Breast cancer screening and associated factors for low-income African-American women.
Breast cancer screening and associated factors for low-income African-American women.
复制标题
低收入非裔美国女性的乳腺癌筛查和相关因素。
DOI：
10.1006/pmed.1995.1075
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发表时间：
1995
影响因子：
5.1
通讯作者：
Danigelis,NL
中科院分区：
文献类型：
--
作者：
Mickey,RM;Durski,J;Worden,JK;Danigelis,NL
最近的报告显示，非洲裔美国人和白人之间的乳腺癌存活率差异可以通过非洲裔美国妇女更多地获得和使用筛查来缩小。很少有以社区为基础的研究涉及低收入非洲裔美国妇女的筛查相关问题。方法抽取家庭简单随机抽样；共有585名40岁或以上的女性在家中接受了采访（回复率= 75%）。接受筛查的妇女被分为四个阶段：定期参加，不定期参加，听说但从未参加过筛查，或从未听说过筛查。双变量分析用于描述筛查（乳房x光检查、临床乳房检查和乳房自我检查）与中介变量之间的关系。结果90%的妇女没有定期接受乳房x光检查，36%的妇女听说过但从未做过乳房x光检查，33%的妇女从未听说过乳房x光检查。在收养的每个阶段，注意到与诱发因素、使能因素和加强因素之间的强烈关联。结论：对于听说过但没有接受常规筛查的妇女，建议在初级保健实践中改进筛查程序。对于从未听说过筛查的妇女，建议协调社区和初级保健干预措施，使她们转向定期筛查。
BackgroundRecent reports suggest that much of the difference in breast cancer survival between African-Americans and whites could be reduced through greater access to and use of screening by African-American women. Few community-based studies have addressed screening-related issues among low-income African-American women.MethodsA simple random sample of households was drawn; a total of 585 women of age 40 or older were interviewed in their homes (response rate = 75%). Women were grouped into four stages of adoption of screening: participated regularly, participated non-regularly, heard of but never participated in screening, or never heard of it. Bivariate analyses were used to describe relations between screening (mammography, clinical breast examination, and breast self-examination) and mediating variables.ResultsNinety percent of the women were not getting regular mammography screening, 36% had heard of but had never had mammography, and 33% had never heard of mammography. Strong associations were noted with predisposing, enabling, and reinforcing factors inhibiting screening at each stage of adoption.ConclusionsFor women who had heard of, but who were not getting, regular screening, recommendations were made for improving screening procedures in primary care practices. For women who had never heard of screening, coordinated community and primary care interventions were recommended for moving them toward regular screening.