Psychosocial factors and attendance at a population-based mammography screening program in a cohort of Swedish women.
Psychosocial factors and attendance at a population-based mammography screening program in a cohort of Swedish women.
复制标题
DOI：
10.1186/1472-6874-14-33
复制
发表时间：
2014-02-24
期刊：
影响因子：
--
通讯作者：
Zackrisson S
中科院分区：
文献类型：
--
作者：
Lagerlund M;Sontrop JM;Zackrisson S
需要更好地了解影响乳腺X线检查出勤率的因素，以提高这些筛查计划的有效性。这项研究的目的是检查是否心理社会因素预测出席人口为基础的邀请式乳房X线摄影筛查计划。关于同居、社会网络/支持、控制感和压力的数据来自马尔默饮食和癌症队列研究，并与瑞典马尔默乳房X光检查登记相关。我们分析了11，409名女性（年龄44至72岁），她们在研究开始时（1992年至1996年）没有患乳腺癌。从队列入组至2009年12月31日，随访乳房X线检查。广义估计方程用于解释受试者内的重复测量。报告了调整后的比值比（OR）和95%置信区间（CI）。在69 746次筛查机会中，有5 552例（8%）未参加。独居的女性不上学的几率更高（OR = 1.47（1.33-1.63））或仅与儿童（OR = 1.52（1.29-1.81）），有1次分娩史（OR = 1.12（1.01-1.24））或三胎或三胎以上（OR = 1.34（1.21-1.48）），社会参与度低（OR= 1.21（1.10-1.31）），控制感低（OR = 1.12（1.02-1.23）），经历较大的压力（OR = 1.24（1.13-1.36））。旨在优化乳房X光检查出勤率的公共卫生运动可能会受益于更多地考虑如何与社会参与较少的妇女接触。
A better understanding of the factors that influence mammography screening attendance is needed to improve the effectiveness of these screening programs. The objective of the study was to examine whether psychosocial factors predicted attendance at a population-based invitational mammography screening program. Data on cohabitation, social network/support, sense of control, and stress were obtained from the Malmö Diet and Cancer Cohort Study and linked to the Malmö mammography register in Sweden. We analyzed 11,409 women (age 44 to 72) who were free of breast cancer at study entry (1992 to 1996). Mammography attendance was followed from cohort entry to December 31, 2009. Generalized Estimating Equations were used to account for repeated measures within subjects. Adjusted odds ratios (OR) and 95% confidence intervals (CI) are reported. Among 69,746 screening opportunities there were 5,552 (8%) cases of non-attendance. Higher odds of non-attendance were found among women who lived alone (OR = 1.47 (1.33-1.63)) or with children only (OR = 1.52 (1.29-1.81)), had one childbirth (OR = 1.12 (1.01-1.24)) or three or more childbirths (OR = 1.34 (1.21-1.48)), had low social participation (OR= 1.21 (1.10-1.31)), low sense of control (OR = 1.12 (1.02-1.23)), and experienced greater stress (OR = 1.24 (1.13-1.36)). Public health campaigns designed to optimize mammography screening attendance may benefit from giving more consideration of how to engage with women who are less socially involved.