Primary Care Research Institute, University of North Texas Health Science Center at Fort Worth and the Department of Family Medicine, Texas College of Osteopathic Medicine, TX, USA.
J Am Board Fam Med. 2010 Jan-Feb;23(1):75-81. doi: 10.3122/jabfm.2010.01.090034.
The purpose of this study was to assess the relationship between having a personal health care provider and adequate cervical and breast cancer screening behavior.
Cross-sectional data were obtained from the 2004 Behavior Risk Factor Surveillance System. For cervical cancer, female respondents 18 years of age and older who did not have hysterectomy were included (n = 130,359); for breast cancer, female respondents 40 years of age or older were included (n = 129,929). Multiple logistic regression analyses were performed to determine the association between having a personal health care provider, specific demographics, and health insurance status with adequate cervical and breast cancer screening behavior.
Approximately 9% and 14% of the study population for the breast cancer and cervical cancer analyses, respectively, did not have a personal health care provider. Having at least one personal health care provider was significantly associated with adequate cervical cancer screening behavior (odds ratio, 2.37; 95% CI, 2.08-2.70) and breast cancer screening behavior (odds ratio, 2.86; 95% CI, 2.54-3.24) in multivariate analyses. Both multivariate analyses were adjusted for age, race/ethnicity, education, income, and health insurance.
Having at least one personal health care provider was associated with adequate cervical and breast cancer screening behavior. Efforts to increase primary care access are a necessary part of the plan to increase preventive health services utilization.
本研究旨在评估个人医疗保健提供者与充分的宫颈癌和乳腺癌筛查行为之间的关系。
横断面数据来自 2004 年行为风险因素监测系统。对于宫颈癌，纳入年龄在 18 岁及以上且未接受子宫切除术的女性受访者（n=130359）；对于乳腺癌，纳入年龄在 40 岁及以上的女性受访者（n=129929）。采用多变量逻辑回归分析确定拥有个人医疗保健提供者、特定人口统计学特征和医疗保险状况与充分的宫颈癌和乳腺癌筛查行为之间的关联。
在乳腺癌和宫颈癌分析中，分别约有 9%和 14%的研究人群没有个人医疗保健提供者。在多变量分析中，至少有一位个人医疗保健提供者与充分的宫颈癌筛查行为（优势比，2.37；95%置信区间，2.08-2.70）和乳腺癌筛查行为（优势比，2.86；95%置信区间，2.54-3.24）显著相关。这两个多变量分析都调整了年龄、种族/族裔、教育程度、收入和医疗保险。
至少有一位个人医疗保健提供者与充分的宫颈癌和乳腺癌筛查行为相关。增加初级保健服务的机会是增加预防性卫生服务利用计划的必要组成部分。
