McCoy C B, Smith S A, Metsch L R, Anwyl R S, Correa R, Bankston L, Zavertnik J J
Cancer Pract. 1994 Jul-Aug;2(4):267-74.
Socioeconomic status is the most significant factor influencing the decreased survival associated with breast cancer in minority groups in the United States. Barriers to the use of early detection programs by low-income women often result in the detection of breast cancer at stages too advanced to assure optimum outcomes. In an effort to increase accessibility of breast cancer screening among such individuals, the Early Detection Program (EDP) was initiated in 1987. The program provided breast cancer screening to women 40 years of age and older who attended eight primary healthcare centers located in low-income neighborhoods throughout Dade County, Florida. From its inception in October 1987 through December 1993, 23,866 medically underserved women had mammography examinations, with more than 17,000 of these women undergoing baseline mammograms. Since the program's inception, 126 cancers were diagnosed in 123 women. A dramatic shift from later to earlier stage breast cancers was observed. These results warrant a greater inclusion of medically underserved and lower socioeconomic status women in screening programs for the early detection of breast cancer.
社会经济地位是影响美国少数群体中与乳腺癌相关的生存率下降的最重要因素。低收入女性在利用早期检测项目方面存在障碍，这往往导致乳腺癌在病情过于严重而无法确保最佳治疗效果的阶段才被发现。为了提高这类人群获得乳腺癌筛查的机会，1987年启动了早期检测项目（EDP）。该项目为年龄在40岁及以上、前往佛罗里达州戴德县低收入社区的八个初级医疗中心就诊的女性提供乳腺癌筛查。从1987年10月启动至1993年12月，23866名医疗服务不足的女性接受了乳房X光检查，其中超过17000名女性进行了基线乳房X光检查。自该项目启动以来，在123名女性中诊断出126例癌症。观察到乳腺癌从晚期向早期的显著转变。这些结果表明，在乳腺癌早期检测筛查项目中应更多地纳入医疗服务不足和社会经济地位较低的女性。
