Department of Clinical Sciences in Malmö, Diagnostic Radiology, Lund University, Skåne University Hospital Malmö, Inga Marie Nilssons gata 49, SE 20502 Malmö, Sweden.
BMC Womens Health. 2014 Feb 24;14(1):33. doi: 10.1186/1472-6874-14-33.
A better understanding of the factors that influence mammography screening attendance is needed to improve the effectiveness of these screening programs. The objective of the study was to examine whether psychosocial factors predicted attendance at a population-based invitational mammography screening program.
Data on cohabitation, social network/support, sense of control, and stress were obtained from the Malmö Diet and Cancer Cohort Study and linked to the Malmö mammography register in Sweden. We analyzed 11,409 women (age 44 to 72) who were free of breast cancer at study entry (1992 to 1996). Mammography attendance was followed from cohort entry to December 31, 2009. Generalized Estimating Equations were used to account for repeated measures within subjects. Adjusted odds ratios (OR) and 95% confidence intervals (CI) are reported.
Among 69,746 screening opportunities there were 5,552 (8%) cases of non-attendance. Higher odds of non-attendance were found among women who lived alone (OR = 1.47 (1.33-1.63)) or with children only (OR = 1.52 (1.29-1.81)), had one childbirth (OR = 1.12 (1.01-1.24)) or three or more childbirths (OR = 1.34 (1.21-1.48)), had low social participation (OR= 1.21 (1.10-1.31)), low sense of control (OR = 1.12 (1.02-1.23)), and experienced greater stress (OR = 1.24 (1.13-1.36)).
Public health campaigns designed to optimize mammography screening attendance may benefit from giving more consideration of how to engage with women who are less socially involved.
为了提高这些筛查项目的有效性，需要更好地了解影响乳房 X 光筛查参与的因素。本研究的目的是检验心理社会因素是否可以预测人群受邀参加乳房 X 光筛查计划的情况。
从马尔默饮食与癌症队列研究中获取关于同居、社会网络/支持、控制感和压力的数据，并与瑞典马尔默乳房 X 光登记处相链接。我们分析了 11409 名年龄在 44 至 72 岁之间、在研究入组时无乳腺癌的女性（1992 年至 1996 年）。从队列入组开始随访至 2009 年 12 月 31 日。使用广义估计方程来解释个体内的重复测量。报告了调整后的优势比（OR）和 95%置信区间（CI）。
在 69746 次筛查机会中，有 5552 例（8%）未接受筛查。独居（OR=1.47（1.33-1.63））或仅与孩子一起居住（OR=1.52（1.29-1.81））、仅生育 1 个孩子（OR=1.12（1.01-1.24））或生育 3 个或更多孩子（OR=1.34（1.21-1.48））、社会参与度低（OR=1.21（1.10-1.31））、控制感低（OR=1.12（1.02-1.23））和压力较大（OR=1.24（1.13-1.36））的女性参加筛查的可能性较低。
旨在优化乳房 X 光筛查参与率的公共卫生运动可能会受益于更多地考虑如何让那些社会参与度较低的女性参与进来。
