Roberson N L
Department of Cancer Control and Epidemiology, Roswell Park Cancer Institute, Buffalo, New York 14263, USA.
J Assoc Acad Minor Phys. 1997;8(2):29-33.
This study's purpose was to compare breast screening outcomes, health practices, and risk factors for low-income African-American and white women who participated in a multistrategy cancer control intervention. Subjects were recruited from their communities to participate in breast screening activities (clinical breast examination and mammography testing). Data were collected via a screening intake form for a 2-year period (mid- 1994 to mid- 1996). As a result of the recruitment. 1444 women enrolled for breast screening services. They included 282 African Americans. 1079 whites, and 83 other minorities. African-American and white women alike reported deficiencies in monthly breast self-examination practices and previous mammography use. However, more African-American women than white women reported monthly breast self-examination practice (P < 001). More white than African-American women reported having had a previous mammogram (P < .002). Examination of selected risk factors showed that both African-American women and white women had minimum family history. A comparison of breast screening outcomes showed that African-American women presented with slightly more abnormalities than did white women after undergoing clinical breast exams and mammography. However, no significant difference was found when comparing these variables. Overall, African-American women were as likely as white women to participate in screening activities. There was little difference between these groups when comparing screening outcomes, health practices, and risk factors.
本研究的目的是比较参与多策略癌症控制干预的低收入非裔美国女性和白人女性的乳房筛查结果、健康行为及风险因素。研究对象从其所在社区招募,参与乳房筛查活动(临床乳房检查和乳房X光检查)。在两年期间(1994年年中至1996年年中),通过筛查登记表收集数据。由于此次招募,1444名女性登记接受乳房筛查服务。其中包括282名非裔美国人、1079名白人以及83名其他少数族裔。非裔美国女性和白人女性均报告在每月乳房自我检查行为及以往乳房X光检查使用方面存在不足。然而,报告每月进行乳房自我检查的非裔美国女性多于白人女性(P<0.001)。报告曾进行过乳房X光检查的白人女性多于非裔美国女性(P<0.002)。对选定风险因素的检查显示,非裔美国女性和白人女性的家族病史都最少。乳房筛查结果的比较显示,在接受临床乳房检查和乳房X光检查后,非裔美国女性出现的异常情况略多于白人女性。然而,在比较这些变量时未发现显著差异。总体而言,非裔美国女性参与筛查活动的可能性与白人女性相同。在比较筛查结果、健康行为和风险因素时,这些群体之间几乎没有差异。