Sheley J F, Lessan G T
Soc Sci Med. 1986;23(9):905-10. doi: 10.1016/0277-9536(86)90219-4.
Analysis of data obtained through a survey of women in Monterrey, Mexico, indicates that the transfer of breast self-examination (BSE) technology from the medical community to the Monterrey public has been inefficacious. Only 1 in 200 women reported monthly breast self-examination performed correctly and at the optimal time of the month. Among women who reported examining their breasts monthly, transfer of BSE technology, whether by medical or non-medical sources, was unrelated to knowledge of correct time and method of BSE. Personal instruction of BSE technology by physician failed to produce the desired response since 80% of the respondents were taught BSE technique in 'one-shot', short sessions. The findings indicate that, ultimately, the success of BSE in improving disease outcomes rests with the medical community more than with the patient population. Success will only follow more intense initial instruction and persistent reinstruction of women in BSE. The implications of these findings for current research seeking to evaluate BSE influence on cancer outcomes are noted.
对墨西哥蒙特雷女性进行调查所获数据的分析表明，乳腺自我检查（BSE）技术从医学界向蒙特雷公众的传播效果不佳。每200名女性中只有1人报告每月能在最佳时间正确进行乳腺自我检查。在报告每月进行乳房检查的女性中，无论BSE技术是通过医学还是非医学来源传播的，都与BSE的正确时间和方法的知识无关。医生对BSE技术的个人指导未能产生预期效果，因为80%的受访者是在“一次性”的短时间课程中学习BSE技术的。研究结果表明，最终，BSE在改善疾病结果方面的成功更多地取决于医学界而非患者群体。只有对女性进行更强化的初始指导和持续的再指导，BSE才会成功。文中指出了这些研究结果对当前旨在评估BSE对癌症结果影响的研究的启示。
