Dodds M E, Dowd S L, Mitchell-Beren M, Yarbrough M, Choi K
Department of Heme-Oncology, Hurley Medical Center, Flint, Michigan 48502.
J Community Health. 1991 Oct;16(5):241-9. doi: 10.1007/BF01320332.
Breast cancer screening continues to be underutilized in the United States. The National Cancer Institute has set a goal of increasing screening by the year 2000. The American Cancer Society wants to identify programs that target asymptomatic women and economically disadvantaged women. The purpose of this study was to develop, implement and evaluate a comprehensive breast cancer screening program for women in a community setting. One case of infiltrating ductal carcinoma was detected from the 144 women who participated in the study. Following the educational component, the post test demonstrated a significant increase (p less than 0.01) in the women's awareness of breast cancer. Additionally, 100% of the women were able to demonstrate breast self examination to an oncology nurse after the educational component of the study. The majority of the women who participated were not economically disadvantaged which sheds new light on the scope of the problem of taking care of the unmet cancer needs of the disadvantaged through outreach programs. However 27% of the women had a household income less than $10,000 with 19% of the women having no insurance and 7% having Medicare/Medicaid. The results of this study could help future programs in bringing breast cancer screening to women in the community setting.
在美国，乳腺癌筛查的利用率仍然很低。美国国家癌症研究所设定了到2000年增加筛查的目标。美国癌症协会希望确定针对无症状女性和经济弱势女性的项目。本研究的目的是在社区环境中为女性制定、实施和评估一项全面的乳腺癌筛查项目。在参与研究的144名女性中，检测出1例浸润性导管癌。在开展教育活动后，测试结果显示女性对乳腺癌的认识有显著提高（p值小于0.01）。此外，在研究的教育活动结束后，100%的女性能够向肿瘤护士演示乳房自我检查。参与研究的大多数女性并非经济弱势人群，这为通过外展项目满足弱势人群未得到满足的癌症需求问题的范围提供了新的视角。然而，27%的女性家庭收入低于1万美元，19%的女性没有保险，7%的女性享受医疗保险/医疗补助。本研究结果有助于未来项目在社区环境中为女性提供乳腺癌筛查。
