DEMOGRAPHIC-PREDICTORS OF MAMMOGRAPHY AND PAP SMEAR SCREENING IN UNITED-STATES WOMEN
DEMOGRAPHIC-PREDICTORS OF MAMMOGRAPHY AND PAP SMEAR SCREENING IN UNITED-STATES WOMEN
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DOI：
10.2105/ajph.83.1.53
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发表时间：
1993-01-01
影响因子：
12.7
通讯作者：
MARTIN, LM
中科院分区：
文献类型：
--
作者：
CALLE, EE;FLANDERS, WD;MARTIN, LM
目标.乳腺癌和宫颈癌的筛查技术都有，但许多妇女没有充分利用。我们试图评估人口统计学特征对乳腺X线摄影和巴氏涂片筛查使用不足的影响。我们分析了12252名参加1987年全国健康访谈调查癌症控制补充的妇女的回答。人口概况制作的目标是严重不足的妇女群体。低收入是乳腺X线摄影使用不足的一个强有力的预测因素，西班牙裔和其他种族，教育程度低，年龄大于65岁，居住在农村地区。从未结过婚是从未做过巴氏涂片检查的一个强有力的预测因素;然而，在缺乏性活动数据的情况下，很难解释这一特征的重要性。西班牙裔妇女和所有年龄和所有收入水平的其他种族的妇女未充分使用巴氏涂片筛查，老年妇女，特别是老年黑人妇女也是如此。妇女不充分使用筛查技术的倾向在基本人口特征的不同层次上有很大差异。这些特征的重要性对于乳房X线摄影筛查与巴氏涂片筛查是不同的。
Objectives. Proven screening technologies exist for both breast and cervical cancer, but they are underused by many women. We sought to evaluate the effect of demographic characteristics on the underuse of mammography and Pap smear screening.Methods. We analyzed responses from 12 252 women who participated in the 1987 National Health Interview Survey Cancer Control Supplement. Demographic profiles were produced to target severely underserved groups of women.Results. Low income was a strong predictor of mammography underuse, as was Hispanic ethnicity and other race, low educational attainment, age greater than 65, and residence in a rural area. A strong predictor of never having had a Pap smear was never having been married; however, the importance of this characteristic is difficult to interpret in the absence of data on sexual activity. Hispanic women and women of other races of all ages and all income levels underused Pap smear screening, as did older women, particularly older Black women.Conclusions. The tendency of women to underuse screening technologies varies greatly across levels of basic demographic characteristics. The importance of these characteristics differs for mammography screening versus Pap smear screening.