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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Examination of population-wide trends in barriers to cancer screening from a diffusion of innovation perspective (1987-2000).
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Examination of population-wide trends in barriers to cancer screening from a diffusion of innovation perspective (1987-2000).

机译：从创新的角度研究人口整体趋势，以筛查癌症的障碍（1987-2000年）。

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BACKGROUND: Barriers to cancer screening may change over time as screening becomes more widespread. METHODS: Using 1987, 1992, and 2000 National Health Interview Survey data, we examined population-wide trends in barriers to Pap, mammography, and colorectal screening (n =66,452). RESULTS: Lack of awareness was the most common barrier for all screening tests; it decreased by 13.5 percentage points for mammography and by 4.6 percentage points for colorectal screening, but increased by 3.0 percentage points for Pap test from 1987 to 2000. Decreases in not recommended by a doctor were observed for mammography (from 20.5% to 3.7%) and colorectal screening (from 22.3% to 14.2%). Examination of trends in barriers among sociodemographic and health care access subgroups revealed disparities for each screening test. CONCLUSIONS: Although population-wide progress has been made in reducing barriers to screening, lack of awareness, and not recommended by a doctor remain important barriers, especially among traditionally underserved populations.
机译：背景：随着筛查变得越来越普遍，癌症筛查的障碍可能会随着时间而改变。方法：我们使用1987年，1992年和2000年的美国国家健康访问调查数据，研究了全族人群在巴氏，乳腺摄影和结直肠筛查方面的趋势（n = 66,452）。结果：缺乏意识是所有筛查测试中最常见的障碍。从1987年到2000年，乳腺X线摄影检查降低了13.5个百分点，结直肠癌筛查降低了4.6个百分点，而巴氏涂片检查则提高了3.0个百分点。乳腺摄影检查未见医生推荐的降低比例（从20.5％降至3.7％）。和大肠癌筛查（从22.3％到14.2％）。对社会人口学和医疗保健亚组障碍的趋势进行的调查显示，每种筛查测试均存在差异。结论：尽管在减少筛查障碍方面已在全人群范围内取得了进展，但是缺乏认识以及医生的不推荐仍然是重要的障碍，尤其是在传统上服务不足的人群中。

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