Derose Kathryn Pitkin, Duan Naihua, Fox Sarah A
Department of Health Services, UCLA School of Public Health, RAND Health, CA, USA.
J Health Care Poor Underserved. 2002 May;13(2):199-213. doi: 10.1353/hpu.2010.0648.
Mobile mammography can increase access to preventive screening and might be effective in church-based settings. Among 1,117 women ages 50 to 80 from 45 Los Angeles County churches, 31.7 percent said they would definitely use a mobile van at church, 21.9 percent would probably use one, 28.7 percent would probably not use one, and 17.6 percent would definitely not use one. The odds of saying yes to mobile mammography were six times higher for Spanish-speaking Latinas than for whites, over two times higher for English-speaking nonwhites than for whites, five times higher for the uninsured than for those with public or private health insurance, and three times higher for women who reported no mammogram in the previous 24 months than for women who reported a mammogram. Partnering with churches to provide mobile mammography offers the potential to increase screening adherence for traditionally underscreened women.
移动乳腺钼靶检查可以增加预防性筛查的可及性,并且在以教会为基础的环境中可能会有效果。在洛杉矶县45个教会的1117名年龄在50至80岁之间的女性中,31.7%的人表示她们肯定会使用教会的移动检查车,21.9%的人可能会使用,28.7%的人可能不会使用,17.6%的人肯定不会使用。说愿意接受移动乳腺钼靶检查的几率,说西班牙语的拉丁裔女性是白人的6倍,说英语的非白人是白人的两倍多,未参保者是有公共或私人医疗保险者的5倍,在过去24个月内未进行过乳腺钼靶检查的女性是进行过检查的女性的3倍。与教会合作提供移动乳腺钼靶检查有可能提高传统上筛查不足的女性的筛查依从性。