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首页> 外文期刊>Journal of women’s health >Comprehensive cancer screening among unmarried women aged 40-75 years: results from the cancer screening project for women.
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Comprehensive cancer screening among unmarried women aged 40-75 years: results from the cancer screening project for women.

机译:40-75岁未婚妇女的全面癌症筛查:妇女癌症筛查项目的结果。

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OBJECTIVES: We explored self-reported rates of individual on-schedule breast, cervical, and colorectal cancer screenings, as well as an aggregate measure of comprehensive screenings, among unmarried women aged 40-75 years. We compared women who partner with women (WPW) or with women and men (WPWM) to women who partner exclusively with men (WPM). We also compared barriers to on-schedule cancer screenings between WPW/WPWM and WPM. METHODS: Comparable targeted and respondent-driven sampling methods were used to enroll 213 WPW/WPWM and 417 WPM (n = 630). Logistic regression models were computed to determine if partner gender was associated with each measure of on-schedule screening after controlling for demographic characteristics, health behaviors, and cancer-related experiences. RESULTS: Overall, 74.3% of women reported on-schedule breast screening, 78.3% reported on-schedule cervical screening, 66.5% reported on-schedule colorectal screening, and 56.7% reported being on-schedule for comprehensive screening. Partner gender was not associated with any of the measures of on-schedule screening in multivariable analyses. However, women who reported ever putting off, avoiding, or changing the place of screenings because of sexual orientation were less likely to be on-schedule for comprehensive screening. Women who reported barriers associated with taking time from work and body image concerns were also less likely to be on-schedule for comprehensive screening. CONCLUSIONS: Barriers to cancer screening were comparable across types of examinations as well as between WPW/WPWM and WPM. Developing health promotion programs for unmarried women that address concomitant detection and prevention behaviors may improve the efficiency and effectiveness of healthcare delivery and ultimately assist in reducing multiple disease risks.
机译:目的:我们探讨了在40-75岁未婚女性中进行定期定期乳腺癌,宫颈癌和结肠直肠癌筛查的自我报告比率,以及综合筛查的总体指标。我们比较了与女性(WPW)或与男性和女性(WPWM)结伴的女性与仅与男性结伴(WPM)的女性。我们还比较了WPW / WPWM和WPM之间按计划进行癌症筛查的障碍。方法:采用可比的针对性和响应者驱动的采样方法,登记了213 WPW / WPWM和417 WPM(n = 630)。在控制了人口统计学特征,健康行为和与癌症相关的经历之后,计算了逻辑回归模型以确定伴侣性别是否与时间表筛查的每种方法相关。结果:总体上,有74.3%的妇女报告了按计划进行乳房筛查,有78.3%的妇女报告了按计划进行宫颈筛查,有66.5%的妇女报告了按计划进行结肠直肠癌筛查,有56.7%的妇女报告按计划进行了全面筛查。在多变量分析中,伴侣性别与时间表筛选的任何措施均不相关。但是,报告称由于性取向而推迟,避免或改变放映地点的妇女不太可能按计划进行全面放映。报告了与上班时间和身体形象问题相关的障碍的女性也不太可能按计划进行全面筛查。结论:癌症筛查的障碍在各种检查类型之间以及在WPW / WPWM和WPM之间是可比的。为未婚妇女制定健康促进计划,以解决伴随的发现和预防行为,可以提高医疗保健的效率和效力,并最终帮助减少多种疾病的风险。

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