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首页> 外文期刊>Journal of women’s health >Mammography screening after risk-tailored messages: the women improving screening through education and risk assessment (WISER) randomized, controlled trial.
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Mammography screening after risk-tailored messages: the women improving screening through education and risk assessment (WISER) randomized, controlled trial.

机译：根据风险量身定制的信息进行乳房X线筛查：妇女通过教育和风险评估（WISER）随机对照试验改善筛查。

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AIMS: A randomized trial investigated the impact of risk-tailored messages on mammography in diverse women in the Virginia Commonwealth University Health System's gynecology clinics. MeTHODS: From 2003 to 2005, 899 patients > or =40 years of age were randomized to receive risk-tailored information or general information about breast health. Multiple logistic regression analyses summarize their breast health practices at 18 months. RESULTS: At baseline, 576 (64%) women reported having a mammogram in the past year. At 18-month follow-up, mammography rates were 72.6% in the intervention group and 74.2% in the control group (N.S.). Women (n = 123) who reported worrying about breast cancer "often" or "all the time" had significantly higher mammography rates with the intervention (85.0%) vs. the controls (63.5%). No significant differences existed in clinical breast examination, self-examination, or mammography intentions between the two study arms. However, intervention women with lower education reported significantly fewer clinical breast examinations at follow-up. CONCLUSIONS: The brief intervention with a risk-tailored message did not have a significant effect overall on screening at 18 months. However, among those who worried, mammography rates in the intervention group were higher. Individual characteristics, such as worry about breast cancer and education status, may impact interventions to improve breast cancer prevention practices.
机译：目的：一项随机试验在弗吉尼亚联邦大学卫生系统的妇科诊所调查了针对女性量身定制的风险信息对乳房X线照片的影响。方法：从2003年到2005年，将899名年龄≥40岁的患者随机接受风险量身定制的信息或有关乳房健康的一般信息。多项逻辑回归分析总结了他们在18个月时的乳房健康实践。结果：基线时，有576名（64％）妇女在过去一年中报告了乳房X线照片。在18个月的随访中，干预组的乳腺X线检查率为72.6％，对照组为74.2％（N.S.）。报告“经常”或“一直”担心乳腺癌的女性（n = 123）与对照组（63.5％）相比，在干预下（85.0％）乳房X线摄影率明显更高。两个研究组之间在临床乳房检查，自我检查或乳房X线检查意图方面没有显着差异。但是，受过较低教育的干预妇女在随访中报告的临床乳房检查明显较少。结论：采用风险定制信息的简短干预对18个月筛查总体上没有显着影响。但是，在那些担心的人群中，干预组的乳腺X线摄影率较高。担心乳腺癌和受教育程度等个人特征可能会影响干预措施，以改善乳腺癌的预防措施。

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