Prathibha Saranya, Westanmo Anders D, Hui Jane Yuet Ching, Westanmo Katie, Gravely Amy A, Tuttle Todd M, LaRocca Christopher J
Minneapolis Veterans Affairs Health Care System, One Veterans Drive, Minneapolis, MN 55417, USA.
Department of Surgery, University of Minnesota, 420 Delaware St SE, Mayo Mail Code 195, Minneapolis, MN 55455, USA.
Medicines (Basel). 2022 Dec 20;10(1):1. doi: 10.3390/medicines10010001.
The proportion of women Veterans are increasing and, as such, access to high-quality breast cancer care is important. Prior studies have shown that rural location, age, and a mental health diagnosis negatively impact breast cancer screening rates. We aimed to retrospectively assess the impact of these risk factors on breast cancer screening adherence rates among Veterans at our institution. Women who were eligible for breast cancer screening per the United States Preventative Services Taskforce guidelines were included. Of 2321 women, overall adherence was 78.2%. There were no significant differences in screening rates between races, various age groups, geographical distribution, and having anxiety or post-traumatic stress disorder (PTSD). However, Veterans with a diagnosis of depression were more likely to adhere to screening guidelines. Having multiple mental health diagnoses was also not a negative risk factor. Our Veteran population's adherence rates are higher than the national average and rural location, race, age, and certain mental health disorders did not negatively affect adherence to screening mammography. Though more research is needed, screening reminders from our women's health coordinator may have improved adherence rates and lowered disparities.
退伍女兵的比例在不断增加，因此，获得高质量的乳腺癌护理至关重要。先前的研究表明，农村地区、年龄和心理健康诊断对乳腺癌筛查率有负面影响。我们旨在回顾性评估这些风险因素对我们机构退伍军人乳腺癌筛查依从率的影响。纳入了符合美国预防服务工作组指南中乳腺癌筛查条件的女性。在2321名女性中，总体依从率为78.2%。种族、不同年龄组、地理分布以及患有焦虑症或创伤后应激障碍（PTSD）之间的筛查率没有显著差异。然而，被诊断为抑郁症的退伍军人更有可能遵守筛查指南。有多种心理健康诊断也不是一个负面风险因素。我们退伍军人人群的依从率高于全国平均水平，农村地区、种族、年龄和某些心理健康障碍并未对乳腺钼靶筛查的依从性产生负面影响。尽管还需要更多研究，但我们女性健康协调员的筛查提醒可能提高了依从率并减少了差异。
