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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >If we gave away mammograms, who would get them? A neighborhood evaluation of a no-cost breast cancer screening program.
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If we gave away mammograms, who would get them? A neighborhood evaluation of a no-cost breast cancer screening program.

机译：如果我们放弃乳房X线照片，谁能得到？一项免费的乳腺癌筛查计划的社区评估。

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BACKGROUND: Low- and no-cost mammography programs have become a widespread strategy to increase access to breast cancer screening in low-income populations. However, rigorous evaluations of who remains unscreened in communities with these programs are lacking. We conducted a case-control study of African American older women in East Baltimore, Maryland, comparing attendees at a no-cost program to friends and neighbors not using no-cost venues. METHODS: We recruited 288 women ages 50 and older, who attended a no-cost program at Johns Hopkins Hospital, to complete a 1(1/2) h home interview, answering semistructured and open-ended questions about cancer and health and a wide range of social and psychological items. For each case, we recruited one friend or neighbor, within 5 years of age, not receiving no-cost screening, to complete a similar control interview. Matched case-control analyses were used to compare program attendees to nonattendees within the target community. RESULTS: Women using the no-cost program at least once were generally more poorly screened than their neighborhood control prior to the program, but had better recent screening history 3 years after the program began. In multivariate analyses, program attendees were more likely to have <10,000 dollars annual income (OR = 2.34, 95% CI 1.55,3.61), more likely to have had more children (OR = 1.13, 95% CI 1.04,1.24), and less likely to have health insurance (OR = 0.42, 95% CI 0.25,0.68). They were more likely to see a female primary care provider (OR = 1.82, 95% CI 1.24,2.70) and to see multiple providers (OR = 3.38, 95% CI 1.52,8.60). CONCLUSIONS: Low-cost screening intervention programs reach women who might otherwise not receive screening. However, within target communities, improved partnerships with specific types of primary care providers could reach additional women. Copyright 2002 American Health Foundation and Elsevier Science.
机译：背景：低成本和免费的乳房X线摄影程序已成为一种广泛的策略，可以增加低收入人群进行乳腺癌筛查的机会。但是，缺乏对那些在这些计划的社区中仍未接受筛查的人的严格评估。我们对马里兰州东巴尔的摩的非洲裔美国老妇进行了案例对照研究，将参加免费活动的参与者与未使用免费场所的朋友和邻居进行了比较。方法：我们招募了288名年龄在50岁以上的女性，他们在约翰霍普金斯医院参加了一项免费计划，以完成1（1/2）小时的家庭访谈，回答有关癌症和健康的半结构化和开放性问题，以及广泛的问题。社会和心理项目的范围。对于每种情况，我们都在5岁以下招募了一位未经过免费筛查的朋友或邻居，以完成类似的对照访谈。匹配的病例对照分析用于比较计划参与者与目标社区中的未参与者。结果：使用该免费计划的妇女至少进行一次筛查，比该计划之前的邻里对照筛查情况较差，但该计划开始实施3年后，最近的筛查史较好。在多变量分析中，与会人员更有可能获得<10,000美元的年收入（OR = 2.34，95％CI 1.55,3.61），更多的孩子（OR = 1.13，95％CI 1.04,1.24），拥有健康保险的可能性较小（OR = 0.42，95％CI 0.25,0.68）。他们更有可能去看望女性初级保健提供者（OR = 1.82，95％CI 1.24,2.70）和看望多个提供者（OR = 3.38，95％CI 1.52,8.60）。结论：低成本筛查干预计划覆盖了原本可能不会接受筛查的妇女。但是，在目标社区内，与特定类型的初级保健提供者的伙伴关系改善可以使更多的妇女受益。版权所有2002美国健康基金会和Elsevier Science。

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