School of Nursing, Laurentian University, Sudbury, ON.
Curr Oncol. 2009 Sep;16(5):65-75. doi: 10.3747/co.v16i5.359.
This integrative review critically examines quantitative and qualitative evidence concerning factors influencing the participation of Canadian women in mammography. Empirical studies published between 1980 and 2006 were identified and retrieved by searching electronic databases and references listed in published studies. Among the 1461 citations identified and screened, 52 studies met the inclusion criteria and were independently appraised by two researchers. Extracted data were categorized, summarized, compared, and interpreted within and across studies. The presentation of barriers and facilitators to mammography was guided by the Pender Health Promotion Model. Findings from this review showed that no published studies were specific to settings in Saskatchewan, Nova Scotia, Prince Edward Island, Newfoundland and Labrador, and the three Canadian territories. The most common barriers to screening were membership in an ethnic minority and concerns about pain, radiation, and embarrassment. The recommendation of a health care provider for mammography was found to be the most common facilitator for the engagement of women in this health behaviour. The targeting of specific strategies aimed at overcoming identified barriers and the enhancement of facilitators are essential to improving mammography participation rates throughout Canada.
本综合评论批判性地审视了影响加拿大女性参与乳房 X 光检查的因素的定量和定性证据。通过搜索电子数据库和已发表研究中的参考文献，确定并检索了 1980 年至 2006 年期间发表的实证研究。在确定和筛选的 1461 条引文中，有 52 项研究符合纳入标准，并由两名研究人员进行了独立评估。从研究内部和研究之间对提取的数据进行了分类、总结、比较和解释。乳房 X 光检查的障碍和促进因素的呈现以彭德健康促进模型为指导。本综述的结果表明，没有发表的研究专门针对萨斯喀彻温省、新斯科舍省、爱德华王子岛、纽芬兰和拉布拉多以及加拿大三个地区的情况。筛查最常见的障碍是属于少数民族和对疼痛、辐射和尴尬的担忧。发现医疗保健提供者推荐乳房 X 光检查是促进妇女参与这种健康行为的最常见促进因素。针对特定策略以克服已确定的障碍和增强促进因素对于提高整个加拿大的乳房 X 光检查参与率至关重要。
