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少数族裔女性乳房X光筛查的自我报告与病历对照

Self-Report Versus Medical Record for Mammography Screening Among Minority Women.

作者信息

Nandy Karabi, Menon Usha, Szalacha Laura A, Park HanJong, Lee Jongwon, Lee Eunice E

机构信息

University of California, Los Angeles, CA, USA

University of Arizona College of Nursing, Tucson, AZ, USA.

出版信息

West J Nurs Res. 2016 Dec;38(12):1627-1638. doi: 10.1177/0193945916647059. Epub 2016 May 2.

DOI:10.1177/0193945916647059
PMID:27138447
Abstract

Self-report is the most common means of obtaining mammography screening data. The purpose of this study was to assess the accuracy of minority women's self-reported mammography by comparing their self-reported dates of mammograms with those in their medical records from a community-based randomized control trial. We found that out of 192 women, 116 signed the Health Information Portability and Accountability Act form and, among these, 97 had medical records that could be verified (97 / 116 = 83.6%). Ninety-two records matched where both sources confirmed a mammogram; 48 of 92 (52.2%) matched perfectly on self-reported date of mammogram. Complexities in the verification process warrant caution when verifying self-reported mammography screening in minority populations. In spite of some limitations, our findings support the usage of self-reported data on mammography as a validated tool for other researchers investigating mammography screening among minority women who continue to have low screening rates.

摘要

自我报告是获取乳房X光检查筛查数据的最常见方式。本研究的目的是通过比较少数族裔女性自我报告的乳房X光检查日期与来自一项社区随机对照试验的医疗记录中的日期,来评估她们自我报告的乳房X光检查的准确性。我们发现,在192名女性中,116人签署了《健康保险流通与责任法案》表格,其中97人的医疗记录可以得到核实(97/116 = 83.6%)。在92份记录中,两种来源都确认进行了乳房X光检查的记录相匹配;92份记录中有48份(52.2%)在自我报告的乳房X光检查日期上完全匹配。在核实少数族裔人群自我报告的乳房X光检查筛查时,核实过程中的复杂性需要谨慎对待。尽管存在一些局限性,但我们的研究结果支持将自我报告的乳房X光检查数据用作其他研究人员调查筛查率仍然较低的少数族裔女性乳房X光检查筛查情况的有效工具。

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