Department of Health Education and Promotion, College of Health and Human Performance, East Carolina University, Greenville, NC, USA.
Department of Health Promotion, Education, and Behavior, South Carolina Statewide Cancer Prevention and Control Program, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA.
Ethn Health. 2020 May;25(4):580-597. doi: 10.1080/13557858.2019.1571563. Epub 2019 Jan 24.
Abnormal mammograms confirmed as benign are known as false-positive mammography (FPM) results. Research indicates that a history of FPM results may be linked to diagnostic delays in Black women, yet much of the research on FPM has focused on White women. The purpose of this study was to examine: 1) The influence of FPM on breast cancer (BrCa) screening beliefs and intentions among Black women and 2) Whether emotional states, personality traits or coping behaviors altered the previously described relationships. BrCa-free, Black women, aged 40 and older who completed screening mammograms in 2016 were recruited for a case-control study from 2016 to 2017. Women with FPM results were cases, and women with normal results served as matched controls. Print surveys assessing demographics, personality traits, emotions, BrCa screening history, BrCa beliefs, and africentric coping behaviors were mailed to participants. The final sample consisted of 118 respondents (55 cases, 63 controls). Ordinary least squares (OLS) models were constructed. Personality traits and emotions were tested as mediators and coping behaviors as moderators of the relationship between FPM results and BrCa beliefs. FPM status was associated with a higher perception of barriers to mammography, and an elevated perception of barriers was associated with lower intentions to complete mammography. Collective coping behaviors functioned as a moderator and were associated with a decreased perception of mammography barriers in women with FPM results. FPM status had a detrimental impact on mammography intention indirectly through the perception of mammography barriers, but the use of africentric coping behaviors moderated the relationship between FPM status and perceived barriers to mammography. Culturally specific research focused on Black women is needed to explore influences on BrCa screening beliefs and mammography completion in this population.
经证实为良性的异常乳房 X 光检查结果称为假阳性乳房 X 光检查（FPM）结果。研究表明，FPM 结果的历史可能与黑人女性的诊断延迟有关，但大多数关于 FPM 的研究都集中在白人女性身上。本研究的目的是检验：1）FPM 对黑人女性乳腺癌（BrCa）筛查信念和意图的影响，以及 2）情绪状态、人格特质或应对行为是否改变了先前描述的关系。本研究于 2016 年至 2017 年期间，从接受过 2016 年筛查性乳房 X 光检查的、无乳腺癌的、年龄在 40 岁及以上的黑人女性中招募了 FPM 结果为病例组，正常结果为对照组的病例对照研究。邮寄给参与者的印刷调查问卷评估了人口统计学、人格特质、情绪、乳腺癌筛查史、乳腺癌信念和非洲中心应对行为。最终样本包括 118 名受访者（55 例病例，63 例对照）。构建了普通最小二乘法（OLS）模型。人格特质和情绪被测试为 FPM 结果与乳腺癌信念之间关系的中介，应对行为被测试为关系的调节因素。FPM 状态与对乳房 X 光检查的障碍感知更高有关，而对障碍的感知更高与完成乳房 X 光检查的意图较低有关。集体应对行为作为调节因素，与 FPM 结果的女性对乳房 X 光检查障碍的感知降低有关。FPM 状态通过对乳房 X 光检查障碍的感知，间接地对乳房 X 光检查的意图产生了不利影响，但非洲中心应对行为的使用调节了 FPM 状态与对乳房 X 光检查障碍的感知之间的关系。需要针对黑人女性的特定文化研究来探索该人群中对乳腺癌筛查信念和乳房 X 光检查完成的影响。
