Champion V L, Skinner C S, Miller A M, Goulet R J, Wagler K
School of Nursing, Indiana University, Indianapolis 46202, USA.
Cancer Detect Prev. 1997;21(3):231-41.
The purpose of this study was to examine the relationship between theoretically identified variables and participation in mammography screening in a university workplace. A sample of 1093 women 50 and over returned a questionnaire following the offer of a free workplace breast cancer screening. Anderson's Behavioral Model of Health Services Use identified factors predisposing and enabling women to have mammograms. Predisposing variables included attitudes and experience related to mammography. Enabling variables included income, willingness to pay for mammography, health insurance coverage, and regular source of health care. Comparisons were made among: (i) those who were screened in the workplace, (ii) those who were screened elsewhere, and (iii) those who were not screened. Differences in perceived barriers, perceived benefits, practice of breast self-examination (BSE), and education surfaced. Results indicated, among other things, that women who were older, had no more than 12 years of education, had a family member with breast cancer, and were proficient with breast self-examination were more likely to have participated in the university work-site screening.
本研究的目的是考察理论上确定的变量与大学工作场所中女性参与乳腺钼靶筛查之间的关系。在提供免费的工作场所乳腺癌筛查后,1093名50岁及以上的女性样本返回了一份调查问卷。安德森的卫生服务利用行为模型确定了促使女性进行乳腺钼靶检查的因素和使能因素。易患变量包括与乳腺钼靶检查相关的态度和经历。使能变量包括收入、支付乳腺钼靶检查费用的意愿、医疗保险覆盖范围以及常规医疗保健来源。对以下三组人群进行了比较:(i)在工作场所接受筛查的女性,(ii)在其他地方接受筛查的女性,以及(iii)未接受筛查的女性。在感知到的障碍、感知到的益处、乳房自我检查(BSE)的实践和教育程度方面出现了差异。结果表明,除其他外,年龄较大、受教育年限不超过12年、有乳腺癌家族成员且熟练进行乳房自我检查的女性更有可能参与大学工作场所的筛查。