A breast cancer education and on-site screening intervention for unscreened African American women.
A breast cancer education and on-site screening intervention for unscreened African American women.
复制标题
对未经筛查的非洲裔美国女性进行乳腺癌教育和现场筛查干预。
DOI：
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复制
发表时间：
2002
影响因子：
1.6
通讯作者：
H. Smitherman
中科院分区：
文献类型：
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作者：
R. Young;J. Waller;H. Smitherman
背景
这项研究测试了针对筛查历史不佳的非裔美国女性的乳腺癌教育干预措施。晚期疾病和死亡率的差异可能与行为（例如知识差距）和结构（例如获取）障碍导致的筛查率较低有关。
方法
94 名非裔美国女性（低收入、不良筛查历史）被随机分配接受教育和现场筛查干预或不干预状态。初级保健场所用于教育目的。对干预后三个月的乳房X光检查进行了评估。
结果
干预组的筛查率显着高于非干预组。后者与接受筛查的女性相比，存在知识差距、不良筛查历史、对癌症的恐惧以及保险差异。筛查是通过行为因素而不是结构因素来预测的。
结论
由于低收入非裔美国女性在乳腺癌筛查方面面临行为和结构性障碍，因此在初级保健机构提供提高知识水平的教育计划可以有效地影响筛查。
BACKGROUND
This study tested a breast cancer education intervention for African American women with poor screening histories. Disparities in rates of later-stage disease and death may be related to lower screening rates due to behavioral (e.g., knowledge gap) and structural (e.g., access) barriers.
METHODS
94 African American women (low-income, poor screening histories) were randomly assigned for an educational and on-site screening intervention, or non-intervention status. Primary care sites were used for educational purposes. Three-month post-intervention mammography was assessed.
RESULTS
The intervention group had significantly higher screening rates than the non-intervention group. The latter had a knowledge gap, poor screening history, cancer fears, and insurance differences relative to the screened women. Screening was predicted by behavioral, rather than structural factors.
CONCLUSIONS
Since low-income African American women face behavioral and structural barriers to breast cancer screening, an educational program that improves knowledge levels and is offered in primary care sites can effectively impact screening.