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不列颠哥伦比亚省乳腺钼靶筛查项目的依从性:她会回来吗?

Compliance with the screening mammography program of British Columbia: will she return?

作者信息

Johnson M M, Hislop T G, Kan L, Coldman A J, Lai A

机构信息

Research Advisory Council, King Faisal Specialist Hospital and Research Centre, Riyadh, Kingdom of Saudi Arabia.

出版信息

Can J Public Health. 1996 May-Jun;87(3):176-80.

PMID:8771920
Abstract

OBJECTIVE

To identify factors associated with compliance in the Screening Mammography Program of British Columbia (SMPBC).

METHOD

Factors associated with rescreening within 18 months (annual compliers) and between 18 to 36 months later (late compliers) were identified in a cohort of SMPBC screenees using a self-administered questionnaire.

RESULTS

Fewer than half of women initially screened within the SMPBC were annual compliers, nearly 40% not returning by 3 years. In women age 50+ years, annual compliers tended to have no prior mammography, no prior breast pain, a physician referral to SMPBC, and a normal initial SMPBC mammogram. Late compliers also tended to have no prior mammography, a physician referral, and a normal initial SMPBC mammogram.

CONCLUSIONS

Several modifiable factors associated with compliance were identified: a physician referral to the program and possibly subsequent referral back to the program after workup for an abnormal mammogram.

摘要

目的

确定与不列颠哥伦比亚省乳腺钼靶筛查项目(SMPBC)依从性相关的因素。

方法

通过一份自填式问卷,在一组SMPBC筛查对象中确定与18个月内再次筛查(年度依从者)以及18至36个月后再次筛查(延迟依从者)相关的因素。

结果

在SMPBC中最初接受筛查的女性中,不到一半是年度依从者,近40%的女性在3年内未再次接受筛查。在50岁及以上的女性中,年度依从者往往未曾进行过乳腺钼靶检查,未曾有过乳房疼痛,由医生转诊至SMPBC,且初次SMPBC乳腺钼靶检查结果正常。延迟依从者也往往未曾进行过乳腺钼靶检查,由医生转诊,且初次SMPBC乳腺钼靶检查结果正常。

结论

确定了几个与依从性相关的可改变因素:医生转诊至该项目,以及在乳腺钼靶检查结果异常进行检查后可能随后再次转诊至该项目。

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