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首页> 外文期刊>Journal of women’s health >Multilevel Predictors of Continued Adherence to Breast Cancer Screening Among Women Ages 50-74 Years in a Screening Population
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Multilevel Predictors of Continued Adherence to Breast Cancer Screening Among Women Ages 50-74 Years in a Screening Population

机译：筛选人口中持续50-74岁的女性患有乳腺癌筛查的多级预测因子

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Background: U.S. women of ages 50-74 years are recommended to receive screening mammography at least biennially. Our objective was to evaluate multilevel predictors of nonadherence among screened women, as these are not well known. Materials and Methods: A cohort study was conducted among women of ages 50-74 years with a screening mammogram in 2011 with a negative finding (Breast Imaging-Reporting and Data System 1 or 2) within Population-based Research Optimizing Screening through Personalized Regimens (PROSPR) consortium research centers. We evaluated the association between woman-level factors, radiology facility, and PROSPR research center, and nonadherence to breast cancer screening guidelines, defined as not receiving breast imaging within 27 months of an index screening mammogram. Multilevel mixed-effects logistic regression was used to calculate odds ratios and 95% confidence intervals. Results: Nonadherence to guideline-recommended screening interval was 15.5% among 51,241 women with a screening mammogram. Non-Hispanic Asian/Pacific Islander women, women of other races, heavier women, and women of ages 50-59 years had a greater odds of nonadherence. There was no association with ZIP code median income. Nonadherence varied by research center and radiology facility (variance = 0.10, standard error = 0.03). Adjusted radiology facility nonadherence rates ranged from 10.0% to 26.5%. One research center evaluated radiology facility communication practices for screening reminders and scheduling, but these were not associated with nonadherence. Conclusions: Breast cancer screening interval nonadherence rates in screened women varied across radiology facilities even after adjustment for woman-level characteristics and research center. Future studies should investigate other characteristics of facilities, practices, and health systems to determine factors integral to increasing continued adherence to breast cancer screening.
机译：背景：U.S.250-74岁的女性建议至少两年一次地接受筛选乳房X线乳乳乳乳乳乳乳乳乳乳草术。我们的目标是评估筛查女性中非正畸的多级预测因子，因为这些不符合众所周知。材料和方法：在50-74岁的女性中进行了群组，在2011年的筛选乳房X光检查，在基于人口的研究中，通过个性化方案优化筛选（ PROSPR）联盟研究中心。我们评估了女性级因子，放射学设施和PROSPR研究中心之间的关联，并且不正常对乳腺癌筛查准则，定义为在指数筛选乳房X线照片的27个月内没有接受乳房成像。多级混合效应逻辑回归用于计算大量比率和95％的置信区间。结果：筛选乳房X线图的51,241名妇女中，非正常建议筛选间隔为15.5％。非西班牙裔亚洲/太平洋岛民妇女，其他种族的女性，较重的女性和50-59岁的女性的妇女不正常。与邮政编码中位收入没有关联。研究中心和放射学设施的非正规（方差= 0.10，标准误差= 0.03）。调整后的放射机构不合格率从10.0％到26.5％。一项研究中心评估了放射学设施通信实践，用于筛选提醒和调度，但这些没有与不正常相关联。结论：乳腺癌筛查间隔不相隔率在筛选的妇女中变化，即使在对女性级特征和研究中心的调整后也变化了放射学设施。未来的研究应该调查设施，做法和卫生系统的其他特征，以确定因素不断增加对乳腺癌筛查的持续粘附的因素。

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