Jensen Line Flytkjær, Pedersen Anette Fischer, Andersen Berit, Vedsted Peter
Research Unit for General Practice, Department of Public Health, Aarhus University, Bartholins Allé 2, 8000 Aarhus C, Denmark Section for General Medical Practice, Department of Public Health, Aarhus University, Bartholins Allé 2, 8000 Aarhus C, Denmark Research Centre for Cancer Diagnosis in Primary Care (CaP), Aarhus University, Bartholins Allé 2, 8000 Aarhus C, Denmark Department for Public Health Programs, Regional Hospital of Randers, Central Denmark Region, Skovlyvej 1, 8930 Randers NE, Denmark.
Research Unit for General Practice, Department of Public Health, Aarhus University, Bartholins Allé 2, 8000 Aarhus C, Denmark Research Centre for Cancer Diagnosis in Primary Care (CaP), Aarhus University, Bartholins Allé 2, 8000 Aarhus C, Denmark.
J Public Health (Oxf). 2016 Jun;38(2):335-42. doi: 10.1093/pubmed/fdv051. Epub 2015 Apr 28.
Social support may have an impact on screening participation. We studied the association between social support in 2006, defined as frequencies of contacts, instrumental support and emotional support and participation in breast cancer screening in 2008-09.
This population-based cohort study included 4512 women who had participated in a Health Survey in 2006 and who also were in the target group for the first round of organized breast cancer screening in the Central Denmark region in 2008-09.
Women with infrequent contacts with friends and family in 2006 were more likely not to participate in screening in 2008-09 [prevalence ratio (PR) 1.69, 95% confidence interval (CI) 1.26-2.26, P-value < 0.001 and PR 1.56, 95% CI 1.21-2.20, P-value < 0.001, respectively] as were women who reported not to have someone to look after her home if she was away for some time and women who reported usually not or never having someone to turn to with personal concerns (PR 1.97, 95% CI 1.53-2.54, P-value < 0.001 and PR 1.42, 95% CI 1.14-1.77, P-value = 0.002, respectively).
Low social support, indicated by items in each social support attribute, was associated with non-participation in breast cancer screening in 2008-09. Targeted social interventions may, therefore, have an impact on future screening behaviour, which calls for further research.
社会支持可能会对筛查参与度产生影响。我们研究了2006年的社会支持（定义为联系频率、工具性支持和情感支持）与2008 - 2009年乳腺癌筛查参与情况之间的关联。
这项基于人群的队列研究纳入了4512名女性，她们在2006年参加了一项健康调查，并且也是2008 - 2009年丹麦中部地区第一轮有组织乳腺癌筛查的目标人群。
2006年与朋友和家人联系不频繁的女性在2008 - 2009年更有可能不参加筛查[患病率比（PR）为1.69，95%置信区间（CI）为1.26 - 2.26，P值<0.001；PR为1.56，95%CI为1.21 - 2.20，P值<0.001]，那些表示如果自己外出一段时间没有人帮忙照看家庭的女性以及那些表示通常没有或从未有可以倾诉个人问题的人的女性也是如此（PR分别为1.97，95%CI为1.53 - 2.54，P值<0.001；PR为1.42，95%CI为1.14 - 1.77，P值 = 0.002）。
每个社会支持属性中的项目所表明的低社会支持与2008 - 2009年不参与乳腺癌筛查有关。因此，有针对性的社会干预可能会对未来的筛查行为产生影响，这需要进一步研究。
