Friedman L C, Woodruff A, Lane M, Weinberg A D, Cooper H P, Webb J A
Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, Texas 77030, USA.
Am J Prev Med. 1995 Jul-Aug;11(4):218-23.
We examined predictors of (1) compliance with yearly mammography and clinical breast examination (CBE) and (2) intention to obtain mammography and CBE within the following year. Subjects were 312 asymptomatic female hospital employees, 50 years or older, who had participated in a free worksite breast cancer screening program. Mammograms and CBEs had been obtained by 79% and 76% of the subjects, respectively, during the preceding 12 months. The majority of the subjects indicated that they were very/extremely likely to obtain a mammogram and CBE in the next 12 months (88% and 87%, respectively). Multivariate analyses showed that perceived barriers to and physician recommendation of mammography were the strongest predictors of both breast cancer screening behaviors and intentions. Recency of participation in the educational component of the screening program was related to both compliance with mammography in the past 12 months and intention to obtain CBE in the next year. Having a first-degree female relative with a history of breast cancer was related to compliance with CBE in the past 12 months. Perceived efficacy of mammography was related to intention to obtain both mammography and CBE in the next year, and number of reasons for mammography was related to intention to obtain mammography in the next year. Our results suggest that physicians play a key role in motivating women to comply with breast cancer screening and that reducing barriers to obtaining mammography may increase use further.
（1）对年度乳房X光检查和临床乳房检查（CBE）的依从性，以及（2）在接下来一年中进行乳房X光检查和CBE的意向。研究对象为312名50岁及以上无症状的女性医院员工，她们参加了一项免费的工作场所乳腺癌筛查项目。在前12个月中，分别有79%和76%的研究对象进行了乳房X光检查和CBE。大多数研究对象表示，她们在接下来12个月中非常/极其有可能进行乳房X光检查和CBE（分别为88%和87%）。多变量分析显示，对乳房X光检查的感知障碍和医生的推荐是乳腺癌筛查行为和意向的最强预测因素。最近参与筛查项目教育部分的情况与过去12个月中乳房X光检查的依从性以及下一年进行CBE的意向均有关联。有一位患乳腺癌的一级女性亲属与过去12个月中CBE的依从性有关。对乳房X光检查的感知有效性与下一年进行乳房X光检查和CBE的意向有关，而进行乳房X光检查的原因数量与下一年进行乳房X光检查的意向有关。我们的研究结果表明，医生在促使女性遵守乳腺癌筛查方面起着关键作用，并且减少进行乳房X光检查的障碍可能会进一步提高其使用率。
