Janz N K, Schottenfeld D, Doerr K M, Selig S M, Dunn R L, Strawderman M, Levine P A
School of Public Health, University of Michigan-Ann Arbor 48109-2029, USA.
Am J Public Health. 1997 Oct;87(10):1683-6. doi: 10.2105/ajph.87.10.1683.
This study evaluated a two-step intervention for mammography screening among older women.
Four hundred and sixty women, identified from physician practices, were randomized to a control or a two-step intervention (physician letter and peer counseling call) group. Women in the intervention group who obtained a mammogram received a grocery coupon.
Over the 12 months of the study, more women in the intervention group than in the control group obtained mammograms (38% vs 16%). The most dramatic difference was in the higher odds that women in the intervention group would obtain a mammogram within 2 months (odds ratio = 10.5).
The intervention significantly increased screening mammography. Future efforts must be multifaceted and incorporate the unique concerns of older women.
本研究评估了针对老年女性的两步式乳房X光检查筛查干预措施。
从医生诊所中识别出的460名女性被随机分为对照组或两步式干预组(医生信件和同伴咨询电话)。干预组中进行了乳房X光检查的女性可获得一张食品杂货店优惠券。
在为期12个月的研究中,干预组中进行乳房X光检查的女性比对照组更多(38%对16%)。最显著的差异在于干预组女性在2个月内进行乳房X光检查的几率更高(优势比=10.5)。
该干预措施显著增加了乳房X光检查筛查率。未来的努力必须是多方面的,并纳入老年女性的独特关注点。