Duda Rosemary B, Bhushan Devika
Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02115, USA.
J Cancer Educ. 2011 Sep;26(3):560-5. doi: 10.1007/s13187-011-0244-9.
Breast cancer has emerged as an important health condition worldwide, including developing countries. Screening is limited or non-existent in resource-poor areas. The purpose of this study was to assess knowledge, attitudes, and practices of self (SBE) and clinical (CBE) breast examinations among 198 rural Nicaraguan women. Ten (5.1%) had performed a SBE, and 16 (8.1%) had a CBE. CBE was significantly associated with a pre-instruction total score of 70% or greater (OR = 13.7, 95% CI = 1.26, 149.70, p = 0.03). Family history of breast cancer was significantly associated with performing a SBE (OR = 5.5, 95% CI = 1.10, 27.81, p = 0.037) and a CBE (OR = 7.1, 95% CI = 1.40, 35.94, p = 0.018). A CBE is a significant determinant of pre-existing breast health knowledge. Physicians or physician extenders should be encouraged to perform a CBE as a routine component of health care delivery and cancer screening for women.
乳腺癌已成为包括发展中国家在内的全球重要健康问题。在资源匮乏地区，筛查工作有限或根本不存在。本研究旨在评估198名尼加拉瓜农村妇女对自我乳房检查（SBE）和临床乳房检查（CBE）的知识、态度及实践情况。10名（5.1%）妇女进行过自我乳房检查，16名（8.1%）接受过临床乳房检查。临床乳房检查与指导前总分达到70%及以上显著相关（比值比[OR]=13.7，95%置信区间[CI]=1.26，149.70，p=0.03）。乳腺癌家族史与进行自我乳房检查（OR=5.5，95%CI=1.10，27.81，p=0.037）和临床乳房检查（OR=7.1，95%CI=1.40，35.94，p=0.018）显著相关。临床乳房检查是已有乳房健康知识的一个重要决定因素。应鼓励医生或医生助理将临床乳房检查作为妇女医疗保健和癌症筛查的常规组成部分来开展。
