Schofield P E, Cockburn J, Hill D J, Reading D
Centre for Behavioural Research in Cancer, Anti-Cancer Council of Victoria, Australia.
J Med Screen. 1994 Jul;1(3):144-9. doi: 10.1177/096914139400100303.
To predict attendance at a mammographic screening programme after a community health promotion campaign and attendance after a personal invitation in addition to that campaign.
A pilot mammographic screening programme in Melbourne, Australia.
Attendance was encouraged by a community health promotion campaign and one year later, a personal invitation was sent to all women who had not yet attended. Drawn from two regions of a defined area (close to and distant from the screening centre), 618 women were interviewed before the programme started, and subsequent attendance at the programme was recorded.
Over half of the women (58%) in the sample residing close to the screening centre and 44% of women in the more distant sample attended. The personal invitation boosted attendance, particularly in the distal sample where attendance was predicted by ease of access to the programme; positive intention to attend; moderate experience of, perceived susceptibility to, concern about, and knowledge of breast cancer; adoption of other preventive health behaviours; having a job; and older age. Proximity to the programme, positive initial intentions, having heard of a mammogram, no concern about radiation from a mammogram, high personal control over health, and belonging to a club were associated with attendance after exposure to only the health promotion campaign. A personal invitation encouraged attendance among women without these characteristics.
A personal invitation in addition to a community promotion campaign seems to overcome many barriers to attendance. Attendance may be further increased by informing women of the benefits of early detection and improving access to the screening centre.
预测社区健康促进活动后参加乳腺钼靶筛查项目的情况，以及除该活动外进行个人邀请后参加筛查的情况。
澳大利亚墨尔本的一项乳腺钼靶筛查试点项目。
通过社区健康促进活动鼓励人们参加筛查，一年后，向所有尚未参加的女性发出个人邀请。从一个特定区域的两个地区（靠近和远离筛查中心）抽取618名女性，在项目开始前对她们进行访谈，并记录她们随后参加项目的情况。
居住在靠近筛查中心的样本中，超过一半的女性（58%）参加了筛查，而在距离较远的样本中，这一比例为44%。个人邀请提高了参与率，尤其是在较远的样本中，参与率可通过以下因素预测：参加项目的便利性；积极的参加意愿；对乳腺癌的适度了解、感知易感性、担忧程度和知识水平；采取其他预防性健康行为；有工作；以及年龄较大。靠近项目地点、最初的积极意愿、听说过乳腺钼靶检查、不担心乳腺钼靶检查的辐射、对健康有较高的个人掌控力以及属于某个俱乐部与仅参加健康促进活动后的参与情况相关。个人邀请促使没有这些特征的女性参加筛查。
除社区推广活动外进行个人邀请似乎能克服许多参加筛查的障碍。通过向女性宣传早期发现的益处并改善前往筛查中心的便利性，参与率可能会进一步提高。
