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菲律宾裔美国女性的乳腺癌筛查及相关态度

Breast cancer screening and related attitudes among Filipino-American women.

作者信息

Maxwell A E, Bastani R, Warda U S

机构信息

UCLA School of Public Health, USA.

出版信息

Cancer Epidemiol Biomarkers Prev. 1997 Sep;6(9):719-26.

PMID:9298580
Abstract

This study assessed mammography screening rates and related attitudes and intervention preferences in Filipino-American women, a group that has been neglected in cancer control research. Face-to-face interviews were conducted in English and Tagalog with a convenience sample of 218 Filipino women 50 years and older residing in Los Angeles. Sixty-six % had ever had a screening mammogram, 42% had had one in the past 12 months, and 54% in the past 2 years. These rates are about 20% lower than those found among African-American and white women in the 1994 California Behavioral Risk Factor Survey. Women who had received a doctor's recommendation to obtain a mammogram, women stating that they were very likely to obtain a mammogram if a physician recommended it, and women who felt very comfortable requesting a mammogram from a physician were more likely to have been screened. Women who had friends and relatives who had obtained mammograms those stating that their friends and relatives would be very supportive of their getting a mammogram, and those who felt that it was very worthwhile to obtain a mammogram were also more likely to have been screened. The following variables were negatively related to the outcome: concern over cost, the attitude that mammograms are only needed in the presence of symptoms, perceived inconvenience of taking the time and difficulties getting to the mammography facility, and embarrassment. Implications for interventions to increase breast cancer screening are discussed.

摘要

本研究评估了菲律宾裔美国女性的乳房X光检查筛查率、相关态度及干预偏好,该群体在癌症控制研究中一直被忽视。对居住在洛杉矶的218名50岁及以上的菲律宾女性进行了方便抽样的面对面访谈,访谈使用英语和他加禄语。66%的女性曾接受过乳房X光筛查,42%在过去12个月内进行过筛查,54%在过去2年内进行过筛查。这些比率比1994年加利福尼亚行为危险因素调查中非洲裔美国女性和白人女性的比率低约20%。接受医生建议进行乳房X光检查的女性、表示如果医生推荐就很有可能进行乳房X光检查的女性,以及觉得向医生要求进行乳房X光检查非常自在的女性,更有可能接受过筛查。有朋友和亲戚接受过乳房X光检查的女性、表示其朋友和亲戚会非常支持她们进行乳房X光检查的女性,以及认为进行乳房X光检查非常值得的女性,也更有可能接受过筛查。以下变量与结果呈负相关:对费用的担忧、认为只有出现症状才需要进行乳房X光检查的态度、认为花费时间进行检查不方便以及前往乳房X光检查机构困难的看法,以及尴尬情绪。文中讨论了对增加乳腺癌筛查干预措施的启示。

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