Mammography Adherence in African-American Women: Results of a Randomized Controlled Trial
Mammography Adherence in African-American Women: Results of a Randomized Controlled Trial
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DOI：
10.1007/s12160-015-9733-0
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发表时间：
2016-02-01
影响因子：
3.8
通讯作者：
Champion, Victoria L.
中科院分区：
文献类型：
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作者：
Gathirua-Mwangi, Wambui G.;Monahan, Patrick O.;Champion, Victoria L.
乳腺癌是发达国家妇女癌症死亡的第二大原因。乳房X光检查对非洲裔美国人尤其重要，因为他们的死亡率更高目的：本研究的目的是比较两种干预措施与常规护理对非裔美国妇女乳腺X线摄影依从性的影响。在过去15个月内没有做过乳房X光检查且没有乳腺癌病史的65岁女性被随机分配接受（1）邮寄交互式DVD，（2）计算机定制的电话咨询，结果在6个月随访时，DVD干预对促进乳腺X线筛查的有效性是常规护理的5倍。在收入低于30，000美元的女性中（OR=5.3）。与常规护理相比，家庭收入> 30，000美元的女性使用DVD或手机均未产生显著影响。结论对于低收入的非裔美国女性，使用邮寄DVD可能是提高乳腺X线摄影依从性的有效方法。
Background Breast cancer is the second leading cause of cancer mortality among women in the developed world. Mammography screening is especially important for African-Americans because they experience a greater mortality (OR-1.38) than Caucasians despite having a lower incidence of breast cancer.Purpose The purpose of this study was to compare the effects of two interventions with usual care on mammography adherence among African-American women.Methods A subsample of African-American women (n=244) aged 41-65 years who had not had a mammogram in the last 15 months and no history of breast cancer was randomly assigned to receive (1) mailed interactive DVD, (2) computer-tailored telephone counseling, or (3) usual care.Results The DVD intervention was five times more effective than usual care for promoting mammography screening at 6 months follow-up among women who earned less than $30,000 (OR=5.3). Compared to usual care, neither the DVD nor phone produced significant effects for women with household incomes >$30,000.Conclusion Use of a mailed DVD for low-income African-American women may be an effective way to increase mammography adherence.