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首页> 美国卫生研究院文献>Journal of the National Medical Association >Self-report and primary care medical record documentation of mammography and Pap smear utilization among low-income women.
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Self-report and primary care medical record documentation of mammography and Pap smear utilization among low-income women.

机译：低收入妇女的乳房X线摄影和子宫颈抹片检查的自我报告和基层医疗记录。

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PURPOSE: To determine whether self-report of mammography and Pap smear utilization was accurate and to determine whether racial/ethnic differences existed. METHODS: Face-to-face surveys were administered to 314 consecutively selected women over 40 attending two low-income inner-city family practice sites. Medical records were reviewed for documentation of mammography and Pap smear utilization. Level of agreement between self-report and chart review was reported. Sensitivity, specificity, positive predictive value and negative predictive value were calculated. MAIN FINDINGS: Puerto Rican women had lower income levels and were less educated than African-American and non-Latina white women. Self-report of mammograms and Pap smears were higher than medical record documentation. Level of agreement was higher for more recent tests. Negative predictive values for mammography were high (75-95.5%). Lower sensitivity, specificity, positive predictive value and negative predictive value for mammography were seen among Puerto Rican women compared to African-American and non-Latina white women. CONCLUSIONS: High negative predictive values suggest that asking women about mammography use may be an inexpensive, easy intervention in the primary care setting to increase screening among women currently not being screened by increasing conversations between patients and providers to address personal barriers to screening.
机译：目的：确定乳腺X线摄影的自我报告和子宫颈抹片检查的利用是否准确，并确定种族/种族差异是否存在。方法：对在两个低收入城市家庭实践场所参加的314名40岁以上的连续入选妇女进行了面对面的调查。审查了病历，以记录乳房X线照片和巴氏涂片使用情况。报告了自我报告和图表审查之间的协议水平。计算敏感性，特异性，阳性预测值和阴性预测值。主要发现：波多黎各妇女的收入水平较低，受教育程度低于非裔美国人和非拉丁裔白人妇女。乳房X线照片和子宫颈抹片检查的自我报告高于病历文件。对于最近的测试，协议级别更高。乳房X光检查的阴性预测值较高（75-95.5％）。与非裔美国人和非拉丁裔白人妇女相比，波多黎各妇女的乳房X线照片敏感性，特异性，阳性预测值和阴性预测值较低。结论：较高的阴性预测值表明，询问妇女有关乳房X光检查的使用可能是一种廉价，简便的干预措施，可以在初级保健机构中通过增加患者与提供者之间的对话来解决筛查的个人障碍，从而提高目前未被筛查的妇女中的筛查率。

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