PERSONAL CONTACT FROM FRIENDS TO INCREASE MAMMOGRAPHY USAGE
PERSONAL CONTACT FROM FRIENDS TO INCREASE MAMMOGRAPHY USAGE
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DOI：
10.1016/s0749-3797(18)30566-x
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发表时间：
1994-11-01
影响因子：
5.5
通讯作者：
HEATH, CW
中科院分区：
文献类型：
--
作者：
CALLE, EE;MIRACLEMCMAHILL, HL;HEATH, CW
为了在40岁及以上的女性中更多地使用乳房X光检查，美国癌症协会(ACS)设计了一项电话干预策略(“告诉朋友”计划)，该计划依赖于ACS志愿者。在为期半天的培训期间，每位志愿者提供了一份名单，其中包括她愿意在6个月内接触的10名女性，并鼓励她们进行乳房X光检查。每一份名单都是随机的，五个名字被返回给每个志愿者，以便包括在干预中。其他女性作为对照组，志愿者没有联系到她们。随后在干预期结束时对所有妇女进行了面谈。干预组(n=289)中49%的妇女自干预开始以来接受了最近一次的乳房X光检查，而对照妇女(n=305)在同一时间段内接受了乳房X光检查(p小于或等于.001，比率=1.4，95%可信区间=1.2，1.7)。在控制了人口统计特征后，干预的有效性仍然存在。这一战略对所有年龄段的黑人和白人女性都有效，但主要是对家庭年收入低于4万美元的女性。我们的结论是，熟人女性之间个人接触的电话干预策略可以显著增加乳房X光检查的使用，特别是在低至中等收入的女性中。
To increase the use of mammography among women 40 years of age and older, the American Cancer Society (ACS) designed a telephone intervention strategy (the ''Tell A Friend'' program) that relied on ACS volunteers. During a half-day training session, each volunteer provided a list of 10 women she was willing to contact over a 6-month period and encourage to have a mammogram. Each list was randomized, and five names were returned to each volunteer for inclusion in the intervention. The other women served as controls and were not contacted by the volunteers. All women were subsequently interviewed at the end of the intervention period. Forty-nine percent of the women in the intervention group (n = 289) had received their most recent mammogram since the start of the intervention period, whereas 34% of control women (n = 305) received mammograms during the same time period (p less-than-or-equal-to .001, rate ratio = 1.4, 95% confidence interval = 1.2, 1.7). The effectiveness of the intervention remained after controlling for demographic characteristics. The strategy was effective for both black and white women of all ages, but principally among women with annual household incomes of less than $40,000. We conclude that a telephone intervention strategy of personal contacts between acquainted women can significantly increase mammography use, particularly among women with low-to-moderate income.