Bennett S E, Lawrence R S, Fleischmann K H, Gifford C S, Slack W V
JAMA. 1983 Jan 28;249(4):488-91.
The monthly practice of breast self-examination (BSE) can result in the early diagnosis of breast cancer. To explore factors that influence women's habits in the practice of BSE, we interviewed 616 women using an interactive computer program. We found that these women were more likely to practice BSE on a frequent basis if they were living with their sexual partner, had been shown how to perform BSE, and were confident in their examination technique. Women with a maternal history of breast disease were also more likely to practice monthly BSE. Unlike past reports that women with formal education beyond high school practice BSE more frequently than less-educated women, our study showed no association between monthly BSE practice and formal education. Contrary to our hypothesis that BSE practice was associated with the practice of other preventive health activities, our study did not demonstrate such a relationship. These findings suggest that demonstrating BSE at the periodic health examination may help increase the number of women practicing BSE on a frequent basis.
每月进行乳房自我检查(BSE)可实现乳腺癌的早期诊断。为探究影响女性进行BSE的习惯的因素,我们使用交互式计算机程序对616名女性进行了访谈。我们发现,如果这些女性与性伴侣同住、有人向她们展示过如何进行BSE且对自己的检查技术有信心,那么她们更有可能经常进行BSE。有母亲患乳腺疾病病史的女性也更有可能每月进行BSE。与过去的报告不同,过去的报告称受过高中以上正规教育的女性比受教育程度较低的女性更频繁地进行BSE,而我们的研究表明每月进行BSE与正规教育之间没有关联。与我们的假设相反,我们曾假设BSE与其他预防性健康活动的开展有关,但我们的研究并未证明这种关系。这些发现表明,在定期健康检查中演示BSE可能有助于增加经常进行BSE的女性人数。