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首页> 外文期刊>Cancer causes and control: CCC >Inconsistent mammography perceptions and practices among women at risk of breast cancer following a pediatric malignancy: a report from the Childhood Cancer Survivor Study.
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Inconsistent mammography perceptions and practices among women at risk of breast cancer following a pediatric malignancy: a report from the Childhood Cancer Survivor Study.

机译：小儿恶性肿瘤后有乳腺癌风险的女性中的乳房X光检查认识和实践不一致：儿童癌症幸存者研究的报告。

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摘要

Women treated with chest radiation for a pediatric cancer have low mammography screening rates despite their high risk for breast cancer. This study characterized the relationship between perceptions of mammography and screening practices. A cross-sectional survey was administered to 523 women in North America who were treated with chest radiation before 21 years of age. Women with inconsistent mammography perceptions and practices were identified using the Pros and Cons of Mammography for perceptions and Transtheoretical Model stages of adoption for prior and intended screening practices. Classification and regression tree (CART) analysis was used to identify barriers to and facilitators of screening among women with positive and negative perceptions. Nearly one-third of the cohort had inconsistent perceptions and practices: 37.4% had positive perceptions and were not having mammograms; 27.6% had negativeeutral perceptions and were having mammograms. Regardless of perceptions, a recent physician's recommendation for mammography, age >/= 40, and interest in routine health care were universally associated with mammography practices. For women with positive perceptions and a physician's recommendation, barriers to screening included high acceptance coping, low active-planning coping, and high internal health locus of control. For women with negative perceptions, acknowledging the importance of asymptomatic screening was associated with mammography.
机译：尽管接受乳腺癌放射治疗的妇女患乳腺癌的风险较高，但其乳房X线照片筛查率较低。这项研究的特点是乳腺X线摄影的认识和筛查实践之间的关系。对北美地区的523名21岁之前接受胸部放射治疗的妇女进行了横断面调查。乳腺X线摄影的认识和做法不一致的妇女使用乳腺X线摄影的优缺点进行认识，并采用先验和后继筛查实践的跨理论模型阶段。分类和回归树（CART）分析用于确定具有正面和负面认识的女性进行筛查的障碍和促进因素。近三分之一的队列的感知和行为不一致：37.4％的感知为积极且没有乳房X线照片; 27.6％的人具有阴性/中性知觉，并且有乳房X光照片。不管人们的看法如何，最近医师对乳腺摄影的建议，年龄> / = 40以及对常规保健的兴趣普遍与乳腺摄影实践有关。对于具有积极看法并得到医生建议的女性，筛查的障碍包括接受度高，应对计划低，内部健康控制源高。对于有消极看法的妇女，认识到无症状筛查的重要性与乳腺X线摄影有关。

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