Peipins Lucy A, Shapiro Jean A, Bobo Janet Kay, Berkowitz Zahava
Division of Cancer Prevention and Control, Epidemiology and Applied Research Branch, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA 30341-3717, USA.
Cancer Causes Control. 2006 May;17(4):439-47. doi: 10.1007/s10552-005-0447-7.
To examine the relationship between womens' experiences during mammography and their likelihood of being rescreened after receiving a negative or benign mammogram.
Telephone interview and medical record data were collected from a random sample of enrollees from four states in a national screening program targeting uninsured and underinsured women at least 30 months after they had undergone an index mammogram in 1997. We calculated 30-month rescreening rates by prior mammography characteristics including pain and embarrassment, worry, convenience of appointment time, treatment by staff, and financial considerations.
Of the 2,000 women in the sampling frame, 1,895 (93.6%) were located, 1,685 (88.6%) were interviewed and 1,680 provided data required for our analysis. Overall, 81.5% of the women had undergone rescreening. More than 90% of the women reported being 'satisfied' or 'very satisfied' with treatment by facility staff, facility location and wait time during the appointment. Statistically significant decreased rescreening rates were seen for women who reported feeling embarrassed and for women reporting dissatisfaction with ability to schedule a convenient appointment time.
These results suggest that providing additional reassurance and privacy may increase rescreening rates.
研究女性在乳房X光检查过程中的经历与她们在乳房X光检查结果为阴性或良性后再次接受筛查的可能性之间的关系。
从一项针对未参保和参保不足女性的全国性筛查项目中，随机抽取来自四个州的登记参与者样本，在她们于1997年进行首次乳房X光检查至少30个月后，收集电话访谈和病历数据。我们根据先前乳房X光检查的特征，包括疼痛和尴尬、担忧、预约时间的便利性、工作人员的治疗以及经济因素，计算了30个月的再次筛查率。
在抽样框架中的2000名女性中，找到了1895名（93.6%），访谈了1685名（88.6%），1680名提供了我们分析所需的数据。总体而言，81.5%的女性接受了再次筛查。超过90%的女性报告对机构工作人员的治疗、机构位置和预约等待时间“满意”或“非常满意”。报告感到尴尬的女性以及报告对安排方便的预约时间能力不满意的女性，再次筛查率在统计学上显著降低。
这些结果表明，提供更多的安心感和隐私可能会提高再次筛查率。
