纽约州西部非裔美国人和白人妇女癌症控制干预措施的乳腺筛查结果比较。

N L Roberson
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摘要

本研究的目的是比较参与多部门癌症控制干预的低收入非裔美国妇女和白人妇女的乳腺筛查结果、健康实践和风险因素。研究对象从其所在社区招募,参加乳房筛查活动(临床乳房检查和乳房 X 线照相术检测)。数据通过筛查接收表收集,为期两年(1994 年年中至 1996 年年中)。招募的结果是1444 名妇女参加了乳房筛查服务。其中包括 282 名非洲裔美国人。1079 名白人和 83 名其他少数族裔。非裔美国妇女和白人妇女都报告了每月乳房自我检查和以前使用乳房 X 射线照相术的不足之处。然而,报告每月进行乳房自我检查的非裔美国妇女多于白人妇女(P < 001)。与非裔美国妇女相比,有更多的白人妇女表示曾接受过乳房 X 光检查(P < .002)。对选定风险因素的研究表明,非裔美国妇女和白人妇女的家族史都很少。对乳房筛查结果的比较显示,非裔美国妇女在接受临床乳房检查和乳房 X 光检查后,出现的异常情况略多于白人妇女。然而,在比较这些变量时并未发现明显差异。总体而言,非裔美国妇女与白人妇女一样有可能参加筛查活动。在比较筛查结果、健康实践和风险因素时,这些群体之间的差异不大。
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Comparison of breast screening outcomes from a cancer control intervention for African-American and white women in western New York.

This study's purpose was to compare breast screening outcomes, health practices, and risk factors for low-income African-American and white women who participated in a multistrategy cancer control intervention. Subjects were recruited from their communities to participate in breast screening activities (clinical breast examination and mammography testing). Data were collected via a screening intake form for a 2-year period (mid- 1994 to mid- 1996). As a result of the recruitment. 1444 women enrolled for breast screening services. They included 282 African Americans. 1079 whites, and 83 other minorities. African-American and white women alike reported deficiencies in monthly breast self-examination practices and previous mammography use. However, more African-American women than white women reported monthly breast self-examination practice (P < 001). More white than African-American women reported having had a previous mammogram (P < .002). Examination of selected risk factors showed that both African-American women and white women had minimum family history. A comparison of breast screening outcomes showed that African-American women presented with slightly more abnormalities than did white women after undergoing clinical breast exams and mammography. However, no significant difference was found when comparing these variables. Overall, African-American women were as likely as white women to participate in screening activities. There was little difference between these groups when comparing screening outcomes, health practices, and risk factors.

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