美国妇女的生活满意度、情感支持和社会孤立感对遵守乳腺癌筛查建议的影响。

IF 2 Q3 HEALTH POLICY & SERVICES
Biplab Kumar Datta , Aneesha Gummadi , Steven S. Coughlin
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引用次数: 0

摘要

背景:社会心理因素在促进预防性健康行为方面可发挥重要作用。本研究旨在评估在具有全国代表性的美国人群中,生活满意度、获得情感支持和社会孤立感与遵守 USPSTF 建议进行乳腺癌筛查的相关性:利用 2022 年行为风险因素监测系统 (BRFSS) 调查中 71,583 名 50 至 74 岁女性的数据,我们估算了多变量逻辑回归,以评估不同社会心理因素类别下坚持筛查的几率。我们考虑了各种人口统计学和社会经济学相关因素,并检验了收入和教育程度分组内关系的稳健性:结果:我们发现,对自己生活不满意的女性与表示非常满意的女性相比,坚持治疗的可能性要低 52.0%。同样,很少/从未获得情感支持和总是/经常感到社会孤立的妇女与总是获得支持和从未感到社会孤立的妇女相比,坚持的可能性分别降低了 51.6% 和 39.9%。这些结果在不同收入水平和教育程度的人群中都是稳健的:我们的研究结果表明,社会环境、心理健康与乳腺癌筛查的依从性之间存在密切联系,因此建议采取潜在的社会心理干预措施,以提高乳腺癌筛查的依从性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Role of life satisfaction, emotional support, and feeling of social isolation on adherence to breast cancer screening recommendations among US women

Background

Psychosocial factors can play important roles in promoting preventive health behaviors. This study aimed to assess how life satisfaction, receipt of emotional support, and feeling of social isolation were associated with adherence to the USPSTF recommendation of breast cancer screening in a nationally representative US population.

Methods

Using data on 71,583 women aged 50 to 74 years, from the 2022 Behavioral Risk Factor Surveillance System (BRFSS) survey, we estimated multivariable logistic regressions to assess the odds of adherence across different categories of the respective psychosocial constructs. We accounted for various demographic and socioeconomic correlates and checked the robustness of the relationship within income and educational sub-groups.

Results

We found that women who were dissatisfied with their life were 52.0% less likely to adhere compared to women who reported to be very satisfied. Similarly, women who rarely/never got emotional support and who always/usually felt socially isolated were 51.6% and 39.9% less likely to adhere, compared to women who always got support and never felt isolated, respectively. These results were robust across different levels of income and educational attainment.

Conclusion

Our findings demonstrated a strong association between social environment, psychological wellbeing, and adherence to breast cancer screening, and thus suggested scope of potential psychosocial interventions to improve adherence.

Policy summary

Efforts to improve women’s psychosocial wellbeing could facilitate compliance with breast cancer screening recommendations.

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来源期刊
Journal of Cancer Policy
Journal of Cancer Policy Medicine-Health Policy
CiteScore
2.40
自引率
7.70%
发文量
47
审稿时长
65 days
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