Husaini B A, Sherkat D E, Bragg R, Levine R, Emerson J S, Mentes C M, Cain V A
Center for Health Research, Tennessee State University, Nashville 37209, USA.
Women Health. 2001;34(3):35-51. doi: 10.1300/J013v34n03_03.
This study examines the predictors of breast cancer screening participation in a panel study of African American women over age 40. We examine the effect of depression, age, beliefs and concerns about breast cancer and its risk, communication with social networks regarding screening, marital status, participation in religious organizations, breast cancer family history, and participation in a breast cancer education program.
Participants were recruited from 30 African American churches, two low-income housing projects, and from a health fair at a historically African American University (N = 364). Participants were interviewed upon recruitment, and three months later. Multinomial logistic regression models are estimated to assess the relative impact of covariates on the odds of getting a mammogram while controlling for other factors. We also assess predicted probabilities of screening at specific levels of covariates.
We find that age, marriage, an educational intervention, talking with friends, and believing that early detection can lead to cure had a positive impact on getting a mammogram between T1 and T2. In contrast, depression significantly reduces the odds of getting a mammogram. Family histories of breast cancer and church participation have no effect on rates of mammography net of other factors.
本研究在一项针对40岁以上非裔美国女性的追踪研究中，考察乳腺癌筛查参与情况的预测因素。我们研究抑郁、年龄、对乳腺癌及其风险的信念与担忧、与社交网络就筛查事宜的沟通、婚姻状况、参与宗教组织情况、乳腺癌家族史以及参与乳腺癌教育项目的影响。
参与者从30所非裔美国教会、两个低收入住房项目以及一所历史悠久的非裔美国大学举办的健康博览会上招募（N = 364）。参与者在招募时及三个月后接受访谈。估计多项逻辑回归模型，以评估协变量在控制其他因素的情况下对进行乳房X光检查几率的相对影响。我们还评估在特定协变量水平下筛查的预测概率。
我们发现，年龄、婚姻状况、教育干预、与朋友交谈以及相信早期发现可治愈，对在T1和T2之间进行乳房X光检查有积极影响。相比之下，抑郁显著降低进行乳房X光检查的几率。乳腺癌家族史和参与教会活动在扣除其他因素后对乳房X光检查率没有影响。
