Intention to have a mammogram in the future among women who have underused mammography in the past

Intention to have a mammogram in the future among women who have underused mammography in the past
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DOI:
10.1177/109019819802500406
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发表时间:
1998-08-01
影响因子:
4.2
通讯作者:
Peterson, K
Peterson, K
中科院分区:
医学3区
文献类型:
--
作者:
Allen, JD;Sorensen, G;Peterson, K

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这项研究调查了在不遵守筛查指南的女性中,对自己与健康提供者讨论乳房X光检查并获得定期乳房X光检查的能力的信心(自我效能)、社交网络成员对乳房X光检查的态度(社会影响)、乳房X光检查经历以及在未来1至2年内进行乳房X光检查的意愿之间的关系。收集的数据是作为工作场所干预研究的基线评估的一部分。52岁及以上的女性完成了一项自我管理的调查。那些不符合筛查指南的患者(n=194)被纳入分析。Logistic回归分析显示,自我效能感和强烈的支持性社会影响与乳房X光检查意向显著相关(优势比[OR]=2.50,OR=2.22),调整了既往使用乳房X光检查的因素。研究结果表明,旨在促进乳房X光检查的干预措施应该建立起女性对自己有能力与医疗机构讨论乳房X光检查并获得定期乳房X光检查的信心。社交网络的介入也可能是推广乳房X光检查的有效手段。
This study investigated associations between confidence in one's ability to discuss mammography with health providers and to obtain regular mammograms (self-efficacy), social network members' attitudes toward mammograms (social influence), mammography experiences, and intention to have a mammogram in the next 1 to 2 years among women who were not in adherence with screening guidelines. Data were collected as part of a baseline assessment for a work site intervention study. Women 52 years and older completed a self-administered survey. Those not in compliance with screening guidelines (n = 194) were included in the analyses. Logistic regression revealed that self-efficacy and strong supportive social influences were significantly associated with mammography intention (odds ratio [OR] = 2.50, OR = 2.22, respectively), adjusting for prior mammography use. Findings suggest that interventions designed to promote mammography should build women's confidence in their ability to discuss mammography with health providers and to obtain regular mammograms. Intervention among social networks may also be an effective means of promoting mammography.