Vogel V G, Bondy M, Halabi S, Lord J, Laville E A
University of Texas M.D. Anderson Cancer Center, Houston 77030.
South Med J. 1993 Apr;86(4):391-6. doi: 10.1097/00007611-199304000-00004.
More than 36,000 of the 64,459 women who had $50 mammograms after a media campaign in 1987 completed a demographic and risk factor questionnaire. The screened women were young and well educated with high annual incomes. Only 32% had had mammograms before 1987. Most women reported that high cost and lack of referral for mammography by their physicians were their reasons for not being screened previously. Publicity promoting the project and the lower cost for mammography were the features of the project that attracted participants. Population-based telephone surveys before and after the project showed a change in attitudes about breast cancer screening. The model used for recruitment in this project can improve compliance with recommendations for regular mammographic screening if charges for screening are reduced. Additional efforts are needed to attract minorities and poor or elderly women to regular breast screening.
在1987年一场媒体宣传活动后进行50美元乳房X光检查的64459名女性中，超过36000人完成了一份人口统计学和风险因素调查问卷。接受筛查的女性年轻、受过良好教育且年收入较高。只有32%的女性在1987年之前做过乳房X光检查。大多数女性报告称，费用高昂以及医生未推荐她们进行乳房X光检查是她们之前未接受筛查的原因。宣传该项目以及降低乳房X光检查费用是吸引参与者的项目特点。该项目前后进行的基于人群的电话调查显示，人们对乳腺癌筛查的态度发生了变化。如果降低筛查费用，该项目中用于招募的模式可以提高对定期乳房X光筛查建议的依从性。还需要做出额外努力，以吸引少数族裔以及贫困或老年女性进行定期乳房筛查。
