Adherence to Multiple Cancer Screening Tests among Women Living in Appalachia Ohio.
Adherence to Multiple Cancer Screening Tests among Women Living in Appalachia Ohio.
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DOI：
10.1158/1055-9965.epi-15-0369
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发表时间：
2015-10
期刊：
影响因子：
--
通讯作者：
Paskett ED
中科院分区：
文献类型：
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作者：
Katz ML;Reiter PL;Young GS;Pennell ML;Tatum CM;Paskett ED
在居住在阿巴拉契亚地区的妇女中，关于完成所有三种癌症筛查测试的相关性的信息缺乏。横断面电话访谈（2013年4月至9月）对来自俄亥俄州阿巴拉契亚12个县的51-75岁女性（n=637）进行。在筛查指南范围内的结果通过病历验证。多变量逻辑回归模型确定了在所有三种癌症筛查试验指南范围内的相关性。筛查率为：乳房x光检查（32.1%）、巴氏涂片检查（36.1%）和结直肠癌检查（30.1%）。只有8.6%的妇女符合所有检查的指导方针。在过去两年内进行过检查并接受过筛查建议的人与在所有三种检查的指导方针内显着相关（p<0.01）。家庭年收入较高（60,000美元以上；OR=3.53, 95% CI: 1.49, 8.33）和需要定期就诊的条件（OR=3.16, 95% CI: 1.29, 7.74）的参与者更有可能在所有三种筛查测试的指导范围内。不到10%的妇女在指导方针内完成了所有三种筛查试验。与医疗保健系统的定期接触和较高的收入是在指南范围内的重要预测因素。根据指南，在俄亥俄州阿巴拉契亚地区的妇女中，三种推荐的癌症筛查测试的比例很低。这一发现说明需要创新的干预措施来提高多种癌症筛查试验的比率。
There is a lack of information about the correlates of completing all three cancer screening tests among women living in Appalachia. Cross-sectional telephone interviews were conducted (April-September 2013) among women (n=637) ages 51-75 from 12 Appalachia Ohio counties. Outcomes of within screening guidelines were verified by medical record. Multivariable logistic regression models identified correlates of being within guidelines for all three cancer screening tests. Screening rates were: mammography (32.1%), Pap test (36.1%), and a colorectal cancer test (30.1%). Only 8.6% of women were within guidelines for all tests. Having had a check-up in the past two years and having received a screening recommendation were significantly related to being within guidelines for all three tests (p<0.01). Participants with higher annual household incomes ($60,000+; OR=3.53, 95% CI: 1.49, 8.33) and conditions requiring regular medical visits (OR=3.16, 95% CI: 1.29, 7.74) were more likely to be within guidelines for all three screening tests. Less than 10% of women had completed screening within guidelines for all three screening tests. Regular contact with the healthcare system and higher incomes were significant predictors of being within guidelines. Within guidelines rates for the three recommended cancer screening tests is low among women in Appalachia Ohio. This finding illustrates the need for innovative interventions to improve rates of multiple cancer screening tests.