Hay Jennifer L, McCaul Kevin D, Magnan Renee E
Department of Psychiatry and Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, New York, NY 10022, USA.
Prev Med. 2006 Jun;42(6):401-8. doi: 10.1016/j.ypmed.2006.03.002. Epub 2006 Apr 19.
Many women worry about the possibility of developing breast cancer, but there is conflicting evidence concerning whether cancer worry acts as a facilitator or inhibitor of breast cancer screening.
We conducted a meta-analysis of 12 prospective studies that measured worry about breast cancer at baseline and subsequent breast self-examination (BSE) or mammography utilization among 3342 high-risk and general population women.
The data consistently show that breast cancer worry has a small but reliable (r = 0.12) association with breast cancer screening behavior, such that greater worry predicts a greater likelihood of screening. We also found that the means for breast cancer worry were consistently in the lower third of the scales, despite differences in measurement approaches, sample utilization, or the date that the study was conducted.
The meta-analysis supports the contention that breast cancer worry may motivate screening behavior, and that high levels of breast cancer worry are uncommon.
许多女性担心患乳腺癌的可能性，但关于癌症担忧是促进还是抑制乳腺癌筛查，证据相互矛盾。
我们对12项前瞻性研究进行了荟萃分析，这些研究在基线时测量了对乳腺癌的担忧以及3342名高危和普通人群女性随后的乳房自我检查（BSE）或乳房X光检查利用率。
数据一致表明，乳腺癌担忧与乳腺癌筛查行为存在小但可靠的关联（r = 0.12），即担忧程度越高，筛查的可能性越大。我们还发现，尽管测量方法、样本利用或研究进行的日期存在差异，但乳腺癌担忧的均值始终处于量表的下三分之一。
荟萃分析支持了乳腺癌担忧可能促使筛查行为这一观点，并且高度的乳腺癌担忧并不常见。
