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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Association between CBE, FOBT, and Pap smear adherence and mammography adherence among older low-income women.
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Association between CBE, FOBT, and Pap smear adherence and mammography adherence among older low-income women.

机译：低龄老年妇女中CBE，FOBT和巴氏涂片依从性与乳房X线摄影依从性之间的关联。

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BACKGROUND: Adherence to regular and timely mammography screening, especially in older low-income women, continues to fall below objectives. The primary aim of this study was to examine whether engaging in other cancer screenings was associated with mammography adherence for older women. METHODS: Women, ages 52 and over, without a self-reported history of breast cancer (N = 862) were selected from a larger sample of women residing in Washington, DC, census tracts with >/=30% of households below 200% of the federal poverty threshold. A computer-assisted telephone survey was used to collect data on health care system factors, demographics, cultural beliefs, clinical breast exam (CBE), Pap smear, fecal occult blood testing (FOBT), and mammography. Adherence was defined as receipt of the last two screening tests within recommended intervals for age. RESULTS: After controlling for other variables, adherence to CBE (OR = 4.15; 95% CI, 2.55-6.73) and Pap smear (OR = 1.82; 95% CI, 1.07-3.12) were highly predictive of mammography adherence. Adherence to FOBT (OR = 1.66; 95% CI, 0.97-2.84) was marginally predictive. CONCLUSIONS: Results of this study indicate that nonadherence to other cancer screenings can help identify women in need of additional interventions to improve mammography adherence.
机译：背景：坚持定期和及时进行乳腺X线摄影筛查，特别是在低收入的老年妇女中，仍然低于目标。这项研究的主要目的是检查参与其他癌症筛查是否与老年女性的乳房X线摄影依从性相关。方法：从居住在华盛顿特区的人口普查地区较大样本妇女中选出52岁及以上，没有自我报告的乳腺癌史（N = 862）的妇女，其中> / = 30％的家庭低于200％联邦贫困线的标准。使用计算机辅助电话调查来收集有关医疗保健系统因素，人口统计学，文化信仰，临床乳房检查（CBE），子宫颈抹片检查，粪便潜血测试（FOBT）和乳房X线照片的数据。坚持被定义为在建议的年龄间隔内接受了最后两次筛查测试。结果：在控制了其他变量后，对CBE的依从性（OR = 4.15; 95％CI，2.55-6.73）和巴氏涂片检查（OR = 1.82; 95％CI，1.07-3.12）可以很好地预测乳腺X线摄影的依从性。坚持FOBT（OR = 1.66; 95％CI，0.97-2.84）只能作为预测指标。结论：这项研究的结果表明，不依从其他癌症筛查可以帮助确定需要采取其他干预措施以提高乳腺X线摄影依从性的妇女。

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