Burack R C, Liang J
Department of Internal Medicine, School of Medicine, Wayne State University, Detroit, MI 48201.
Am J Public Health. 1989 Jun;79(6):721-6. doi: 10.2105/ajph.79.6.721.
We assessed the relation of patient characteristics, knowledge and beliefs to the utilization of mammography in an inner-city setting by 187 Black women over the age of 50. Thirty per cent of those who were offered mammography initially declined the offer and 40 per cent were subsequently unable to complete the procedure. Patient interviews were used to derive 27 potential knowledge and health belief predictor scales. In multiple regression analysis, two health belief scales and two knowledge scales accounted for 15 per cent of the observed variance in the model of acceptance. The strongest predictor of subsequent completion was initial acceptance. The presence of breast symptoms and two health belief scales together with initial acceptance accounted for 26 per cent of variance in the model of completion. These results suggest that the successful accomplishment of mammography requires coordinated efforts at the level of the provider, patient, and setting. Health beliefs may influence the patient's behavior in this process, but their effect appears to be modest.
我们评估了187名年龄超过50岁的市中心黑人女性的患者特征、知识和信念与乳房X光检查利用情况之间的关系。最初被提供乳房X光检查的人中有30%拒绝了该提议，随后有40%的人无法完成该检查程序。通过患者访谈得出了27个潜在的知识和健康信念预测量表。在多元回归分析中，两个健康信念量表和两个知识量表占接受模型中观察到的方差的15%。后续完成情况的最强预测因素是最初的接受情况。乳房症状的存在、两个健康信念量表以及最初的接受情况共同占完成模型中方差的26%。这些结果表明，成功完成乳房X光检查需要提供者、患者和环境层面的协同努力。健康信念可能会在这个过程中影响患者的行为，但其影响似乎不大。
