Mammogram utilization among farm women
Mammogram utilization among farm women
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DOI：
10.1111/j.1748-0361.1996.tb00817.x
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发表时间：
1996-01-01
影响因子：
4.9
通讯作者：
Mandel, JS
中科院分区：
文献类型：
--
作者：
Carr, WP;Maldonado, G;Mandel, JS
农村人口对预防性保健服务的利用率低于城市人口，这可能是由于农村地区特有的预防性保健障碍。本研究旨在确定与农场妇女使用乳房X光检查相关的因素。作为一项更大的以社区为基础的癌症干预研究的一部分，对明尼苏达州南部六个县的农场妇女进行了乳房X光检查。40岁及以上的农场妇女从农场家庭名单中随机选出，并通过电话采访，以确定乳房X光检查的利用率和与利用率有关的因素。在606名受访者中，78%的人表示曾经做过乳房X光检查，49%的人表示在过去一年内做过乳房X光检查。研究发现，医生推荐的筛查性乳房X光检查和乳腺癌家族史与曾经接受过乳房X光检查有关。过去12个月内乳房X光检查与正确了解乳房X光检查筛查指南有关。总体而言，医生的建议是最有影响力的决定因素的利用。由于更加重视预防，医生对患者的教育可能对乳房X线检查的利用产生最大的影响。
Utilization of preventive health care services is lower in rural populations than in urban populations, possibly as a result of barriers to preventive health care that are characteristic of rural settings. This study was constructed to identify factors associated with mammogram utilization among farm women. Mammogram utilization among farm women from six southern Minnesota counties was examined as part of a larger community-based cancer intervention study. Farm women aged 40 and older were randomly selected from a list of farm households and interviewed by telephone to determine mammogram utilization and factors related to utilization. Of the 606 respondents, 78 percent reported ever having a mammogram and 49 percent reported a mammogram within the past year. Physician recommendation for a screening mammogram and family history of breast cancer were found to be associated with ever having a mammogram. Correct knowledge of mammogram screening guidelines was associated with a mammogram within the past 12 months. Overall, physician recommendation was the most influential determinant of utilization. As more emphasis is placed on prevention, patient education by physicians could have the greatest impact on mammogram utilization.