Sarma Elizabeth A
a Department of Psychology , Stony Brook University , Stony Brook , NY 11794-2500 , USA.
Health Psychol Rev. 2015;9(1):42-62. doi: 10.1080/17437199.2013.766831. Epub 2013 Feb 14.
Breast cancer (BRCA) is the second most commonly diagnosed cancer among women in the USA, and mammography is an effective means for the early detection of BRCA. Identifying the barriers to screening mammography can inform research, policy and practice aiming to increase mammography adherence. A literature review was conducted to determine common barriers to screening mammography adherence. PsycINFO and PubMed databases were searched to identify studies published between 2000 and 2012 that examined barriers associated with reduced mammography adherence. Three thematic groups of barriers, based on social ecology, were identified from the literature: healthcare system-level, social and individual-level barriers. Researchers must consider screening behaviour in context and, therefore, should simultaneously consider each level of barriers when attempting to understand screening behaviour and create interventions to increase mammography adherence.
乳腺癌（BRCA）是美国女性中第二大最常被诊断出的癌症，而乳房X光检查是早期发现乳腺癌的有效手段。识别乳房X光筛查的障碍可以为旨在提高乳房X光检查依从性的研究、政策和实践提供信息。进行了一项文献综述，以确定乳房X光筛查依从性的常见障碍。检索了PsycINFO和PubMed数据库，以识别2000年至2012年期间发表的研究，这些研究探讨了与乳房X光检查依从性降低相关的障碍。从文献中确定了基于社会生态学的三个主题障碍组：医疗保健系统层面、社会层面和个人层面的障碍。研究人员必须在背景中考虑筛查行为，因此，在试图理解筛查行为并制定干预措施以提高乳房X光检查依从性时，应同时考虑每个层面的障碍。
