Factors related to non-participation in a population-based breast cancer screening programme
Factors related to non-participation in a population-based breast cancer screening programme
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DOI：
10.1097/00008469-200312000-00007
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发表时间：
2003-12-01
影响因子：
2.4
通讯作者：
Donos, L
中科院分区：
文献类型：
--
作者：
Baré, ML;Montes, J;Donos, L
主要目的是描述妇女在受邀参加乳腺癌筛查方案之前为检测乳腺疾病所采取的措施，并确定与不参加该方案有关的因素。在Sabadell-Cerdanyola乳腺癌早期检测方案（BCEDP）中设计了一项横断面研究，使用面对面或通过电话采访收集的数据，其中有13 760名妇女参加了该方案，280名非参与者。共有74.2%的参与者和70.4%的非参与者报告已采取措施检测乳腺疾病，71.7%的参与者和69.6%的非参与者进行了乳房X光检查。在接受过乳房X光检查的10057名妇女中，58%的人在不到2年前做过乳房X光检查。在多变量分析中发现与不参与相关的因素有：较高的教育水平、较高的职业技能或在家工作、乳房自我或妇科检查以及接受过激素替代治疗。较高的年龄组是唯一的因素，增加了概率没有经历过乳房X光检查。尽管事先采取措施检测乳腺癌的流行率很高，而且参与和未参与的妇女之间的流行率相似，但这种行为在60岁或60岁以上的妇女群体中要少得多。(C)2003年利平科特威廉姆斯威尔金斯。
The main objectives were to describe the measures taken by women to detect breast disease prior to invitation to participate in a screening programme for breast cancer, and to identify factors related to non-participation in this programme. A cross-sectional study was designed at the Breast Cancer Early Detection Program of Sabadell-Cerdanyola (BCEDP), using data collected in interviews conducted face to face or over the telephone with 13 760 women participating in the programme and 280 non-participants. A total of 74.2% of the participants versus 70.4% of the non-participants reported having taken measures to detect breast disease, and 71.7% of the participants had undergone mammography versus 69.6% of the non-participants. Of the 10 057 women who had had mammograms, 58% had done so less than 2 years previously. Factors found to be associated to non-participation in the multivariate analysis were: higher level of education, higher occupational skills or working at home, self- or gynaecological examination of breasts, and having received hormone replacement therapy. Higher age group was the only factor that increased the probability of not having undergone mammography previously. Despite the high prevalence of prior measures to detect breast cancer and the similar prevalence between participating and non-participating women, this behaviour is much less prevalent in the group of women 60 years of age or older. (C) 2003 Lippincott Williams Wilkins.