Institute of Public and Preventive Health, Augusta University, Augusta, GA, USA; Department of Health Management, Economics and Policy, Augusta University, Augusta, GA, USA.
Medical College of Georgia, Augusta University, Augusta, GA, USA.
J Cancer Policy. 2024 Mar;39:100467. doi: 10.1016/j.jcpo.2024.100467. Epub 2024 Jan 21.
Psychosocial factors can play important roles in promoting preventive health behaviors. This study aimed to assess how life satisfaction, receipt of emotional support, and feeling of social isolation were associated with adherence to the USPSTF recommendation of breast cancer screening in a nationally representative US population.
Using data on 71,583 women aged 50 to 74 years, from the 2022 Behavioral Risk Factor Surveillance System (BRFSS) survey, we estimated multivariable logistic regressions to assess the odds of adherence across different categories of the respective psychosocial constructs. We accounted for various demographic and socioeconomic correlates and checked the robustness of the relationship within income and educational sub-groups.
We found that women who were dissatisfied with their life were 52.0% less likely to adhere compared to women who reported to be very satisfied. Similarly, women who rarely/never got emotional support and who always/usually felt socially isolated were 51.6% and 39.9% less likely to adhere, compared to women who always got support and never felt isolated, respectively. These results were robust across different levels of income and educational attainment.
Our findings demonstrated a strong association between social environment, psychological wellbeing, and adherence to breast cancer screening, and thus suggested scope of potential psychosocial interventions to improve adherence.
Efforts to improve women's psychosocial wellbeing could facilitate compliance with breast cancer screening recommendations.
社会心理因素在促进预防性健康行为方面发挥着重要作用。本研究旨在评估生活满意度、情感支持的获得以及社会孤立感与美国全国代表性人群中遵循 USPSTF 乳腺癌筛查建议之间的关系。
使用来自 2022 年行为风险因素监测系统（BRFSS）调查的 71583 名 50 至 74 岁女性的数据，我们估计了多变量逻辑回归模型，以评估不同社会心理结构类别下的依从性概率。我们考虑了各种人口统计学和社会经济相关因素，并在收入和教育亚组内检查了关系的稳健性。
我们发现，与报告非常满意的女性相比，对生活不满意的女性坚持的可能性低 52.0%。同样，很少/从未获得情感支持且总是/通常感到孤立的女性坚持的可能性比总是获得支持且从不感到孤立的女性低 51.6%和 39.9%。这些结果在不同的收入和教育水平下都是稳健的。
我们的研究结果表明，社会环境、心理健康和乳腺癌筛查的依从性之间存在很强的关联，这表明可能需要进行心理社会干预以提高依从性。
改善女性的社会心理幸福感的努力可以促进对乳腺癌筛查建议的遵守。
