乳房自我检查对后续乳房X光检查参与率的影响。
The influence of breast self-examination on subsequent mammography participation.
作者信息
Jelinski Susan E, Maxwell Colleen J, Onysko Jay, Bancej Christina M
机构信息
Department of Community Health Sciences, Faculty of Medicine, University of Calgary, 3330 Hospital Dr NW, Calgary, Alberta, Canada T2N 4N1.
出版信息
Am J Public Health. 2005 Mar;95(3):506-11. doi: 10.2105/AJPH.2003.032656.
OBJECTIVES
We evaluated whether breast self-examination (BSE) influences subsequent mammography participation.
METHODS
We evaluated associations between BSE and subsequent mammography participation, adjusting for baseline screening behaviors and sociodemographic, health, and lifestyle characteristics, among women aged 40 years and older using data from the longitudinal Canadian National Population Health Survey.
RESULTS
Regular performance of BSE at baseline was not associated with receipt of a recent mammogram at follow-up among all women (adjusted odds ratio [OR]=1.01; 95% confidence interval [CI]= 0.75, 1.35) or with mammography uptake among the subgroup of women reporting never use at baseline (adjusted OR=0.78; 95% CI=0.50, 1.22).
CONCLUSIONS
The lack of association between performance of BSE and subsequent mammography participation suggests that not recommending BSE is unlikely to influence mammography participation.
目的
我们评估了乳房自我检查（BSE）是否会影响后续的乳房X线筛查参与情况。
方法
我们利用加拿大全国人口健康纵向调查的数据，评估了40岁及以上女性中BSE与后续乳房X线筛查参与情况之间的关联，并对基线筛查行为以及社会人口统计学、健康和生活方式特征进行了调整。
结果
在所有女性中，基线时定期进行BSE与随访时最近接受乳房X线检查无关（调整后的优势比[OR]=1.01；95%置信区间[CI]=0.75, 1.35），在基线时报告从未进行过乳房X线检查的女性亚组中，BSE与乳房X线检查的接受率也无关（调整后的OR=0.78；95% CI=0.50, 1.22）。
结论
BSE与后续乳房X线筛查参与情况之间缺乏关联表明，不推荐BSE不太可能影响乳房X线筛查的参与情况。
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