Fair Alecia Malin, Wujcik Debra, Lin Jin-Mann Sally, Zheng Wei, Egan Kathleen M, Grau Ana M, Champion Victoria L, Wallston Kenneth A
Department of Surgery, Meharry Medical College, Nashville, TN 37208, USA.
J Health Care Poor Underserved. 2010 Feb;21(1 Suppl):71-94. doi: 10.1353/hpu.0.0264.
This article targets the relationship between psychosocial determinants and abnormal screening mammography follow-up in a medically underserved population. Health belief scales were modified to refer to diagnostic follow-up versus annual screening. A retrospective cohort study design was used. Statistical analyses were performed examining relationships among sociodemographic factors, psychosocial determinants, and abnormal mammography follow-up. Women with lower mean internal health locus of control scores (3.14) were two times more likely than women with higher mean internal health locus of control scores (3.98) to have inadequate follow-up (OR=2.53, 95% CI=1.12-5.36). Women with less than a high school education had lower cancer fatalism scores than women who had completed high school (47.5 vs. 55.2, p-value=.02) and lower mean external health locus of control scores (3.0 vs. 5.3) (p-value<.01). These constructs have implications for understanding mammography follow-up among minority and medically underserved women. Further comprehensive study of these concepts is warranted.
本文旨在探讨医疗服务不足人群中心理社会因素与乳腺钼靶筛查异常后续情况之间的关系。对健康信念量表进行了修改，以指代诊断性随访与年度筛查。采用回顾性队列研究设计。进行了统计分析，以检验社会人口学因素、心理社会因素与乳腺钼靶检查异常后续情况之间的关系。平均内部健康控制点得分较低（3.14）的女性进行后续跟进不足的可能性是平均内部健康控制点得分较高（3.98）的女性的两倍（比值比=2.53，95%置信区间=1.12 - 5.36）。未完成高中学业的女性的癌症宿命论得分低于完成高中学业的女性（47.5对55.2，p值=0.02），且平均外部健康控制点得分更低（3.0对5.3）（p值<0.01）。这些结构对于理解少数族裔和医疗服务不足女性的乳腺钼靶检查后续情况具有启示意义。有必要对这些概念进行进一步的综合研究。
