Barriers Related to Mammography Use for Breast Cancer Screening Among Minority Women
Barriers Related to Mammography Use for Breast Cancer Screening Among Minority Women
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DOI：
10.1016/s0027-9684(15)30527-7
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发表时间：
2010-03-01
影响因子：
3.3
通讯作者：
Mooradian, Arshag D.
中科院分区：
文献类型：
--
作者：
Alexandraki, Irene;Mooradian, Arshag D.
目的：这篇综述的目的是为了更好地了解可能的社会，经济，文化，行为和系统障碍，少数民族women.Methods乳腺癌筛查：相关手稿确定通过MEDLINE/PubMed搜索英语文献从1971年10月至2009年4月。共审查了515篇手稿的摘要。只考虑在美国少数民族妇女中进行的研究，并审查与筛查乳房X光检查有关的障碍。在64篇相关文章中，13项横断面研究和4项前瞻性研究符合纳入标准。研究设计;患者特征;有关乳腺癌筛查的知识、态度和信仰、社会规范、可获得性和文化能力的结果被抽象出来。研究采用方法质量评分（MQS）。结果：疼痛和尴尬与筛查乳房X光检查，低收入和缺乏健康保险，对乳腺癌筛查知识贫乏，缺乏医生的建议，缺乏对医院和医生的信任，语言障碍，缺乏交通是最常见的障碍。所选研究的平均MQS为10.9（SD = 3.25，范围，4-20）。结论：多重障碍限制了少数民族妇女的乳腺X线筛查。认识到少数群体妇女筛查的预测因素，并解决文化上的具体障碍，可能会提高这些妇女对筛查性乳房X光检查的利用率。
Purpose: The purpose of this review was to better understand possible social, economic, cultural, behavioral, and systems barriers to breast cancer screening among minority women.Methods: Relevant manuscripts were identified through a MEDLINE/PubMed search for English-language literature from October 1971 through April 2009. The abstracts from a total of 515 manuscripts were reviewed. Only studies conducted among minority women in the United States and examining barriers related to screening mammography were considered. Of 64 relevant articles, 13 cross-sectional and 4 prospective studies met inclusion criteria. Study design; patient characteristics; outcomes regarding knowledge, attitudes and beliefs; social norms; accessibility; and cultural competence regarding breast cancer screening were abstracted. Studies were rated using a methodological quality score (MQS).Results: Pain and embarrassment associated with screening mammography, low income and lack of health insurance, poor knowledge about breast cancer screening, lack of physician recommendation, lack of trust in hospitals and doctors, language barriers, and lack of transportation were the most frequently identified barriers. The average MQS of the studies selected was 10.9 (SD = 3.25, range, 4-20).Conclusions: Multiple barriers limit screening mammography among minority women. Recognizing predictors of screening among minority women and addressing culturally specific barriers may improve utilization of screening mammography among these women.