Mahmoodian S
Epidemiology Program, Aberdeen Area Indian Health Service, Rapid City, SD, USA.
South Med J. 1997 Mar;90(3):316-20. doi: 10.1097/00007611-199703000-00010.
With increasing evidence of the effectiveness of mass screening in reducing mortality from both cervical and breast cancer, we began to study the rates of cervical cytology and mammography in 1994 for its impact on increased efforts to gain participation among its target population, the Sioux Indian women. Data were collected from 100 diabetic and 100 randomly selected patients aged 50 to 69 years. Patients with diabetes were selected to better evaluate the effects of patient acceptance of screening tests, since these patients are believed to be more motivated to have preventive care. However, this study showed no observable differences. Among the patients with diabetes, 33% had at least one cervical smear and 45% had a mammogram. For patients without diabetes, the rates were 32% and 42%, respectively. The number of patient visits to physicians during the 12-month study period averaged 7 for patients with diabetes and 4 for randomized patients. Thus, this paper contends that missed opportunity and limited access to cancer screening were the main reasons for such displeasing statistics.
随着越来越多的证据表明大规模筛查在降低宫颈癌和乳腺癌死亡率方面的有效性，我们于1994年开始研究宫颈细胞学检查和乳房X线摄影检查的比率，以了解其对加大努力促使目标人群——苏族印第安女性参与筛查的影响。数据收集自100名糖尿病患者和100名年龄在50至69岁之间的随机选取的患者。选择糖尿病患者是为了更好地评估患者对筛查测试的接受程度的影响，因为据信这些患者更有积极性接受预防性护理。然而，这项研究没有显示出明显差异。在糖尿病患者中，33%至少进行过一次宫颈涂片检查，45%进行过乳房X线摄影检查。对于非糖尿病患者，这两个比率分别为32%和42%。在为期12个月的研究期间，糖尿病患者平均看医生的次数为7次，随机选取的患者为4次。因此，本文认为错过机会和获得癌症筛查的机会有限是造成这些令人不满统计数据的主要原因。
