Anda R F, Sienko D G, Remington P L, Gentry E M, Marks J S
Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control, Atlanta, Georgia 30333.
Am J Prev Med. 1990 May-Jun;6(3):123-9.
Recently, public and private efforts have been mounted to promote screening mammography. To assess recent trends in the percentage of women 50 years of age and older who have had a screening mammogram, we analyzed data from interviews from women from 33 states who participated in the 1987 Behavioral Risk Factor Surveillance System. Our study group included 8,402 women 50 years of age and older who had visited a physician for a routine checkup in the last year; among these 8,402 women, only 29% reported having had a screening mammogram in the past year. However, of the women in the study group, the percentage who had a screening mammogram in the last year showed a relative increase of 38% during 1987, from 24% for women interviewed in the first quarter of 1987 to 33% for women interviewed in the fourth quarter. However, not all groups of patients benefited equally from the observed trend--the absolute and relative increases in the percentage of women screened were lowest for women who were older, less educated, in low-income groups, and who had poor personal health practices. Although the percentage of women 50 years of age and older who reported being screened increased dramatically during 1987, special efforts are needed to reach the patient groups that are being left behind in the trend toward increased use of screening mammograms.
最近，公共部门和私营机构都在努力推广乳腺钼靶筛查。为评估50岁及以上女性接受乳腺钼靶筛查的比例的近期趋势，我们分析了来自33个州参与1987年行为危险因素监测系统的女性的访谈数据。我们的研究组包括8402名50岁及以上且去年曾去看医生进行常规体检的女性；在这8402名女性中，只有29%报告在过去一年接受过乳腺钼靶筛查。然而，在研究组女性中，去年接受乳腺钼靶筛查的比例在1987年期间相对增加了38%，从1987年第一季度接受访谈的女性的24%增至第四季度接受访谈的女性的33%。然而，并非所有患者群体都能从观察到的趋势中平等受益——年龄较大、受教育程度较低、属于低收入群体以及个人健康习惯较差的女性，其接受筛查的比例的绝对增幅和相对增幅最低。尽管报告接受筛查的50岁及以上女性的比例在1987年期间大幅增加，但仍需要做出特别努力，以覆盖在乳腺钼靶筛查使用增加趋势中被落下的患者群体。
