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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Use of mammographic screening by HIV-infected women in the Women's Interagency HIV Study (WIHS).
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Use of mammographic screening by HIV-infected women in the Women's Interagency HIV Study (WIHS).

机译:在妇女机构间艾滋病毒研究(WIHS)中,受艾滋病毒感染的妇女进行乳房X光筛查。

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BACKGROUND: Although HIV-positive women may be less likely than women in general to receive mammography due to socioeconomic disadvantage, HIV diagnosis may increase opportunities for medical interactions which encourage mammography. METHODS: HIV-positive (2,059) and HIV-negative (569) Women's Interagency HIV Study (WIHS) participants reported everever history of mammography at baseline (in 1994, 1995) and, at each 6-month follow-up visit, if they had been screened since their last visit. National Health Interview Survey (NHIS) data for 1994 were used to compare WIHS participants to U.S. women. Factors independently related to mammography were determined using logistic regression for baseline data and proportional hazards for follow-up data. Results were adjusted for age. RESULTS: Among women > or =40, fewer WIHS women, regardless of HIV status, reported screening than U.S. women (67% HIV-positive, 62% HIV-negative, 79% NHIS; P < 0.0001). First-time screening while on study was associated with being HIV-positive [rate ratio (95% confidence interval) = 1.6 (1.1, 2.3)]. Factors independently associated with screening were related to health care access and usage. CONCLUSIONS: WIHS women, a disadvantaged population, reported less mammography than the general population. HIV-positive women reported more screening than HIV-negative women, possibly because of greater opportunity to interact with the health care system.
机译:背景:尽管由于社会经济方面的不利因素,艾滋病毒呈阳性的妇女接受乳房X线照相的可能性可能比一般女性低,但艾滋病毒的诊断可能会增加鼓励进行乳房X射线照相的医学互动机会。方法:HIV阳性(2,059)和HIV阴性(569)妇女跨部门HIV研究(WIHS)参与者报告了基线时(1994年,1995年)以及在每6个月的随访中,乳房X线照片的病史有/没有。自上次访问以来是否曾接受过筛查。 1994年的国家健康访问调查(NHIS)数据用于比较WIHS参与者与美国女性。对于基线数据使用逻辑回归确定独立于乳腺X线摄影的因素,对随访数据使用比例风险进行确定。结果根据年龄进行了调整。结果:在40岁或40岁以上的女性中,报告称接受筛查的WIHS女性人数少于美国女性(67%HIV阳性,62%HIV阴性,79%NHIS; P <0.0001)。在研究中首次筛查与HIV阳性有关[比率(95%置信区间)= 1.6(1.1,2.3)]。与筛查独立相关的因素与卫生保健的获取和使用有关。结论:处于不利地位的WIHS妇女的乳房X线照片少于一般人群。艾滋病毒呈阳性的妇女报告的筛查数量比艾滋病毒呈阴性的妇女更多,这可能是因为与医疗保健系统互动的机会更大。

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