Stoll Carolyn R T, Roberts Summer, Cheng Meng-Ru, Crayton Eloise V, Jackson Sherrill, Politi Mary C
Washington University in St. Louis, School of Medicine, St. Louis, MO, USA.
The Breakfast Club, Inc., St. Louis, MO, USA.
Health Educ Behav. 2015 Feb;42(1):8-15. doi: 10.1177/1090198114529589. Epub 2014 Apr 10.
Mammography use has increased over the past 20 years, yet more than 30% of women remain inadequately screened. Structural barriers can deter individuals from screening, however, cognitive, emotional, and communication barriers may also prevent mammography use. This study sought to identify the impact of number and type of barriers on mammography screening status, and to examine whether number and type of barriers are different for never-screened and off-schedule women. A total of 182 women aged 40 years or older completed a computer kiosk facilitated survey as part of a larger patient navigator intervention. Logistic regression analysis indicated that breast cancer knowledge predicted whether a woman had ever had a mammogram (odds ratio [OR] = 1.04, 95% confidence interval [CI] = 1.02-1.06, p = .0003), while the number of emotional, structural, and communication barriers predicted whether a woman was on-schedule for mammograms (OR = 0.79, 95% CI = 0.65-0.95, p = .0127). The results suggest that to increase the use of mammography at recommended regular intervals, interventions should be tailored toward current screening status.
在过去20年中，乳房X光检查的使用率有所上升，但仍有超过30%的女性筛查不足。结构障碍可能会阻碍个人进行筛查，然而，认知、情感和沟通障碍也可能会妨碍乳房X光检查的使用。本研究旨在确定障碍的数量和类型对乳房X光检查筛查状况的影响，并研究从未筛查和未按时筛查的女性在障碍数量和类型上是否存在差异。作为一项更大规模的患者导航干预措施的一部分，共有182名40岁及以上的女性完成了一项在电脑自助服务亭进行的问卷调查。逻辑回归分析表明，乳腺癌知识可以预测一名女性是否曾进行过乳房X光检查（优势比[OR]=1.04，95%置信区间[CI]=1.02-1.06，p=.0003），而情感、结构和沟通障碍的数量则可以预测一名女性是否按时进行乳房X光检查（OR=0.79，95%CI=0.65-0.95，p=.0127）。结果表明，为了提高按推荐的定期间隔进行乳房X光检查的使用率，干预措施应根据当前的筛查状况进行调整。
