针对65岁及以上女性增加乳腺X光检查的两步干预措施。
A two-step intervention of increase mammography among women aged 65 and older.
作者信息
Janz N K, Schottenfeld D, Doerr K M, Selig S M, Dunn R L, Strawderman M, Levine P A
机构信息
School of Public Health, University of Michigan-Ann Arbor 48109-2029, USA.
出版信息
Am J Public Health. 1997 Oct;87(10):1683-6. doi: 10.2105/ajph.87.10.1683.
Abstract
OBJECTIVES
This study evaluated a two-step intervention for mammography screening among older women.
METHODS
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.
RESULTS
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).
CONCLUSIONS
The intervention significantly increased screening mammography. Future efforts must be multifaceted and incorporate the unique concerns of older women.
摘要
目的
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。
方法
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。
结果
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）。
结论
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。
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