关键词: breast cancer mammogram older women rural screening behaviour

来  源:   DOI:10.1111/ajr.13174

Abstract:
OBJECTIVE: This qualitative descriptive study draws on data collected from a sub-sample of 15 women participating in a national study (n = 60) exploring the breast cancer screening motivations and behaviours of women aged ≥75 years. The study aimed to understand why women living in rural and remote areas might continue accessing mobile breast cancer screening despite being outside the targeted age range.
METHODS: Settings ranged from large towns to very remote communities (according to Monash Modified Model (MMM) classification 3-7) where BreastScreen Australia mobile screening services were available.
METHODS: Interview data from 15 women aged ≥75 years living in rural and remote locations who had used mobile screening services was utilised for this study.
METHODS: In-depth individual interviews were conducted via telephone or online platform (Zoom). These were transcribed verbatim and imported into NVivo software to enable thematic analysis to identify key themes.
RESULTS: Many women aged ≥75 years in rural and remote areas expressed clear intentions to continue breast cancer screening, despite no longer being invited to do so. They perceived great value in the mobile service and were highly appreciative for it yet acknowledged limited sources of information about the process of ongoing screening.
CONCLUSIONS: Few women in rural and remote areas had discussed ongoing breast cancer screening with their general practitioner (GP). More information is required to inform women about the risks and benefits of ongoing screening. Without an invitation to attend screening rural women reported difficulty in knowing when the service would be available. Ongoing notification of the availability of mobile services for women aged ≥75 years in rural areas is recommended.
摘要:
目的:这项定性的描述性研究利用了从参与一项全国性研究(n=60)的15名女性子样本中收集的数据,该研究探索了75岁以上女性的乳腺癌筛查动机和行为。该研究旨在了解为什么生活在农村和偏远地区的妇女尽管不在目标年龄范围内,仍可能继续接受移动乳腺癌筛查。
方法:设置范围从大型城镇到非常偏远的社区(根据莫纳什改良模型(MMM)分类3-7),在这些社区中可以使用BreastScreenAustralia移动筛查服务。
方法:本研究利用了来自农村和偏远地区15名75岁以上使用移动筛查服务的女性的访谈数据。
方法:通过电话或在线平台(Zoom)进行了深入的个人访谈。这些被逐字转录并导入到NVivo软件中,以便进行主题分析以确定关键主题。
结果:许多农村和偏远地区75岁以上的女性表达了继续乳腺癌筛查的明确意图,尽管不再被邀请这样做。他们认为移动服务具有巨大的价值,并且对此表示高度赞赏,但承认有关正在进行的筛查过程的信息来源有限。
结论:农村和偏远地区的妇女很少与全科医生(GP)讨论正在进行的乳腺癌筛查。需要更多信息来告知女性持续筛查的风险和益处。没有邀请参加筛查的农村妇女报告说,很难知道何时可以提供这项服务。建议不断通知农村地区75岁以上妇女是否有流动服务。
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