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[乳腺癌预防——1998 - 2002年女性的意识与健康行为变化]

[Breast cancer prevention--awareness and health behavior changes in women in 1998-2002].

作者信息

Jokiel Maria, Bielska-Lasota Magdalena, Kraszewska Ewa

机构信息

Zakład Organizacji Badań Masowych Centrum Onkologii-Instytutu im. Marii Skłodowskiej-Curie w Warszawie.

出版信息

Przegl Epidemiol. 2003;57(3):521-30.

Abstract

AIM

To find changes in the proportion of women who declared they were aware of breast self examination (BSE) and performed it regularly in 1998 and in 2002, as well as in the proportion of those who declared health behaviour connected with secondary prevention of breast cancer. Also to define the groups of women who especially need health education and prophylactic intervention.

METHODS

The results of two breast cancer prevention surveys on representative samples of Polish women aged over 18 + years were compared. The data were analysed in groups of women categorised according to selected demographic and social factors.

RESULTS

The substantial increase in the proportion of women who declared that they performed mammography in 2002 in relation to 1998. The percent of women who declared other prophylactic behaviours in 2002 did not change or was even lower in some groups. The decrease of doctors' activity in the field of secondary prevention of cancer was also observed.

CONCLUSIONS

  1. It is important to continue educational work and intervention measures concerning breast cancer prevention, with special attention to the most neglected groups of women. 2. It would be important to continue educating doctors in prophylactic breast examination and establish some obligatory rules in this area. 3. It would be beneficial to introduce breast cancer screening in Poland on the national scale. A model of such screening has already been implemented.
摘要

目的

了解1998年和2002年宣称知晓乳房自我检查(BSE)并定期进行该检查的女性比例的变化,以及宣称与乳腺癌二级预防相关健康行为的女性比例的变化。同时确定特别需要健康教育和预防性干预的女性群体。

方法

比较了对18岁以上波兰女性代表性样本进行的两项乳腺癌预防调查的结果。根据选定的人口统计学和社会因素对女性群体的数据进行了分析。

结果

与1998年相比,2002年宣称进行乳房X光检查的女性比例大幅增加。2002年宣称有其他预防行为的女性百分比在某些群体中没有变化甚至更低。还观察到医生在癌症二级预防领域的活动有所减少。

结论

  1. 继续开展有关乳腺癌预防的教育工作和干预措施很重要,尤其要关注最被忽视的女性群体。2. 继续对医生进行预防性乳房检查教育并在该领域制定一些强制性规则很重要。3. 在波兰全国范围内引入乳腺癌筛查将是有益的。这样的筛查模式已经实施。

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