Sánchez-Ayéndez Melba, Nazario Cruz María, Dávila Ana Luisa, Fernández-Garrote Leticia, Hernández-Santiago Johan
Escuela Graduada de Salud Pública, Recinto de Ciencias Médicas, Universidad de Puerto Rico, PO Box 365067, San Juan, Puerto Rico 00936-5067.
P R Health Sci J. 2003 Jun;22(2):161-72.
Mammography for low-income women is an important intervention issue as it is still under utilized in these sectors. Despite evidence in favor of breast cancer screening with mammograms, research indicates that mammogram compliance among low-income females and women over 50 years of age has been slow. This article revolves around the factors that affect compliance with screening mammograms among low-income women ages 40 to 64 in Puerto Rico once they receive a referral from a physician. Although the multivariate analysis demonstrated that only age, work outside of the home and performing breast self-exams significantly increased the probability for middle-aged, low-income women in Puerto Rico to comply with referrals and have mammograms, this research illustrated that certain factors such as knowledge about the disease and screening practices, a satisfactory perception of the patient-physician relationship, and the performance of a clinical breast exam by a physician influence mammogram compliance.
对于低收入女性而言，乳房X光检查是一个重要的干预问题，因为在这些群体中该检查仍未得到充分利用。尽管有证据支持使用乳房X光片进行乳腺癌筛查，但研究表明，低收入女性和50岁以上女性对乳房X光检查的依从性一直很低。本文围绕影响波多黎各40至64岁低收入女性在收到医生转诊后接受乳房X光筛查依从性的因素展开。尽管多变量分析表明，只有年龄、外出工作和进行乳房自我检查显著增加了波多黎各中年低收入女性遵守转诊建议并进行乳房X光检查的可能性，但这项研究表明，某些因素，如对疾病和筛查方法的了解、对医患关系的满意认知以及医生进行的临床乳房检查，会影响乳房X光检查的依从性。
