Skin cancer prevention and early detection practices in a sample of rural women.
Skin cancer prevention and early detection practices in a sample of rural women.
复制标题
农村妇女样本中的皮肤癌预防和早期检测实践。
DOI：
10.1006/pmed.1996.0106
复制
发表时间：
1996
期刊：
影响因子：
--
通讯作者：
Wells,HB
中科院分区：
文献类型：
--
作者：
Michielutte,R;Dignan,MB;Sharp,PC;Boxley,J;Wells,HB
背景皮肤癌在美国的发病率正在迅速上升，目前的估计表明，大约五分之一的人在一生中将被诊断为皮肤癌。然而，对健康人的预防和早期发现行为的了解还相对较少。本研究提供了有关非西班牙裔农村白人妇女的预防和早期发现做法的信息。方法访谈对象为1295名年龄在20岁或以上的妇女，她们来自6个公共卫生部门和1个初级保健诊所，均位于北卡罗来纳州西部农村。皮肤癌知识低、年龄大小和受教育程度低是女性最不可能采取预防措施的特点。低知识、低年龄和低教育程度是女性最不可能进行早期检测的特点。癌症筛查的感知障碍，包括费用、缺乏症状和否认，也预示着预防和早期发现行为的可能性很低。宿命论和对癌症相关耻辱的恐惧也预示着在选定的早期发现行为中参与率较低。总体障碍得分与研究中所考察的所有预防和早期发现行为显著相关。结论该结果表明需要在该人群中开展皮肤癌教育。
BackgroundThe incidence of skin cancer in the United States is rapidly increasing, and current estimates suggest that about one in five persons will be diagnosed with skin cancer in their lifetime. However, comparatively little is still known about the prevention and early detection behaviors of healthy individuals. This study presents information on prevention and early detection practices for a sample of non-Hispanic rural white women.MethodInterviews were conducted with 1,295 women age 20 or older who were patients in six public health departments and one primary-care clinic serving a low-income population, all located in rural western North Carolina.ResultsBoth prevention and early detection behaviors were found to be infrequent in this population. Low knowledge of skin cancer, younger and older ages, and low education characterized women least likely to practice prevention. Low knowledge, younger age, and low eductation characterized women least likely to practice early detection. Perceived barriers to cancer screening including cost, lack of symptoms, and denial also were predictive of a low likelihood of both prevention and early detection behavior. Fatalism and fear of the stigma associated with cancer also were predictive of lower participation in selected early detection behaviors. A summary general barriers score was significantly associated with all prevention and early detection behaviors examined in the study.ConclusionsThe results indicate a need for skin cancer education among this population.