目的：分析女性中老年糖尿病病人乳房攝影的利用率及與50至68歲女性有無利用乳房攝影之相關因素。方法：本研究使用國家衛生研究院發行之全民健康保險研究資料庫，以 9,254位50至68歲女性糖尿病病人為病例組，再匹配年齡隨機抽取37,016位一般女性為對照組。結果：在控制其他變項後，研究結果顯示，相較於一般女性，有糖尿病的女性顯著較少利用乳房攝影。其他獨立影響女性有無利用乳房攝影的顯著相關因素，包含年齡層別、居住地區、是否為低收入戶、前一年門診總看診次數、疾病嚴重程度、前一年有無利用婦產科門診、前一年有無利用子宮頸癌篩檢、前兩年有無利用乳房攝影、前三年有無相關乳房疾病診斷、前三年有無利用賀爾蒙藥物、前三年有無利用乳房超音波檢查及前三年有無利用成人健康檢查。結論：女性糖尿病人明顯較少利用乳房攝影，因此，建議衛生主管機關及臨床醫護人員宜對50 至68 歲女性糖尿病病人進行衛生教育的介入，進而達成早期發現早期治療的目標。

Objectives: The objectives of this study were to compare the utilization of mammography by diabetic women between the ages of 50 and 68 with that of non-diabetic women in the same age range, and to explore factors related to whether or not mammography was performed on women between the ages of 50 and 68.Methods: Our study utilized the National Health Insurance Research Database, published by the National Health Research Institute. A total of 9,254 diabetic women between the ages of 50 and 68 were chosen as the diabetic group, and 37,016 healthy women were age-matched and randomly sampled to provide a control group.Results: Our results demonstrated that, after accounting for all other variables, diabetic women were less likely to have mammograms than were healthy women (diabetic group 9.66%, control group 10.90%; OR=0.80, p＜0.001).Conclusions: Compared to healthy women between the ages of 50 and 68, diabetic women were less likely to have mammograms. We therefore recommend that diabetic women between the ages of 50 and 68 receive health education intervention by competent health authorities and clinical medical personnel in order to educate them about the risks of breast cancer and the importance of regular mammographic examination for early diagnosis and treatment.