Psychosocial predictors of first attendance for organised mammography screening
Psychosocial predictors of first attendance for organised mammography screening
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DOI：
10.1136/jms.6.2.82
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发表时间：
1999-01-01
影响因子：
2.9
通讯作者：
Schreck, M
中科院分区：
文献类型：
--
作者：
Aro, AR;de Koning, HJ;Schreck, M
客观研究的心理心理预测因素在有组织的乳腺癌筛查程序中。基于1992 - 94年个人第一轮邀请函，以90％的出勤率。 10％随机样本（n = 1680名女性，50岁，反应率为64％）（n = 16 886），非参与者（n = 641，38％）来自整个目标人群。在筛选邀请邀请函数一个月之前测量预测变量。措施包括针对社会和行为因素的项目，乳腺癌易感性量表，疾病态度量表，控制量表的健康基因范围，焦虑清单和抑郁量表。单变量和多元逻辑回归分析被用于预测出勤。回归者 - 最有可能参加的是工作，中等收入和经过平均受过教育的女性，她们最近没有大规模乳房X光检查，但她经常访问妇科医生，参加Pap Smear筛查，练习乳房自我检查，谁没有抽烟。对自己在预防乳腺癌预防的能力，对乳腺X线摄影的敏感性过度的信心以及对乳腺癌风险的感知中等的信心也可以预测出勤。乳房X线摄影时对疼痛的期望是对非症状的预测。结论摄影筛查作为公共卫生服务组织的诊断已被广泛接受。最近的乳房X线照片，对乳腺癌的自我控制的高度依赖以及乳房X线摄影疼痛的期望在筛查时阻止了出席。需要有关这些因素和有关筛查的健康信息的更多信息。
Objective-To study psychosocial predictors of attendance at an organised breast cancer screening programme.Setting-Finnish screening programme based on personal first round invitations in 1992-94, and with 90% attendance rate.Methods-Attenders (n=936) belonged to a 10% random sample (n=1680 women, age 50, response rate 64%) of the target population (n=16 886), non-attenders (n=641, 38%) came from the whole target population. Predictors were measured one month before the screening invitation. Measures included items for social and behavioural factors, Breast Cancer Susceptibility Scale, Illness Attitude Scale, Health Locus of Control Scale, Anxiety Inventory, and Depression Inventory. Univariate and multivariate logistic regression analyses were used to predict attendance.Results-Those most likely to attend were working, middle income, and averagely educated women, who had not had a mass mammogram recently, but who regularly visited gynaecologists, attended for Pap smear screening, practised breast self examination, and who did not smoke. Low confidence in their own capabilities in breast cancer prevention, overoptimism about the sensitivity of mammography, and perception of breast cancer risk as moderate were also predictive of attendance. Expectation of pain at mammography was predictive of non-attendance.Conclusion-Mammography screening organised as a public health service was well accepted. A recent mammogram, high reliance on self control of breast cancer, and an expectation of pain at mammography deterred attendance at screening. Further information about these factors and health information on screening are needed.