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不同乳腺钼靶检查采用阶段的风险、益处和障碍认知差异。

Differences in perceptions of risk, benefits, and barriers by stage of mammography adoption.

作者信息

Champion Victoria L, Skinner Celette Sugg

机构信息

Indiana University School of Nursing, Indianapolis, Indiana 46202-5107, USA.

出版信息

J Womens Health (Larchmt). 2003 Apr;12(3):277-86. doi: 10.1089/154099903321667618.

DOI:10.1089/154099903321667618
PMID:12804358
Abstract

PURPOSE

The purpose of this report was to identify the relationship of mammography adoption with perceived susceptibility to breast cancer and perceived benefits and barriers to mammography.

METHODS

Stage of mammography adoption was based on the Transtheoretical Model. Previously validated scales for susceptibility, benefits, and barriers were administered. The sample included 694 women who were recruited from a large Health Maintenance Organization and general medicine clinic. The mean age was 61.2 years; 30% were African American and 67% were Caucasian.

RESULTS

Women who were currently compliant (action) had lower perceived barriers than other groups. Precontemplators and Relapse Precontemplators had lower perceived benefits scores than those who were currently compliant or those who were thinking of having a mammogram. Women who had never received a mammogram were more likely to feel they were too old for the procedure. Stage matched interventions are discussed.

CONCLUSIONS

Beliefs differ among women in various stages of mammography adoption. These differences may inform interventions to increase mammography use.

摘要

目的

本报告旨在确定乳腺钼靶检查的采用情况与对乳腺癌的感知易感性以及乳腺钼靶检查的感知益处和障碍之间的关系。

方法

乳腺钼靶检查的采用阶段基于行为改变阶段理论模型。使用先前验证过的关于易感性、益处和障碍的量表。样本包括从一个大型健康维护组织和综合内科诊所招募的694名女性。平均年龄为61.2岁;30%为非裔美国人,67%为白种人。

结果

目前依从(行动)的女性感知到的障碍低于其他组。未考虑者和复发未考虑者的感知益处得分低于目前依从者或考虑进行乳腺钼靶检查的人。从未接受过乳腺钼靶检查的女性更有可能觉得自己年龄太大不适合做这个检查。讨论了与阶段匹配的干预措施。

结论

处于乳腺钼靶检查采用不同阶段的女性的信念存在差异。这些差异可能为增加乳腺钼靶检查使用的干预措施提供依据。

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