TY - JOUR A2 - Radfar，阿米尔AU - Szukis，冬青A. AU - 秦，博AU - 兴，凯瑟琳Y. AU - Doose，米歇尔AU - 徐，白尘AU - 翠，珍妮弗AU - 林，永盟 - Hirshfield, Kim M. AU - Ambrosone, Christine B. AU - Demissie, Kitaw AU - Hong, Chi-Chen AU - Bandera, Elisa V. AU - Llanos, Adana A. M. PY - 2019 DA - 2019/07/04 TI - Factors Associated with Initial Mode of Breast Cancer Detection among Black Women in the Women’s Circle of Health Study SP - 3529651 VL - 2019 AB - Mammogram-detected breast cancers have a better prognosis than those identified through clinical breast exam (CBE) or through self-detection, primarily because tumors detected by mammography are more likely to be smaller and do not involve regional nodes. In a sample of 1,322 Black women, aged 40-75 years, diagnosed with breast cancer between 2002 and 2016, we evaluated factors associated with CBE and self-detection versus screening mammogram as the initial mode of breast cancer detection, using multivariable logistic regression models. Compared with screening mammogram, history of routine screening mammogram (OR 0.20, 95% CI: 0.07, 0.54) and performance of breast self-examination (BSE) (OR 0.31, 95% CI: 0.13, 0.74) before diagnosis were associated with lower odds of CBE as the initial mode of detection, while performance of CBEs before diagnosis (OR 11.04, 95% CI: 2.24, 54.55) was positively associated. Lower body mass index (<25.0 kg/m²与≥35.0千克/米²：OR 2.46，95％CI：1.52，3.98），诊断前BSES的性能（少于每月一次：OR 4.08，95％CI：2.45，6.78;至少每月：OR 4.99，95％CI：3.13，7.97），以及较大的肿瘤大小（1.0-2.0厘米与<1.0厘米：OR 2.92，95％CI：1.84，4.64;>2.0厘米与<1.0厘米：OR 6.41，95％CI：3.30，12.46）的相关联的与增加的相对自我检测的几率筛选乳房X光检查。CBE和自我检测的黑人妇女的乳腺癌检测的初始模式的赔率是独立与乳腺保健和乳腺癌筛查诊断前服务，并在诊断肿瘤较大关联。SN - 1687-8450 UR - https://doi.org/10.1155/2019/3529651 DO - 10.1155 /三百五十二万九千六百五十一分之二千○一十九JF - 肿瘤学杂志PB的 - Hindawi出版KW - ER -