A meta-analysis of interventions to promote mammography among ethnic minority women.
A meta-analysis of interventions to promote mammography among ethnic minority women.
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DOI：
10.1097/nnr.0b013e3181ac0f7f
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发表时间：
2009-07
期刊：
影响因子：
2.5
通讯作者：
Kim MT
中科院分区：
文献类型：
--
作者：
Han HR;Lee JE;Kim J;Hedlin HK;Song H;Kim MT
虽然许多研究都集中在旨在促进少数民族妇女的乳房X光检查的干预措施，干预措施的有效性的摘要很少。本研究的目的是确定干预措施的有效性，以改善无症状的少数民族妇女的乳房X线摄影筛查。对旨在促进少数民族妇女样本中乳房X线摄影使用的干预研究进行了荟萃分析。通过测量干预后干预组和对照组筛查率的差异，计算干预的随机效应估计值。23项研究的总体平均加权效应量为0.078（Z = 4.414，p <0.001），表明干预措施在改善少数民族妇女乳腺X射线摄影的使用方面是有效的。对于乳房X线摄影干预类型，获取增强策略的平均加权效应量最大，为0.155（Z = 4.488，p < .001），其次是0.099（Z = 6.552，p < .001），用于个体指导方法，如个体咨询或教育。与非定制干预相比，定制的、基于理论的干预导致更大的效应量（效应量分别为0.101和0.076;所有模型的p <0.05）。在文化策略中，种族匹配的干预交付和提供文化匹配的干预材料的效应量分别为0.067（Z = 2.516，p = .012）和0.051（Z = 2.365，p = .018）。统一改进乳房X光检查是解决该国少数民族社区乳腺癌差异的一个目标。这项荟萃分析的结果表明，需要更多地使用基于理论的、量身定制的方法，并增强获取机会。
Although many studies have been focused on interventions designed to promote mammography screening among ethnic minority women, few summaries of the effectiveness of the interventions are available. The aim of this study was to determine the effectiveness of the interventions for improving mammography screening among asymptomatic ethnic minority women. A meta-analysis was performed on intervention studies designed to promote mammography use in samples of ethnic minority women. Random-effects estimates were calculated for interventions by measuring differences in intervention and control group screening rates postintervention. The overall mean weighted effect size for the 23 studies was 0.078 (Z = 4.414, p < .001), indicating that the interventions were effective in improving mammography use among ethnic minority women. For mammography intervention types, access-enhancing strategies had the biggest mean weighted effect size of 0.155 (Z = 4.488, p < .001), followed by 0.099 (Z = 6.552, p < .001) for individually directed approaches such as individual counseling or education. Tailored, theory-based interventions resulted in a bigger effect size compared with nontailored interventions (effect sizes = 0.101 vs. 0.076, respectively; p < .05 for all models). Of cultural strategies, ethnically matched intervention deliveries and offering culturally matched intervention materials had effect sizes of 0.067 (Z = 2.516, p = .012) and 0.051 (Z = 2.365, p = .018), respectively. Uniform improvement in mammography screening is a goal to address breast cancer disparities in ethnic minority communities in this country. The results of this meta-analysis suggest a need for increased use of a theory-based, tailored approach with enhancement of access.