屏幕背后:对影响兰开夏郡 (英国) 乳腺查采用的因素的探索性研究
Yik Nok Bryan Lee1,2, Alexander Montasem2,3, Lauren Haworth1,4
1Allied Health Research Unit, University of Central Lancashire, Preston, UK.
概括
在英国兰开夏郡,乳腺查的普及率较低. 这项研究探讨了女性的障碍和促进因素,发现种族,信仰和位置影响了意识和获取. 需要有针对性的干预措施来改善乳腺癌查参与度.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 癌症查 癌症查
背景情况:
- 英国国家乳腺查普及率为62%,但存在区域差异,兰开夏郡的参与率较低 (54%-59%).
- 了解女性对乳腺查的障碍,对于制定有效的,以个人和社区为中心的参与策略至关重要.
- 解决这些障碍对于改善乳腺癌的早期检测和结果至关重要.
研究的目的:
- 在英国兰开夏郡进行第一个混合方法问卷研究.
- 探索与乳腺查有关的妇女的态度,行为,意识,障碍和促进者.
- 确定影响不同女性群体参与乳腺查的因素.
主要方法:
- 一项涉及兰开夏郡50名注册女性参与者的横截面队列研究.
- 使用问卷,包括乳腺癌恐惧量表,乳房扫描自我效率量表和全科医生体力活动问卷.
- 纳入了开放式问题,并根据需要提供数字援助或语言翻译.
主要成果:
- 种族,信仰和地理位置显著影响了人们对乳腺查的认识;年龄和信仰影响了对该过程的理解.
- 对乳腺癌的恐惧在人口群体之间没有显著差异,但种族少数群体的妇女在查期间报告的舒适性较低.
- 障碍包括健康意识,患者体验,查年龄和医疗保健准入;通过社会生态框架,通过个人到政策层面确定了促进者.
结论:
- 保护的特征和地理位置是乳腺查行为的重要决定因素.
- 文化上有能力,包容性实践和有针对性的健康宣传活动是必要的,以减少耻辱和促进对乳腺癌查的接受.
- 一个社会生态模型强调了从个人到决策者在减少乳腺查障碍方面的集体责任,需要进一步参与患者和公众,以获得更好的代表性.
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