视力和/或听力损失女性的乳腺X线摄影利用情况：来自2022年行为危险因素监测调查的见解。
Mammogram utilization among women with vision and/or hearing loss: Insights from the 2022 Behavioral Risk Factor Surveillance Survey.
文献信息
| PMID | 42842480 |
|---|---|
| 原文 | 在 PubMed 查看原文 ↗ |
| 发表日期 | 2026 |
| 作者 | Nicole Ducray |
| 作者单位 | Department of Public Health, College of Health Sciences, Arcadia University, Glenside, Pennsylvania, USA. |
| 期刊 | Journal of medical screening |
| SCI 分区 | Q2 |
| IF | 2.7 |
| 研究类型 | 临床研究 · 临床 |
| 所属专科 | 耳科 |
中文摘要
目的： 感觉丧失者在获取医疗服务，特别是乳腺癌筛查方面面临重大障碍。美国疾病控制与预防中心建议40-74岁女性每2年进行一次乳腺癌筛查；然而，很少有研究分析感觉丧失是否影响乳腺X线摄影的接受情况。本研究的目的是探讨40-74岁女性中感觉（视力、听力或双重）丧失与乳腺X线摄影利用之间的关联。
方法： 本研究使用2022年行为危险因素监测调查中40-74岁女性（n = 55,363）的数据，分析自我报告的感觉丧失与接受乳腺癌筛查之间的关系。使用SPSS第29版进行加权复杂样本logistic回归分析。
结果： 与无残疾者相比，40-74岁患有双重感觉（视力和听力均）丧失的女性在过去2年内接受乳腺X线摄影的可能性降低了一半（调整比值比（AOR）= .533，95%置信区间（CI）= [.354-.803]）。与无残疾者相比，40-74岁患有双重感觉（视力和听力均）丧失的女性在过去5年或更长时间内未接受乳腺X线摄影的可能性增加了一倍（AOR = 2.480，95% CI = [1.317-4.669]）。
结论： 40-74岁患有双重感觉丧失的女性接受乳腺X线摄影的可能性显著降低。需要进一步研究以理解和解决影响乳腺癌筛查可及性的因素。
英文摘要
PurposePersons with sensory loss face significant barriers when accessing healthcare services, specifically screening for breast cancer. The U.S. Centers for Disease Control and Prevention recommend that women aged 40-74 get screened for breast cancer every 2 years; however, few studies have analyzed whether sensory loss influences the receipt of mammograms. The purpose of this study was to examine the association between sensory (vision, hearing, or dual) loss and mammography utilization among women 40-74 years of age.MethodsThis study used data for women aged 40-74 from the 2022 Behavioral Risk Factor Surveillance Survey (n = 55,363) to analyze the relationship between self-reported sensory loss and receipt of breast cancer screenings. Weighted complex samples logistic regression analyses were conducted using SPSS Version 29.ResultsWomen aged 40-74 with dual sensory (both vision and hearing) loss were half as likely to have received a mammogram in the past 2 years (adjusted odds ratio (AOR) = .533, 95% confidence interval (CI) = [.354-.803]) in comparison to those with neither disability. Women aged 40-74 with dual sensory (both vision and hearing) loss were twice as likely to have not received a mammogram in the past 5 years or more (AOR = 2.480, 95% CI = [1.317-4.669]) in comparison to those with neither disability.ConclusionWomen aged 40-74 with dual sensory loss were significantly less likely to receive mammograms. Further research focused on understanding and addressing the factors influencing access to breast cancer screenings is needed.