高风险女性乳腺癌查的障碍和促进因素:一项定性研究
Claire C Conley1,2, Alaina Anderson3, Jennifer D Rodriguez3
1Department of Oncology, Georgetown University, Washington, DC, USA. claire.conley@georgetown.edu.
Breast cancer research and treatment
|August 27, 2024
概括
高风险女性面临的障碍是乳腺癌查. 识别这些因素,如财务和后勤问题,可以提高对乳房影像和MRI查的坚持.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 建议每年进行乳房造影和补充乳房核磁共振 (MRI) 检查,这些检查适用于>20-25%终身乳腺癌风险的女性.
- 在高风险人群中,遵守这些查指南的程度仍然很低.
研究的目的:
- 确定影响高风险女性乳腺癌查遵守的障碍和促进因素.
- 使用健康服务利用模型 (HSUM) 来指导调查.
主要方法:
- 有关63名高风险女性半结构面试的定性研究.
- 采访被录音,转录,并使用结合的演和归纳方法进行分析.
主要成果:
- 84%接受了乳房造影,33%接受了乳房核磁共振成像;14%没有接受任何.
- 分析揭示了倾向 (知识,信念),支持 (财务,后勤,社会支持,护理协调) 和需要 (提供者推,家庭/个人病史) 的因素.
- 在乳房扫描和乳房核磁共振之间,发现了障碍物和促进者的差异.
结论:
- 高风险女性补充乳腺癌查的障碍和促进因素是可识别的干预目标.
- 进一步的研究应该集中在开发和测试多层次干预措施,以加强对这一群体的查准入.
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