Vernon S W, Laville E A, Jackson G L
University of Texas Health Science Center, School of Public Health, Houston 77225.
Soc Sci Med. 1990;30(10):1107-18. doi: 10.1016/0277-9536(90)90297-6.
Despite recommendations by the American Cancer Society and other organizations for use of screening mammography, data on reported utilization of this procedure by American women show that these guidelines are not being met. We reviewed published studies that reported participation rates or that examined factors associated with participation in selected breast screening programs. In general, women at high risk due to age and family or personal history of breast disease were not more likely to participate in breast screening programs than women without those risk factors. The one group of variables that was fairly consistently associated with participation was the practice of other preventive health behaviors. Women who expressed more concern about their health and who were more knowledgeable about breast cancer screening and its benefits also were more likely to complete mammography. Approaches to increasing participation are discussed in the context of the literature on this subject.
尽管美国癌症协会和其他组织建议使用乳腺钼靶筛查，但有关美国女性该检查项目报告利用率的数据表明，这些指南并未得到遵循。我们回顾了已发表的研究，这些研究报告了参与率或探讨了与参与特定乳腺筛查项目相关的因素。总体而言，因年龄以及家族或个人乳腺疾病史而处于高风险的女性，并不比没有这些风险因素的女性更有可能参与乳腺筛查项目。与参与情况相当一致相关的一组变量是其他预防性健康行为的实践。对自身健康更为关注且对乳腺癌筛查及其益处了解更多的女性，也更有可能完成钼靶检查。本文结合该主题的文献讨论了提高参与率的方法。
