[Study on a breast-disease screening program and related factors among rural married women at reproductive age in Anhui province].

OBJECTIVE

To study the prevalence and its related factors on breast-diseases among women at reproductive age in the rural areas of Anhui province, and to provide data for the development of prevention and healthcare on breast-diseases.

METHODS

54 400 rural fertile women aged 15 - 49 were surveyed by a stratified-cluster-random sampling method. Breast examination was conducted in two steps: converging at the clinics, and later visiting their households. Clinical examination and X-ray scanning check up were performed.

RESULTS

The rate of the breast-disease among the rural fertile women was 10.69%, and the first three breast-diseases were galactophore hyperplasia, fibroadenoma and intracanalicular papilloma, their prevalence were 9.39%, 0.65% and 0.50% respectively. The results of logistic regression showed in comparison with women and their husbands who were under 29, low education, husbands being farmers, medium menstrual flow, no dysmenorrheal, the total number of deliveries was 0 while no history of abortion, those who aged 30 to 44, high education, husbands were doing other jobs (they were mainly businessmen or teachers), more menstrual flow, dysmenorrheal, the total number of deliveries was 1, they were more likely to got breast diseases. However in comparison with women who earned less than 5000 Yuan per year, those who had 5001 to 8000 Yuan per year were less likely to get breast diseases.

CONCLUSION

Breast diseases were prevalent among rural fertile women and were affected by multi-factors. We suggested that screening program on breast cancer should be carried out at regular intervals and at the same time, to intensify second-class prevention of breast cancer, together with actively treating patients with galactophore hyperplasia, to reduce the prevalence of precancerous pathological changes.