UCLA Division of Cancer Prevention and Control Research, Department of Health Services Los Angeles, California, USA.
Womens Health Issues. 2010 Sep;20(5):343-9. doi: 10.1016/j.whi.2010.04.002.
The purpose of this study was to examine the impact of women's attitudes and health beliefs regarding breast and colorectal cancer screening practices.
Nine hundred five women, 50 to 80 years of age, were recruited from 63 randomly selected physician offices within the greater Los Angeles area. The Health Belief Model was used to evaluate potential predictor variables associated with patients' breast and colorectal cancer screening practices.
The study results revealed that mammographic screening compliance was relatively high (70%), whereas only 29% of the patients were compliant with fecal occult blood test (FOBT) screening guidelines. Women were far more likely to obtain regular mammography screening than an FOBT. Psychological distress had one of the strongest, negative associations with breast cancer and colorectal cancer screening, and was also a prevalent predictor for many of the variables examined.
Psychological distress seems to negatively impact a patient's decision to adhere to breast cancer and colorectal cancer screening recommendations, although participants were far more likely to obtain regular mammography screening than an FOBT.
本研究旨在探讨女性对乳腺癌和结直肠癌筛查实践的态度和健康信念对其的影响。
从大洛杉矶地区 63 家随机选择的医生办公室招募了 905 名年龄在 50 至 80 岁之间的女性。使用健康信念模型评估与患者乳腺癌和结直肠癌筛查实践相关的潜在预测变量。
研究结果表明，乳房 X 光筛检的合规率相对较高（70%），而只有 29%的患者符合粪便潜血试验（FOBT）筛检指南。女性更有可能定期接受乳房 X 光筛检，而不是 FOBT。心理困扰与乳腺癌和结直肠癌的筛检呈最强的负相关，并且也是许多被检查变量的常见预测因素。
心理困扰似乎会对患者是否遵守乳腺癌和结直肠癌筛检建议产生负面影响，尽管与 FOBT 相比，参与者更有可能定期接受乳房 X 光筛检。
