Fajardo L L, Saint-Germain M, Meakem T J, Rose C, Hillman B J
Department of Radiology, University of Arizona, Tucson.
Radiology. 1992 Jul;184(1):59-63. doi: 10.1148/radiology.184.1.1609103.
Despite the fact that mammography is a valuable tool for early detection of breast cancer, the majority of age-eligible American women do not avail themselves of screening mammography. To better understand why women do or do not undergo mammography and to further develop guidelines for promoting breast cancer screening, the authors investigated what impact personal factors, attitudes, and health-related behaviors have on compliance with screening mammography by surveying 521 women for information related to health behavior, health concerns, sense of well-being, satisfaction with health care, and knowledge about breast cancer. Women who underwent mammography were more likely to have a regular physician, to practice breast self-examination, to be less concerned over the cost of mammography, to be generally satisfied with their health care, to believe they have a greater sense of control over their health, and to be more knowledgeable about mammography and breast cancer. Age, health behavior, sense of well-being, locus of control, and breast cancer experience helped differentiate between women who had undergone mammography and those who had not.
尽管乳腺X光检查是早期发现乳腺癌的一项重要工具，但大多数符合年龄要求的美国女性并未进行乳腺筛查。为了更好地理解女性进行或不进行乳腺X光检查的原因，并进一步制定促进乳腺癌筛查的指南，作者通过调查521名女性有关健康行为、健康担忧、幸福感、对医疗保健的满意度以及对乳腺癌的了解等信息，研究了个人因素、态度和与健康相关的行为对乳腺筛查依从性的影响。进行过乳腺X光检查的女性更有可能有固定的医生，会进行乳房自我检查，不太担心乳腺X光检查的费用，总体上对自己的医疗保健感到满意，认为自己对健康有更强的掌控感，并且对乳腺X光检查和乳腺癌有更多的了解。年龄、健康行为、幸福感、控制源以及乳腺癌经历有助于区分进行过乳腺X光检查的女性和未进行过检查的女性。
