Chao A, Paganini-Hill A, Ross R K, Henderson B E
Department of Preventive Medicine, University of Southern California School of Medicine, Los Angeles 90033.
Prev Med. 1987 Sep;16(5):710-22. doi: 10.1016/0091-7435(87)90053-3.
Use of five early disease detection tests was examined in relation to history of specific chronic disease and other health habits, as part of a cohort study including 11,888 residents of a retirement community in Southern California. Self-reported utilization rates by residents in the year preceding study entry were approximately 90, 30, 60, and 10% for blood pressure measurement, fecal occult blood test, Papanicolaou test, and mammography, respectively. Breast self-examination was practiced by 37% of the women on a regular basis. With the exception of the Pap test and blood pressure check, the majority of the study population did not use preventive procedures at the recommended frequencies. The most important determinants of use of screening tests in this elderly population were previous diagnosis of chronic disease, especially of the disease detected by the test itself, and having a regular physician. These two factors appeared to affect use independently.
作为一项队列研究的一部分，对5种早期疾病检测测试的使用情况与特定慢性病病史及其他健康习惯的关系进行了研究，该队列研究纳入了南加州一个退休社区的11888名居民。在研究开始前一年，居民自我报告的血压测量、粪便潜血试验、巴氏试验和乳房X线摄影的使用率分别约为90%、30%、60%和10%。37%的女性定期进行乳房自我检查。除了巴氏试验和血压检查外，大多数研究人群未按推荐频率使用预防措施。在这一老年人群中，筛查测试使用的最重要决定因素是既往慢性病诊断，尤其是由测试本身检测出的疾病，以及有一名固定的医生。这两个因素似乎独立影响使用情况。
