Davis Cindy, Emerson Janice S, Husaini Baqar A
College of Social Work, University of Tennessee, Nashville, TN, USA.
J Health Care Poor Underserved. 2005 May;16(2):308-14. doi: 10.1353/hpu.2005.0024.
Breast cancer remains one of the leading causes of cancer death among African American women, and rates of mammography screening for African American women remain lower than rates for their Caucasian counterparts. The purpose of the current study was to explore the reasons for nonadherence to American Cancer Society breast screening guidelines among African American women who had not received a mammogram within the past year. Participants included 91 African American women between 40 and 84 years of age recruited from churches, housing projects, and a health fair at a historically African American university who had not received a mammogram within the past 12 months. Findings revealed that 36% of participants had never received a mammogram, 43% did not have their breasts examined by their doctor once a year, 55% did not perform monthly self-examination, and 23% did not know how to examine their breasts for breast cancer. The most frequently reported reason for not getting a mammogram was because the participant's doctor had not suggested it.
乳腺癌仍然是非洲裔美国女性癌症死亡的主要原因之一，非洲裔美国女性的乳房X光检查筛查率仍然低于白人女性。本研究的目的是探讨在过去一年中未进行乳房X光检查的非洲裔美国女性不遵守美国癌症协会乳房筛查指南的原因。参与者包括91名年龄在40至84岁之间的非洲裔美国女性，她们是从教堂、住房项目以及一所历史悠久的非洲裔美国大学举办的健康博览会上招募而来的，在过去12个月内未进行过乳房X光检查。研究结果显示，36%的参与者从未进行过乳房X光检查，43%的人每年没有让医生检查过乳房，55%的人没有每月进行自我检查，23%的人不知道如何检查乳房以筛查乳腺癌。未进行乳房X光检查最常报告的原因是参与者的医生没有建议。
