Anxiety and depressive symptoms and missing breast cancer and cervical screening: results from Brazos valley community health survey.
Anxiety and depressive symptoms and missing breast cancer and cervical screening: results from Brazos valley community health survey.
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焦虑和抑郁症状以及缺失乳腺癌和宫颈癌筛查：布拉索斯谷社区健康调查的结果。
DOI：
10.1080/13548506.2019.1668031
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发表时间：
2020
期刊：
影响因子：
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通讯作者：
Burdine,JamesN
中科院分区：
文献类型：
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作者：
Zhang,Xiaoying;Mkuu,Rahma;Samman,Elfreda;Cummings,Shelby;Sherman,Ledric;Wigfall,LisaT;Wilkinson,Larrell;Burdine,JamesN
乳腺癌和宫颈癌筛查与癌症死亡率的大幅降低有关。精神疾病已被证明会影响预防行为。本研究旨在探讨焦虑或抑郁症状是否与乳腺癌和宫颈癌筛查相关。我们分析了 2013 年布拉索斯谷社区健康评估的数据 (n = 3104)。 GAD-7量表用于评估焦虑水平，PHQ-2用于评估抑郁症状。使用Stata 15.0统计软件进行描述性和逻辑回归分析。总体而言，每个样本中 80.61% 的女性符合乳腺癌或宫颈癌筛查指南。焦虑与缺失乳腺癌和宫颈癌筛查有关，但这种关联仅对宫颈癌显着（OR = 1.430，CI = 1.009，2.026），而对乳腺癌则不显着（OR = 1.406，CI = .952，2.078）。 在控制人口统计数据后，抑郁症状与缺失乳腺癌（OR = 1.502，CI = 1.051，2.149）和宫颈癌（OR = 1.689，CI = 1.208，2.362）癌症筛查显着相关。有抑郁症状和焦虑的女性错过乳腺癌和宫颈癌筛查的几率更高。健康促进计划应考虑针对患有焦虑和抑郁的个体，以提高癌症筛查率。
Breast and cervical cancer screening are associated with dramatically reduced cancer mortality. Mental illnesses have been demonstrated to influence preventative behaviours. This study aims to explore whether anxiety or depressive symptoms is associated with breast and cervical cancer screening. We analyzed data (n = 3104) from the 2013 Brazos Valley Community Health Assessment. The GAD-7 Scale was used to assess the anxiety level, and PHQ-2 was used to assess the depressive symptoms. Stata 15.0 statistical software was used to perform descriptive and logistic regression analysis. Overall, 80.61% of women in each sample met breast cancer or cervical cancer screening guidelines, respectfully. Anxiety was associated with missing breast and cervical cancer screening, but the association was only significant for cervical cancer (OR = 1.430, CI = 1.009, 2.026), not for breast cancer (OR = 1.406, CI = .952, 2.078). Depressive symptom was significantly associated with missing breast (OR = 1.502, CI = 1.051, 2.149) and cervical (OR = 1.689, CI = 1.208, 2.362) cancer screening after controlling for demographics. Women with depressive symptoms and anxiety had higher odds of missing breast and cervical cancer screening. Health promotion programs should consider targeting individuals with anxiety and depression to improve cancer-screening rates..