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老年墨西哥裔美国女性的乳房X线摄影检查使用情况:校正乳腺癌筛查报告过度的问题。

Mammography use among older Mexican-American women: correcting for over-reports of breast cancer screening.

作者信息

Mahnken Jonathan D, Freeman Daniel H, DiNuzzo Anthony R, Freeman Jean L

机构信息

Department of Preventive Medicine and Public Health, Center for Biostatistics & Advanced Informatics, University of Kansas Medical Center, MSN 1008, 3901 Rainbow Blvd, Kansas City, KS 66160, USA.

出版信息

Women Health. 2007;45(3):53-64. doi: 10.1300/J013v45n03_04.

Abstract

OBJECTIVES

To determine the accuracy of self-reported mammography use and generate a correction factor that adjusts for reporting errors among Mexican-American women.

DESIGN

Self-reported mammography use was compared with a medical chart review.

PARTICIPANTS

A random sample of 199 Mexican-American women aged 50-74 in southeast Texas.

MAIN OUTCOME MEASURES

Self-reported mammography use for the preceding 2 years and mammography use determined by medical chart review.

RESULTS

Positive and negative predictive values of mammography self-reports in the previous 2 years were 73.9 and 86.0%, respectively. The correction factor was 79.6%, or approximately 80% of the self-reported mammograms within the preceding 2 years could be verified through medical chart reviews.

CONCLUSIONS

Mammography use rates among Mexican-American women were not as high as self-reports indicated. Estimates need to be adjusted downward by approximately 20%.

摘要

目的

确定自我报告的乳房X光检查使用率的准确性,并生成一个校正因子,以调整墨西哥裔美国女性报告误差。

设计

将自我报告的乳房X光检查使用率与病历审查结果进行比较。

参与者

德克萨斯州东南部199名年龄在50 - 74岁之间的墨西哥裔美国女性的随机样本。

主要观察指标

过去两年自我报告的乳房X光检查使用率以及通过病历审查确定的乳房X光检查使用率。

结果

过去两年乳房X光检查自我报告的阳性预测值和阴性预测值分别为73.9%和86.0%。校正因子为79.6%,即过去两年内自我报告的乳房X光检查中约80%可通过病历审查得到证实。

结论

墨西哥裔美国女性的乳房X光检查使用率不如自我报告显示的那么高。估计值需要向下调整约20%。

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