Teo Chao Tong, Yeo Yehudi Wee Shung, Lee Soo-Chin
Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Am J Health Behav. 2013 Sep;37(5):667-82. doi: 10.5993/AJHB.37.5.11.
To determine attitudes of Singaporean women toward screening mammography and its potential barriers.
The study included 208 cancer-free Asian women. Data about mammogram knowledge, motivators, barriers, and adherence to surveillance mammography were obtained.
Only 37% underwent regular mammography. Lack of time (56.7%) and cost (54.3%) were the most commonly cited barriers. On multivariate analysis, being Chinese, having higher education, mammography knowledge, positive motivator scores, and receiving reminders were predictors to regular mammography. Participants were only willing to pay ∼US$24 for mammogram compared to subsidized cost of ∼US$40. Older Malays were less likely than Chinese and Indians to undergo regular mammography (p = .003).
Surveillance adherence may be improved by lowering cost and increasing public education.
确定新加坡女性对乳腺钼靶筛查的态度及其潜在障碍。
该研究纳入了208名无癌症的亚洲女性。获取了有关乳房X光检查知识、动机、障碍以及乳腺钼靶筛查依从性的数据。
只有37%的女性进行定期乳腺钼靶检查。最常被提及的障碍是时间不足（56.7%）和费用（54.3%）。多因素分析显示，华裔、受过高等教育、具备乳房X光检查知识、积极动机得分以及收到提醒是定期进行乳腺钼靶检查的预测因素。与约40美元的补贴费用相比，参与者仅愿意为乳房X光检查支付约24美元。年龄较大的马来女性比华裔和印度女性进行定期乳腺钼靶检查的可能性更低（p = 0.003）。
降低成本和加强公众教育可能会提高筛查的依从性。
