Olugbenga-Bello A, Oladele E A, Bello T O, Ojo J O, Oguntola A S
Department of Community Medicine,Ladoke Akintola College of Health Sciences PMB 4400, Osogbo, Osun State Nigeria.
Niger Postgrad Med J. 2011 Mar;18(1):8-15.
this study is aimed at assessing the practices of breast cancer screening and risk perception of women of reproductive age group in a tertiary institution in Osun state.
It was a descriptive cross sectional study carried out at the Federal polytechnic, Ede. A total of 393 eligible respondents recruited using a stratified random sampling technique, were interviewed using semi-structured questionnaire after obtaining a verbal consent from them.
About two thirds (67.9%) of those who had heard of breast cancer knew that there were screening methods available. Of these 91.6% knew breast self examination, 93.2% knew clinical breast examination and only a third 32.8% knew mammography as a screening method. About half of respondents who were aware of breast cancer practice breast self examination. Only 28 (7.6%) of the respondents had ever visited any clinic for breast cancer screening, and 85.7% (24) of the visit was for clinical breast examination while mammography was rarely done (14.3%). Eighty one per cent of those who were aware of breast cancer believed that screening had a role to play.
The study shows that though awareness of breast cancer among respondents was good, the practice of breast cancer screening was poor among the respondents and even worse with screening with mammography. A major recommendation is that initiatives to reduce morbidity and mortality due to breast cancer among young females in the southwest Nigeria should include education on risk factors, early signs and methods of screening for breast cancer.
本研究旨在评估奥孙州一所三级医疗机构中育龄妇女乳腺癌筛查的实践情况及其风险认知。
这是一项在埃代联邦理工学院开展的描述性横断面研究。采用分层随机抽样技术共招募了393名符合条件的受访者,在获得其口头同意后,使用半结构化问卷对他们进行访谈。
在听说过乳腺癌的人中,约三分之二(67.9%)知道有筛查方法。其中,91.6%知道乳房自我检查,93.2%知道临床乳房检查,只有三分之一(32.8%)知道乳房X线摄影作为一种筛查方法。了解乳腺癌的受访者中约有一半进行乳房自我检查。只有28名(7.6%)受访者曾前往任何诊所进行乳腺癌筛查,其中85.7%(24次)是进行临床乳房检查,而乳房X线摄影很少进行(14.3%)。知道乳腺癌的人中有81%认为筛查有作用。
该研究表明,尽管受访者对乳腺癌的知晓度良好,但受访者中乳腺癌筛查的实践情况较差,乳房X线摄影筛查情况更差。一项主要建议是,尼日利亚西南部降低年轻女性因乳腺癌导致的发病率和死亡率的举措应包括对乳腺癌风险因素、早期症状及筛查方法的教育。