Department of Health Services Administration, University of Alabama at Birmingham, 1530 3rd Avenue S., Birmingham, AL 35294-1270, USA.
Cancer Causes Control. 2010 Dec;21(12):2165-72. doi: 10.1007/s10552-010-9636-0. Epub 2010 Sep 4.
To determine the types of, and the populations targeted by interventions implemented to increase breast cancer screening rates in counties with large African American populations across different US regions.
A brief questionnaire was administered by e-mail to county representatives from 33 states from October 2008 through March 2009. Responses were obtained from 33% of 203 targeted counties.
Most counties (>80%) reported interventions for African American women and for women with low income. Women were exposed to different kinds of interventions depending on where they lived. Most counties in the Northeast (93%), Southwest (82%), and Midwest (100%) implemented interventions that provided free or low cost mammograms. Counties in the Southeast (83%) were more likely to report education interventions. Counties from the Southwest reported using a variety of interventions to encourage breast cancer screening.
In this selected group of counties, different types of interventions were used to increase breast cancer screening in minority and disadvantaged women. Interventions implemented were similar to those shown in the literature to be effective in increasing screening rates in specific populations. Future research should examine the use of screening interventions in a larger sample of US counties.
确定在不同美国地区的大型非裔美国人聚居县实施的干预措施的类型和目标人群，以提高乳腺癌筛查率。
2008 年 10 月至 2009 年 3 月，通过电子邮件向 33 个州的县代表发放了一份简短的问卷。从 203 个目标县中获得了 33%的回复。
大多数县（>80%）报告针对非裔美国妇女和低收入妇女的干预措施。妇女所处的地理位置不同，接受的干预措施也不同。大多数东北部（93%）、西南部（82%）和中西部（100%）的县实施了提供免费或低成本乳房 X 光检查的干预措施。东南部（83%）的县更有可能报告教育干预措施。来自西南部的县报告使用各种干预措施来鼓励乳腺癌筛查。
在这组选定的县中，使用了不同类型的干预措施来提高少数民族和弱势群体妇女的乳腺癌筛查率。实施的干预措施与文献中显示在特定人群中有效提高筛查率的干预措施相似。未来的研究应该在更大的美国县样本中检查筛查干预措施的使用情况。
