Oleson Jacob J, Breheny Patrick J, Pendergast Jane F, Ryan Sandi, Litchfield Ruth
University of Iowa, USA.
Prev Med. 2008 Nov;47(5):565-9. doi: 10.1016/j.ypmed.2008.06.021. Epub 2008 Jul 11.
The Well-Integrated Screening and Evaluation for Women Across the Nation (WISEWOMAN) is a program designed for financially disadvantaged women ages 40-64 and funded by the Centers for Disease Control and Prevention (CDC). This study investigates the role that travel distance plays in determining whether these women will attend an intervention program.
Women in the Iowa WISEWOMAN program were offered an optional health care education program. Distance from the woman's house to the intervention class site was calculated for participants from October 2002 through July 2005 resulting in 787 women. A generalized additive model is used in determining the combined effects of distance, demographic variables, and lifestyle variables on whether women in the study attend the intervention session or not.
Distance plays an important role in attendance, although its impact depends on the age of the woman and the setting (urban or rural) of the intervention. In particular, older rural women were much more likely to attend if the intervention was close to home.
The probability of attendance is affected by many factors, but travel distance appears to play an important role, particularly for older rural women.
全国妇女综合筛查与评估（WISEWOMAN）项目是一项为年龄在40至64岁、经济条件较差的女性设计的项目，由疾病控制与预防中心（CDC）资助。本研究调查出行距离在决定这些女性是否参加干预项目中所起的作用。
为爱荷华州WISEWOMAN项目中的女性提供一项可选的医疗保健教育项目。计算了2002年10月至2005年7月期间787名参与者从其住所到干预课程地点的距离。使用广义相加模型来确定距离、人口统计学变量和生活方式变量对研究中的女性是否参加干预课程的综合影响。
距离对参与率有重要影响，尽管其影响取决于女性的年龄以及干预的地点（城市或农村）。特别是，年龄较大的农村女性如果干预地点离家近，则更有可能参加。
参与的可能性受多种因素影响，但出行距离似乎起着重要作用，尤其是对年龄较大的农村女性而言。
