妇女报告与临床医生讨论乳腺密度的社会人口统计学变化
Nancy R Kressin1, Jolie B Wormwood2, Tracy A Battaglia1
1Section of General Internal Medicine, Department of Medicine, Boston University Chobanian & Avedisian School of Medicine, Boston, Massachusetts.
JAMA network open
|November 27, 2023
概括
大多数女性都会与临床医生讨论乳腺密度,但仍然存在一些担忧和问题,特别是对于西班牙裔,亚洲裔和低文盲女性. 改善这些对话对于乳腺癌风险沟通至关重要.
科学领域:
- 公共卫生 公共卫生
- 卫生沟通健康沟通
- 妇女健康 妇女健康
背景情况:
- 乳腺密度通知促使妇女和临床医生之间的讨论.
- 了解这些对话中的内容和差异是有限的.
研究的目的:
- 检查女性关于乳腺密度与临床医生的讨论报告.
- 根据社会人口统计学因素,确定这些讨论中的变化.
主要方法:
- 美国全国,以人口为基础的电话调查,对2306名年龄在40-76岁的女性进行了调查.
- 分析了770名女性的子样本,这些女性与临床医生讨论了乳房密度的乳房造影后分析.
- 关于临床医生与患者沟通的调查答案的统计分析.
主要成果:
- 大多数妇女报告说,临床医生讨论了乳腺癌风险 (88%) 和乳房扫描结果 (94%).
- 较少的女性报告讨论了担忧/担忧 (69%) 或其他查选项 (61%).
- 观察到的差异:非西班牙裔黑人女性更常被问及风险;亚裔/西班牙裔女性更少回答问题;文盲女性报告讨论较少.
结论:
- 虽然大多数女性参与乳腺密度讨论,但存在显著的差距.
- 未解决的问题和未回答的问题突出显示了需要改进的沟通领域.
- 需要有针对性的干预措施来解决不同人口和识字水平之间的差异.
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