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西班牙地区乳腺癌 X 光检查利用不平等:照顾残障家庭成员的影响。

Inequalities in the use of mammography in Spain: effect of caring for disabled family.

机构信息

National School of Public Health, Instituto de Salud Carlos III, Madrid, Spain.

出版信息

Int J Public Health. 2012 Dec;57(6):953-7. doi: 10.1007/s00038-012-0395-4. Epub 2012 Aug 14.

Abstract

OBJECTIVE

To examine the association between caring for disabled household members and the use of mammography in Spain during the 2 years before the interview.

METHODS

Weighted cross-sectional data from the 2006 National Health Survey in Spain. Using logistic regression models we analyzed the association between the dependent variable and caring for disabled family members.

RESULTS

After adjusting for predisposing, enabling and need determinants of the use of mammography screening, having primary caregiving responsibilities for disabled family members-dependent persons, was associated with a lower probability of having received a mammogram (OR 0.56; 95 % CI 0.32-0.98).

CONCLUSIONS

Although women in Spain have incorporated mammography into their preventive healthcare regimen, inequalities in its use persist in some groups of women such those with primary caregiving responsibilities for disabled family members.

摘要

目的

研究西班牙在接受访谈前 2 年中照顾残疾家庭成员与乳房 X 光检查使用之间的关联。

方法

利用西班牙 2006 年国家健康调查的加权横断面数据,我们采用 logistic 回归模型分析了因变量与照顾残疾家庭成员之间的关联。

结果

在调整了乳房 X 光筛查使用的倾向因素、促成因素和需求因素后,照顾残疾家庭成员(依赖者)的主要护理责任与接受乳房 X 光检查的可能性较低相关(OR 0.56;95%CI 0.32-0.98)。

结论

尽管西班牙女性已将乳房 X 光检查纳入其预防性保健方案,但在某些女性群体中,如照顾残疾家庭成员的主要护理人员,乳房 X 光检查的使用仍存在不平等现象。

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