Kruse J, Phillips D M
Department of Family Practice, Southern Illinois University School of Medicine, Quincy.
Obstet Gynecol. 1987 Nov;70(5):744-8.
Despite the consensus that mammography is a valuable screening tool for the detection of early breast cancer, it is underused by physicians, and most women remain unconvinced of its efficacy. We studied consecutively 735 women who underwent mammography at two rural midwestern hospitals to determine the factors that influence the decision to undergo mammography. Those who underwent mammography had significantly more education and higher household incomes than the general population. The decision to have mammography was influenced by many factors, the most important of which were encouragement by the doctor, influence of the media, and the cost of the mammogram. Women of higher socioeconomic status were most likely to be influenced by the media, particularly printed material, but were much less likely than women of lower socioeconomic status to report physician influence as an important factor. These data have implications for the methods physicians use in recommending mammography to individual patients.
尽管人们一致认为乳腺X线摄影是检测早期乳腺癌的一种有价值的筛查工具，但医生对其使用不足，而且大多数女性仍然不相信其功效。我们连续研究了735名在中西部两家农村医院接受乳腺X线摄影的女性，以确定影响接受乳腺X线摄影决策的因素。接受乳腺X线摄影的女性比普通人群受教育程度更高，家庭收入也更高。接受乳腺X线摄影的决策受到多种因素影响，其中最重要的是医生的鼓励、媒体的影响以及乳腺X线摄影的费用。社会经济地位较高的女性最容易受到媒体影响，尤其是印刷材料，但与社会经济地位较低的女性相比，她们将医生的影响视为重要因素的可能性要小得多。这些数据对医生向个体患者推荐乳腺X线摄影的方法具有启示意义。
