MAMMOGRAM USE BY AFRICAN AMERICAN WOMEN AGE 50 AND OVER

50 岁及以上非裔美国女性使用乳房 X 光检查

• 批准号: 2517613
• 负责人: Ann Carroll Klassen
• 金额: $ 22.83万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 1995
• 资助国家: 美国
• 起止时间: 1995-09-01 至 1999-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2517613
• 关键词: African American; aging; behavioral /social science research tag; breast neoplasms; cancer risk; female; health behavior; health care service utilization; human subject; interview; mammography; mass screening

DESCRIPTION: This project proposes to identify specific factors that influence mammography services utilization among African-American women age 50 and older in a low income urban community, and to identify factors associated with consistent screening attendance compared to onetime or irregular use. Although it is known that low income, older, African-American women are at risk for poor screening patterns, late- stage diagnosis and associated mortality from breast cancer, less information is available on what distinguishes women in this high risk group who receive regular screening and follow-up and those who do not. Of particular concern are women who may believe themselves to be adequately screened, and yet have received only sporadic screening mammograms without adequate follow-up. The objectives of the proposed study are to gather information on the knowledge, attitudes, prior health care utilization patterns, and screening histories of women attending a breast cancer screening program, and compare this information to a matched sample of women within the same community who do not attend the screening program. The investigators hypothesize that there will be important differences between cases and controls in each of six areas (cancer beliefs, physical health, belief models of disease and healing, social sphere, healthcare use, and prior screening). The identification of sociological, behavioral and health care access factors associated with low rates of screening will lead to recommendations for specific areas for intervention, aimed at increasing the use of regular screening and follow up among the women currently lacking adequate screening. In this three year project, the investigators will conduct personal interviews with 400 African-American women age 50+ who enter the Johns Hopkins Breast Center Community Health Program for screening. The 40 minute interview, containing both open-ended and structured measures, will collect information on each woman's perceptions of the burden of breast cancer and its treatment, current and prior health status, health care utilization, and psychosocial well-being. Each woman will also be asked to nominate five women to serve as potential 'controls'; friends or neighbors of the same age who are not currently receiving regular mammography screening. 400 control interviews (one per case) will be conducted. A matched case-control analysis during Year Three will identify factors associated with screening. The investigators will also compare women who attend consistently to those screened only once. Results from the project will be used with the East Baltimore Community to increase screening attendance, and shared with state and national organizations working with older, low income, and minority women's health. One additional immediate benefit will be to educate and potentially recruit all nominated controls to attend the Breast Center Screening Program.

描述：该项目建议确定具体因素 影响非裔美国女性的乳房X光检查服务利用 低收入城市社区中 50 岁及以上的人，并确定 与持续筛查出勤率相关的因素 一次性或不定期使用。尽管众所周知，收入低、年龄大、 非裔美国女性面临不良筛查模式的风险，晚期 乳腺癌的分期诊断和相关死亡率，较少 现有信息表明，处于这种高风险的女性有何不同 接受定期筛查和随访的群体以及未接受定期筛查和随访的群体。 特别值得关注的是那些可能认为自己是 进行了充分筛查，但仅接受了零星筛查 没有充分随访的乳房X光检查。 拟议研究的目的是收集有关 知识、态度、先前的医疗保健利用模式，以及 参加乳腺癌筛查的女性的筛查历史 计划，并将这些信息与匹配的女性样本进行比较 同一社区内不参加筛查计划的人。 这 研究人员假设将会存在重要差异 六个领域（癌症信仰、 身体健康、疾病和治疗的信仰模式、社会领域、 医疗保健用途和事先筛查）。 鉴定 与相关的社会学、行为和医疗保健获取因素 低筛查率将导致针对特定领域的建议 进行干预，旨在增加定期筛查和 对目前缺乏适当筛查的妇女进行跟踪。 在这个为期三年的项目中，研究人员将进行个人 对 400 名 50 岁以上进入约翰斯的非洲裔美国女性进行采访 霍普金斯乳腺中心社区健康计划进行筛查。 40 号 分钟访谈，包含开放式和结构化措施， 将收集有关每个妇女对生育负担的看法的信息 乳腺癌及其治疗、当前和既往健康状况、健康 护理利用和社会心理健康。 每个女人也会 要求提名五名女性作为潜在的“对照”；朋友们 或目前没有定期接受治疗的同龄邻居 乳房X光检查。 将进行 400 次对照访谈（每个案例一次） 实施。 第三年的匹配病例对照分析将 确定与筛查相关的因素。 调查人员还将 将持续参加筛查的女性与仅接受过一次筛查的女性进行比较。 该项目的结果将用于东巴尔的摩社区 增加筛查出勤率，并与州和国家共享 与老年、低收入和少数民族妇女合作的组织 健康。 另一项直接的好处是教育和潜在的 招募所有指定对照参加乳腺中心筛查 程序。