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支持在已知环境污染的社区对乳腺癌查的知情决策:一个前后研究

Mia St Angelo¹, Megan E Romano^2,3, Lisa Gallagher²

¹The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth College, 1 Medical Center Dr, WTRB Level 5, Lebanon, NH, 03766, USA.

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概括

结合环境风险的乳腺癌查决策辅助器,如PFAS,降低了感知到的乳腺癌风险,并改善了生活在受污染地区的妇女的知识. 这种工具有助于为关注环境健康影响的妇女做出明智的查决策.

科学领域:

环境健康环境健康
公共卫生公共卫生
在瘤学瘤学.

背景情况:

和多基物质 (PFAS) 的污染是一个日益严重的环境问题.
居住在PFAS污染地区的妇女可能对乳腺癌查有独特的担忧.
评估定制决策辅助工具的影响对于明智的健康选择至关重要.

研究的目的:

评估乳腺癌查决策辅助工具 (DA) 的有效性,并根据环境风险信息进行调整.
评估DA对PFAS污染社区妇女风险感知,知识,决策冲突和查意图的影响.

主要方法:

一项前后研究设计,涉及100名年龄在39-49岁的女性,没有先前乳腺癌史.
参与者在使用DA之前和之后完成了调查,其中包括有关PFAS暴露和风险的信息.
这些措施包括人口统计,PFAS暴露,风险感知,查知识,决策冲突和查意图.

主要成果:

使用DA降低了在10年内感知乳腺癌发展的可能性 (29%的DA前与19%的DA后).
在使用DA后,知识分数的中位数从10分之8增加到10分之10.
虽然进行乳房影像的意图略有下降 (85%至78%),但决策冲突也有所改善.

结论:

整合环境风险因素的决策辅助,如PFAS,有效地降低了乳腺癌风险感知.
调整后的DA改善了乳腺癌查知识,并减少了居住在PFAS污染地区的妇女的决策冲突.
这凸显了将环境健康信息纳入选决策支持工具的重要性.

关键词:

乳腺癌乳腺癌乳腺癌癌症查癌症查环境风险环境风险风险沟通风险沟通是什么

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