHY A Cross-Sectional Study to Compare Characteristics of Women Aged 40 and Older From the Deep South Who Are Current, Overdue, and Never Screeners
SCREENING MAMMOGRAPHY A Cross-Sectional Study to Compare Characteristics of Women Aged 40 and Older From the Deep South Who Are Current, Overdue, and Never Screeners
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DOI：
10.1016/j.whi.2009.07.008
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发表时间：
2009-11-01
影响因子：
3.2
通讯作者：
Chisholm, Latarsha R.
中科院分区：
文献类型：
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作者：
Lopez, Ellen D. S.;Khoury, Amal J.;Chisholm, Latarsha R.
目的.我们试图找出独特的障碍和促进因素，以乳腺癌筛查参与40岁及以上的妇女从密西西比谁被归类为当前，逾期，从未sceneres.Methods。对2003年987名40岁及以上妇女的横断面数据进行了分析。卡方分析和多项logistic回归分析在卫生服务利用模型指导下组织的因素与乳腺X线筛查状态的相关性。近四分之一的女性逾期未做或从未做过乳房X光检查。有利因素，包括难以获得护理（没有年度检查，没有健康保险）和健康信息，缺乏对筛查的社会支持以及竞争性需求，与逾期和从未筛查显着相关。根据每个筛查组的独特因素，当妇女没有通常的医疗保健来源并认为治疗比疾病更糟糕时，她们更有可能逾期。反过来，女性更有可能是从来没有筛查时，他们是非洲裔美国人，缺乏提供者的建议进行筛查，并举行了宿命论的观点，没有多少可以做，以防止乳腺癌。类似和独特的因素影响妇女利用乳房X光检查服务。这些因素可以为提高筛查率的努力提供信息。
Purpose. We sought to identify unique barriers and facilitators to breast cancer screening participation among women aged 40 and older from Mississippi who were categorized as current, overdue, and never screeners.Methods. Cross-sectional data from a 2003 population-based survey with 987 women aged 40 and older were analyzed. Chi-square analysis and multinomial logistic regression examined how factors organized under the guidance of the Model of Health Services Utilization were associated with mammography screening status.Results. Nearly one in four women was overdue or had never had a mammogram. Enabling factors, including poor access to care (no annual checkups, no health insurance) and to health information, lack of social support for screening, and competing needs, were significantly associated with being both overdue and never screeners. Pertaining to factors unique to each screening group, women were more likely to be overdue when they had no usual source of health care and believed that treatment was worse than the disease. In turn, women were more likely to be never screeners when they were African American, lacked a provider recommendation for screening, and held the fatalistic view that not much could be done to prevent breast cancer.Conclusion. Similar and unique factors impact utilization of mammography screening services among women. Those factors could inform efforts to increase screening rates.