Allen J D, Sorensen G, Stoddard A M, Colditz G, Peterson K
Dana-Farber Cancer Institute, Division of Cancer Epidemiology and Control, Boston, MA 02115, USA.
Health Educ Behav. 1998 Aug;25(4):474-88. doi: 10.1177/109019819802500406.
This study investigated associations between confidence in one's ability to discuss mammography with health providers and to obtain regular mammograms (self-efficacy), social network members' attitudes toward mammograms (social influence), mammography experiences, and intention to have a mammogram in the next 1 to 2 years among women who were not in adherence with screening guidelines. Data were collected as part of a baseline assessment for a work site intervention study. Women 52 years and older completed a self-administered survey. Those not in compliance with screening guidelines (n = 194) were included in the analyses. Logistic regression revealed that self-efficacy and strong supportive social influences were significantly associated with mammography intention (odds ratio [OR] = 2.50, OR = 2.22, respectively), adjusting for prior mammography use. Findings suggest that interventions designed to promote mammography should build women's confidence in their ability to discuss mammography with health providers and to obtain regular mammograms. Intervention among social networks may also be an effective means of promoting mammography.
本研究调查了未遵循筛查指南的女性在与医疗服务提供者讨论乳房X光检查以及进行定期乳房X光检查（自我效能）方面的信心、社交网络成员对乳房X光检查的态度（社会影响）、乳房X光检查经历，以及在未来1至2年内进行乳房X光检查的意愿之间的关联。作为一项工作场所干预研究基线评估的一部分收集了数据。52岁及以上的女性完成了一份自我管理的调查问卷。未遵循筛查指南的女性（n = 194）被纳入分析。逻辑回归显示，在调整了既往乳房X光检查使用情况后，自我效能和强烈的支持性社会影响与乳房X光检查意愿显著相关（优势比[OR]分别为2.50和2.22）。研究结果表明，旨在促进乳房X光检查的干预措施应增强女性与医疗服务提供者讨论乳房X光检查以及进行定期乳房X光检查的信心。社交网络干预也可能是促进乳房X光检查的有效手段。
