Frequency and adequacy of breast cancer screening among elderly Hispanic women.
Frequency and adequacy of breast cancer screening among elderly Hispanic women.
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西班牙裔老年女性乳腺癌筛查的频率和充分性。
DOI：
10.1016/0091-7435(87)90016-8
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发表时间：
1987
影响因子：
5.1
通讯作者：
Hisserich,JC
中科院分区：
文献类型：
--
作者：
Richardson,JL;Marks,G;Solis,JM;Collins,LM;Birba,L;Hisserich,JC
研究表明，西班牙裔（相对于盎格鲁裔）妇女患晚期乳腺癌的风险更大。筛查的不规则性可能是导致晚期诊断的一个因素，但实际上对西班牙裔妇女的乳腺癌筛查行为一无所知。我们采访了600名居住在洛杉矶的西班牙裔老年妇女，以收集有关医生乳房检查和乳房X光检查频率以及乳房自我检查的规律性和能力的信息。筛查的预测因素也进行了检查。我们的样本中有50%表示他们在过去一年内进行了乳房检查; 12.5%在过去一年内进行了乳房X光检查（74%从未进行过乳房X光检查）; 47%报告说他们在过去一个月内进行了乳房自我检查。很少有女性能够在泡沫乳房模型上展示足够的乳房自我检查技术，只有1%的女性发现所有五个肿块都存在。因此，尽管观察到的筛查和自我检查的频率与国家标准相当，但我们的受试者的自我检查尝试不太可能导致早期乳腺癌检测。年龄、教育程度、对筛查的情绪反应和媒体线索预测了筛查行为。医生指导乳房自我检查增加了自我检查的频率和充分性。癌症易感性、早期发现的益处和文化适应水平不是强有力的预测因素。我们的研究结果推广到其他亚群的西班牙裔妇女的程度进行了讨论。
Studies have demonstrated that Hispanic (relative to Anglo) women are at greater risk for late-stage breast cancer diagnosis. Screening irregularity may be a factor contributing to late-stage diagnosis, yet virtually nothing is known about the breast cancer-screening behavior of Hispanic women. We interviewed 600 elderly Hispanic women residing in Los Angeles to collect information on frequency of physician breast examinations and mammography and on regularity and competence of breast self-examination. Predictors of screening were also examined. Fifty percent of our sample indicated that they had had a breast exam within the past year; 12.5% had had a mammogram within the past year (74% never had had a mammogram); and 47% reported that they had performed breast self-examination within the past month. Few of the women were able to demonstrate adequate breast self-examination technique on a foam breast model, and only 1% found all five lumps present. Thus, although the observed frequency of screening and self-examination is comparable to national norms, it is unlikely that our subjects' attempts at self-examination would lead to early breast cancer detection. Age, educational level, emotional reactions to screening, and media cues predicted screening behavior. Physician instruction in breast self-examination increased the frequency and adequacy of self-examination. Perceived susceptiblity to cancer, perceived benefits of early detection, and level of acculturation were not strong predictors. The extent to which our results generalize to other subpopulations of Hispanic women is discussed.
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墨西哥裔美国人的癌症发病率。
DOI：
10.1093/jnci/55.3.531
发表时间：
1975
期刊：
National Cancer Institute monograph
影响因子：
--
作者：
H. Menck;Brian E. Henderson;M. Pike;Thomas M. Mack;S. P. Martin;Jeffrey R. SooHoo
通讯作者：
Jeffrey R. SooHoo
乳房自我检查教育：为什么、谁、什么以及如何？
影响因子：
5.1
作者：
S. Kegeles
通讯作者：
S. Kegeles
评估西班牙裔美国患者的语言障碍。
影响因子：
--
作者：
L. R. Marcos;L. Urcuyo;M. S. Kesselman;M. Alpert
通讯作者：
M. Alpert
健康行为的社会心理相关性：黑人女性乳房自我检查技术的知识。
影响因子：
5.4
作者：
C. Manfredi;R. Warnecke;S. Graham;S. Rosenthal
通讯作者：
S. Rosenthal
乳房自检中熟练技术和成功病变检测的预测因素。
DOI：
10.1037//0278-6133.3.2.113
发表时间：
1984
期刊：
Health psychology : official journal of the Division of Health Psychology, American Psychological Association
影响因子：
--
作者：
S. Alagna;D. Reddy
通讯作者：
D. Reddy