THE ACCEPTANCE AND COMPLETION OF MAMMOGRAPHY BY OLDER BLACK-WOMEN
THE ACCEPTANCE AND COMPLETION OF MAMMOGRAPHY BY OLDER BLACK-WOMEN
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DOI：
10.2105/ajph.79.6.721
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发表时间：
1989-06-01
影响因子：
12.7
通讯作者：
LIANG, J
中科院分区：
文献类型：
--
作者：
BURACK, RC;LIANG, J
我们调查了187名50岁以上的黑人女性，评估了患者特征、知识和信念与市中心乳房X光检查的使用之间的关系。在接受乳房X光检查的人中，30%的人最初拒绝了这一提议，40%的人后来无法完成检查。患者访谈被用来得出27个潜在的知识和健康信念预测量表。在多元回归分析中，两个健康信念量表和两个知识量表可以解释接受模型中观察到的方差的15%。对随后完成的预测最强的是最初的接受度。乳房症状和两个健康信念量表的存在以及最初的接受程度解释了完成模型中的差异的26%。这些结果表明，成功完成乳房X光检查需要提供者、患者和环境层面的协调努力。在这一过程中，健康信念可能会影响患者的S行为，但影响似乎不大。
We assessed the relation of patient characteristics, knowledge and beliefs to the utilization of mammography in an inner-city setting by 187 Black women over the age of 50. Thirty per cent of those who were offered mammography initially declined the offer and 40 per cent were subsequently unable to complete the procedure. Patient interviews were used to derive 27 potential knowledge and health belief predictor scales. In multiple regression analysis, two health belief scales and two knowledge scales accounted for 15 per cent of the observed variance in the model of acceptance. The strongest predictor of subsequent completion was initial acceptance. The presence of breast symptoms and two health belief scales together with initial acceptance accounted for 26 per cent of variance in the model of completion. These results suggest that the successful accomplishment of mammography requires coordinated efforts at the level of the provider, patient, and setting. Health beliefs may influence the patients''s behavior in this process, but their effect appears to be modest.