Department of Epidemiology, University of Alabama at Birmingham , Birmingham, USA.
Department of Biostatistics, University of Alabama at Birmingham , Birmingham, USA.
Women Health. 2020 Oct;60(9):1032-1039. doi: 10.1080/03630242.2020.1789260. Epub 2020 Jul 12.
In this study authors aimed to investigate the barriers to participation of a sample of Jamaican women in mammography screening. The data were obtained from a previous survey that was conducted in Jamaica from June to August 2013 in the four parishes (Hanover, St. James, Trelawny, and Westmoreland) served by the Western Regional Health Authority (WRHA). WRHA served four hospitals, five non-randomized health centers, and five sites of community events. The sample consisted of women ranging in age between 35 and 83 years, with the mean age of 50.2 (SD = 10.6). The authors used a logistic regression to determine the extent to which variables were associated with breast cancer screening. The level of significace was 0.1 for the bivariate and multivariable analysis. The main factors associated with the lack of breast cancer screening among the women were: being less than 50 years old, single, never thought about breast cancer screening, in need of childcare, and having more than three children. We identified significant barriers to participation in mammography screening experienced by a sample of Jamaican women. Our results suggest that it is necessary to increase the awareness of the importance of breast screening importance among the women who may never have thought about mammography.
在这项研究中,作者旨在调查来自牙买加的一组女性参与乳房 X 光筛查的障碍。这些数据来自于 2013 年 6 月至 8 月在西区域卫生局(WRHA)服务的四个教区(汉诺威、圣詹姆斯、特雷洛尼和西摩兰)进行的一项先前调查。WRHA 服务于四家医院、五家非随机健康中心和五个社区活动点。样本由年龄在 35 岁至 83 岁之间的女性组成,平均年龄为 50.2 岁(标准差= 10.6)。作者使用逻辑回归来确定变量与乳腺癌筛查的关联程度。双变量和多变量分析的显著性水平为 0.1。与女性缺乏乳腺癌筛查相关的主要因素包括:年龄小于 50 岁、单身、从未考虑过乳腺癌筛查、需要儿童保育、以及有三个以上孩子。我们发现了牙买加女性在参与乳房 X 光筛查方面存在的重大障碍。我们的研究结果表明,有必要提高那些可能从未考虑过乳房 X 光检查的女性对乳房筛查重要性的认识。