BREAST-CANCER SCREENING ATTITUDES AND BEHAVIORS OF RURAL AND URBAN WOMEN
BREAST-CANCER SCREENING ATTITUDES AND BEHAVIORS OF RURAL AND URBAN WOMEN
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DOI：
10.1016/0091-7435(92)90050-r
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发表时间：
1992-07-01
影响因子：
5.1
通讯作者：
MAH, Z
中科院分区：
文献类型：
--
作者：
BRYANT, H;MAH, Z
这项研究的目的是评估加拿大阿尔伯塔省240万人口中40至74岁妇女对乳腺癌的知识、态度和认识。这项分析比较了538名农村妇女（定义为居住在距离阿尔伯塔主要城市1至3小时车程的妇女）和735名居住在这两个城市之一的城市妇女的属性。研究发现，农村妇女对乳腺癌的基本知识或对乳房X光检查障碍的看法相同，但对乳腺癌本身的态度更为消极。尽管她们获得医生护理的机会相似，但她们最近进行临床乳房检查或乳房X线检查的可能性较低（P< 0.001）。当对人口统计学背景变量进行调整时，这些差异仍然存在;过去2年中筛查乳房X光检查的调整后患病率比率为0.52（95%C.1.，0.43，0.64），并打算在未来2年内进行乳房X光检查，0.75（0.63，0.90）。研究结果表明，在计划向广大农村妇女提供乳腺癌筛查信息和服务时，应采取特定的方案实施策略。
This study was carried out to assess the breast cancer knowledge, attitudes, and awareness of women age 40 to 74 in Alberta, a Canadian province of 2.4 million people. This analysis compares the attributes of 538 rural women, defined as those living between 1 and 3 hr drive from the major cities in Alberta, and 735 urban women who lived in one of these two cities. Rural women were found to have the same basic knowledge of breast cancer or perceptions of barriers to mammography, but had more negative attitudes about breast cancer itself. Despite their similar access to physician care, they were less likely to have had a recent clinical breast examination or mammogram (P< 0.001). These differences remained when adjustment was made for demographic background variables; the adjusted prevalence rate ratio for a screening mammogram in the past 2 years was 0.52 (95% C.l., 0.43, 0.64), and for intention to have a mammogram in the next 2 years, 0.75 (0.63, 0.90). The results suggest particular program delivery strategies when planning for provision of breast screening information and service to the large subgroup of rural women.