Pribić Sanda, Gmajnić Rudika, Majnarić-Trtica Ljiljana, Ebling Barbara, Vranjei Zeljko
School of Medicine, Josip Juraj Strossmayer University, Osijek, Croatia.
Coll Antropol. 2010 Sep;34(3):871-6.
The mammography, recommended as standard method for screening on breast cancer, can reveal suspicious lesions early enough to anable cancer elimination in entirely. Experience with women of the target population, 50-69 years old, included in the mass screening programs, show the reduction in the specific mortality by 30%. One of the main problem in organizing the preventive programs is how to increase responsiveness of subjects to screening. In the study, based on the large sample of over 1000 of subjects and 20 family medicine practices, included in the investigation, we showed that it is possible, by a pro-active involvement of family physicians teams and intensive educational and motivational activities, to achieve high level of over 80% of responsiveness to mammography screening. Analysis of the reasons of nonresponsiveness can contribute to better understanding of the mental processes included in a self-decision making. This, as the final aim, can help family physicians in their efforts to overcome many hidden barriers which obstruct their patients to accept the mammography screening.
乳房X光检查被推荐为乳腺癌筛查的标准方法，它能够足够早地发现可疑病变，从而完全消除癌症。对纳入大规模筛查项目的50至69岁目标人群中的女性进行的研究表明，乳腺癌特异性死亡率降低了30%。组织预防项目的主要问题之一是如何提高受检者对筛查的响应率。在这项基于超过1000名受检者的大样本以及20家参与调查的家庭医疗诊所的研究中，我们表明，通过家庭医生团队的积极参与以及密集的教育和激励活动，可以实现超过80%的乳房X光检查筛查响应率。对无响应原因的分析有助于更好地理解自我决策过程中的心理活动。这一最终目标可以帮助家庭医生努力克服许多阻碍患者接受乳房X光检查筛查的潜在障碍。
