国内外“两癌”筛查服务利用与提供的研究进展及启示*
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1.南京医科大学人文社会科学学院;2.南京医科大学第四临床医学院;3.南京医科大学药学院

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江苏省高等学校大学生创新创业训练计划项目“社会资本与社会心理学理论耦合视角下的社区适龄妇女宫颈癌筛查意愿研究”


The domestic and abroad research progress of and enlightenments for the utilization and provision of cervical and breast cancer screening service
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1.School of Humanities and Social Sciences,Nanjing Medical University;2.The Fourth School of Clinical Medicine,Nanjing Medical University;3.School of Pharmacy, Nanjing Medical University

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    摘要:

    目的:为国内开展“两癌”筛查服务利用与提供的相关研究提供借鉴与启示;方法:检索Pubmed、cnki等国内外数据库搜索相关文献,并对国内外文献进行整理归纳与比较分析;结果:国外研究以社会心理学、行为学等健康信念理论为研究框架,强调社会心理、行为因素、社会资本对供需双方“两癌”筛查服务利用与提供的影响,并依此设计相应的干预策略,但是以供方视角分析筛查服务提供影响因素的研究偏少。国内的研究以需方参与筛查服务的影响因素分析为主,但是大部分研究缺少必要的理论基础,且研究结果中识别的影响因素未能成为促进妇女参与筛查的干预措施中主要针对性的目标,缺少对供方组织和个体层面的系统研究,无法深入揭示筛查服务利用程度较低的供方原因;结论:国内研究者应加强对供方“两癌”筛查服务提供意愿与行为的影响因素分析,建立适合我国城乡妇女“两癌”筛查依从行为解释和干预的理论模型,积极开发提高城乡妇女参与“两癌”筛查依从行为的综合干预方案。

    Abstract:

    Objective To provide suggestions and enlightenments for the domestic studies which are focus on cervical cancer and breast cancer screening service. Methods:By searching the Databases such as Pubmed and Cnki, the relavant literature were reorganized,SanalyzedSand compared. Results: The health belief models, such as social phychology and ethology etc.,are regarded as the research framework in abroad studies. The influence of social psychology, behavior factor and social capital on the provider and demander of cervical and breast cancer screening services is emphasized in abroad studies. Accordingly, the corresponding intervention strategy is designed. However, the abroad studies, which focus on influencing factors of screening service from the perspective of the supplier, are less common. Domestic studies, which focus on the influence factors of screening services from the perspective of the demand side, are very common. But most of the studies lack the necessary theoretical basis, and the influence factors that are identified in the results of these studies failed to be adoptted in the interventions. Moreover, these domestic studies failed to analyze the supplier’s behaviour at the organizational and individual level and were unable to discover the reason why the cancer screening services were with low participation from the supplier side. Conclusions: Domestic researchers should strengthen the analysis on the supplier’s intention and behavior to provide cervical and breast cancer screening services, establish the theory model of behavior explanation and intervention which is suitable for China"s urban and rural women"s cervical cancer and breast cancer screening, develop the comprehensive intervention plan that could improve urban and rural women’s intention to participate in the cervical cancer and breast cancer screening.

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  • 收稿日期:2016-11-30
  • 最后修改日期:2017-01-02
  • 录用日期:2017-02-23
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