Burg M A, Lane D S, Polednak A P
State University of New York, Stony Brook.
J Aging Health. 1990 Nov;2(4):514-30. doi: 10.1177/089826439000200406.
The age-related decline in the use of breast cancer screening tests, specifically periodic mammography and physical breast examinations by a doctor, is especially problematic given that breast cancer risk increases with age. Survey data (N = 3,507) from the Awareness of Breast Cancer Project are used to compare the effects of socioeconomic variables and usual health care use variables on recent use of breast cancer screening tests in women 50 to 75 years of age on Long Island, New York. Having annual checkups and seeing an obstetrician/gynecologist for routine health care are the best predictors of recent mammography and breast physical exams for all women. Income level and education are not independent predictors of recent screening for women over 65. The implications of the effect of primary care practioners on periodic breast cancer screening in older women are discussed.
鉴于乳腺癌风险会随着年龄增长而增加，与年龄相关的乳腺癌筛查检测（特别是定期乳房X光检查和医生进行的乳房体格检查）使用率下降的问题尤为突出。来自乳腺癌意识项目的调查数据（N = 3507）用于比较社会经济变量和常规医疗保健使用变量对纽约长岛50至75岁女性近期乳腺癌筛查检测使用情况的影响。进行年度体检以及看妇产科医生进行常规医疗保健是所有女性近期乳房X光检查和乳房体格检查的最佳预测指标。收入水平和教育程度并非65岁以上女性近期筛查的独立预测指标。文中讨论了初级保健医生对老年女性定期乳腺癌筛查影响的意义。
