Seow A, Straughan P T, Ng E H, Emmanuel S C, Tan C H, Lee H P
Department of Community, Occupational and Family Medicine, Faculty of Medicine, National University of Singapore.
Ann Acad Med Singap. 1998 Mar;27(2):154-60.
Mammographic screening for breast cancer has been shown to be an effective tool for reducing mortality from the disease in many studies in the West, if high technical quality and acceptance by the target population are achieved. The objective of the Singapore Breast Screening Project was to determine if the same results could be obtained among local women by inviting a random sample of 69,500 women aged 50 to 64 years for a screening mammogram over two years. To date, the compliance rate among the women invited has been 41.7%. The objective of the present substudy was to determine participants' views on the accessibility and acceptability of organised mammographic screening. Of the three hundred women interviewed, 85% were satisfied with the information given prior to the visit, while 67% needed to change the original appointment given. The majority were satisfied with aspects of the visit such as waiting time, privacy and explanation given during the test. However, 35.1% reported at least moderate discomfort during mammography. A substantial proportion (39.7%) of attenders felt that there was very little hope of cure even if cancer was detected early. When asked the most important reason for attending, most indicated they had taken the opportunity for a free check-up to be assured they were well. Almost all (95.7%) reported a willingness to be screened again, but most would not be willing to pay for a mammogram at the current rates.
在西方的许多研究中，乳房X光检查已被证明是降低乳腺癌死亡率的有效工具，前提是要达到高技术质量并获得目标人群的接受。新加坡乳房筛查项目的目的是，通过在两年内邀请69500名年龄在50至64岁之间的女性随机样本进行乳房X光筛查，来确定当地女性是否能取得同样的结果。迄今为止，受邀女性的依从率为41.7%。本次子研究的目的是确定参与者对组织乳房X光筛查的可及性和可接受性的看法。在接受采访的300名女性中，85%对就诊前提供的信息感到满意，而67%需要更改最初安排的预约。大多数人对就诊的各个方面感到满意，比如等待时间、隐私以及检查过程中的解释。然而，35.1%的人报告在乳房X光检查期间至少有中度不适。相当一部分（39.7%）参与者认为，即使早期发现癌症，治愈的希望也很小。当被问及参加筛查的最重要原因时，大多数人表示他们利用了免费检查的机会来确保自己身体健康。几乎所有（95.7%）的人报告愿意再次接受筛查，但大多数人不愿意按当前价格支付乳房X光检查费用。
