Factors associated with return for routine annual screening in an ovarian cancer screening program.
Factors associated with return for routine annual screening in an ovarian cancer screening program.
复制标题
与卵巢癌筛查计划中定期年度筛查回归相关的因素。
DOI：
10.1016/j.ygyno.2006.10.044
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发表时间：
2007
影响因子：
4.7
通讯作者：
Kryscio,RichardJ
中科院分区：
文献类型：
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作者：
Andrykowski,MichaelA;Zhang,Mei;Pavlik,EdwardJ;Kryscio,RichardJ
目的 确定与定期、每年一次经阴道超声 (TVS) 卵巢癌筛查相关的临床、人口统计学、性格和态度变量。 方法 参加大学免费卵巢癌筛查项目的有症状、平均至高风险的女性 (n=585) 在进行初始 TVS 筛查测试之前完成了基线访谈。在基线访谈期间，获得了人口统计学（年龄、教育程度、伴侣状况、种族）、临床（卵巢癌家族史）、性格（乐观、健康价值观）和态度（对卵巢癌个人风险和筛查有效性的看法、返回进行重复常规筛查的意愿、筛查期间的不适、对筛查过程的满意度、卵巢癌特异性痛苦）信息。筛查项目记录中记录了返回重复筛查的情况。 结果 多变量比例风险和逻辑回归分析的结果表明，在明年内返回重复筛查测试的明确意图是返回重复筛查的最强预测因素。在比例风险和逻辑回归分析中，拥有≥12年的教育程度也与重复筛查的可能性更大有关。结论结果进一步支持低教育程度是癌症筛查参与次佳的风险因素。结果还强调了执行健康保护行为的意图与随后执行该行为之间的关键联系，并表明可以通过引发每年一次卵巢癌筛查的意图以及实施该意图的具体计划来加强重复筛查。
OBJECTIVETo identify clinical, demographic, dispositional, and attitudinal variables associated with return for routine, annual transvaginal sonography (TVS) screening for ovarian cancer.METHODSAsymptomatic, average to high risk, women (n=585) participating in a free university-based ovarian cancer screening program completed a baseline interview prior to undergoing an initial TVS screening test. During the baseline interview, demographic (age, education, partner status, race), clinical (family history of ovarian cancer), dispositional (optimism, health values), and attitudinal (perceptions of personal risk for ovarian cancer and effectiveness of screening, intentions to return for repeat routine screening, discomfort during screening, satisfaction with the screening process, ovarian cancer-specific distress) information was obtained. Return for repeat screening was documented from screening program records.RESULTSResults from both multivariate proportional hazards and logistic regression analyses indicated that stated intentions to return for a repeat screening test within the next year was the strongest predictor of return for repeat screening. Possessing ≥12 years of education was also associated with a greater likelihood of repeat screening in both the proportional hazards and logistic regression analyses.CONCLUSIONSResults provide further support for low education as a risk factor for suboptimal participation in cancer screening. Results also highlight the critical link between intentions to perform a health-protective behavior and subsequent performance of that behavior and suggest that repeat screening could be enhanced by eliciting both an intention to return for annual ovarian cancer screening as well as a specific plan for implementing this intention.