School of Social Work, University of North Carolina at Charlotte , Charlotte , North Carolina , USA.
Department of Social Work and Human Services, Kennesaw State University , Kennesaw , Georgia , USA.
Soc Work Public Health. 2019;34(7):646-656. doi: 10.1080/19371918.2019.1649226. Epub 2019 Aug 14.
Medical and other health professionals recommend biyearly screening for breast cancer for women 40-74 years of age. However, the breast cancer screening rate of African American women aged 45 and up is lower than that of other ethnicities. The present study intended to identify factors impacting African American women's participation in breast cancer screening. This study is a longitudinal secondary data analysis of 3,911 African American participants of the Study of Women's Health Across the Nation. By using Systems Model of Clinical Preventive Care, multinomial logistic regression was applied to explore the likelihood of having breast cancer screenings (breast exam and/or mammogram) associating with predisposing factors, enabling factors, referencing factors, and situational factors. Participants with older age, with higher education, having a healthcare provider for female health, in far distance, and with a cancer(s) were significantly more likely to adhere to the recommendations of breast cancer screenings. However, participants who did not have time to visit doctors, did not trust the physicians, and who smoked regularly were significantly less likely to adhere to the recommendations of breast cancer screenings. Implications for policy and practice are discussed.
医学和其他健康专业人员建议 40-74 岁的女性每两年进行一次乳腺癌筛查。然而，45 岁及以上的非裔美国女性的乳腺癌筛查率低于其他族裔。本研究旨在确定影响非裔美国女性参与乳腺癌筛查的因素。本研究是对全国妇女健康研究中 3911 名非裔美国参与者的纵向二次数据分析。本研究采用临床预防保健系统模型，应用多变量逻辑回归分析探讨与易感性因素、促进因素、参照因素和情境因素相关的乳腺癌筛查（乳房检查和/或乳房 X 光检查）的可能性。年龄较大、受教育程度较高、有女性健康保健提供者、居住距离较远且患有癌症的参与者更有可能遵循乳腺癌筛查建议。然而，没有时间去看医生、不信任医生和经常吸烟的参与者不太可能遵循乳腺癌筛查建议。讨论了对政策和实践的影响。
