Ravichandran Kandasamy, Al-Hamdan Nasser A, Mohamed Gamal
BESC Department, King Faisal Specialist Hospital and Research Center, Riyadh 11525, Saudi Arabia.
J Family Community Med. 2011 Sep;18(3):135-42. doi: 10.4103/2230-8229.90013.
To examine self-reported knowledge, attitude, and preventive practices on cancer among Saudis.
Data was collected from Saudis aged 15 years or more, who attended one of the randomly selected 20 Primary Health Centers (PHC) or the four major private hospitals located in the Riyadh region, either as patients or their escorts. The association between the variables was evaluated by the Chi square test.
The study population consisted of 618 males and 719 females. Among the female respondents 23.1% reported that they practiced breast self-examination (BSE); 14.2 and 8.1%, respectively, had clinical breast examination (CBE) and mammography. However, 10.0 and 16.1% of the females, aged 40 years and older, reported having had mammograms and CBE, respectively. The BSE performers were more educated, knew someone with cancer, and had heard of the cancer warning signal. Both educational level and 'heard of cancer warning signal' were significantly related to CBE. Cancer information was received from television / radio by 65.1% and from the physician by 29.4%. Even though 69.4% believed that cancer could be detected early, a vast majority (95.8%) felt early detection of cancer was extremely desirable and 55.1% said their participation was definite in any screening program. A majority of the respondents (92.6%) insisted on the need for physician recommendation to participate and 78.1% expected that any such program should be conducted in the existing hospitals / clinics.
Culturally sensitive health education messages should be tailored to fulfill the knowledge gap among all population strata. Saudis will benefit from partnerships between public health educators and media to speed up the dissemination of cancer information.
调查沙特人关于癌症的自我报告知识、态度和预防措施。
数据收集自年龄在15岁及以上的沙特人,他们作为患者或陪同人员前往利雅得地区随机选择的20家初级卫生保健中心(PHC)之一或四家大型私立医院就诊。变量之间的关联通过卡方检验进行评估。
研究人群包括618名男性和719名女性。在女性受访者中,23.1%报告进行过乳房自我检查(BSE);分别有14.2%和8.1%进行过临床乳房检查(CBE)和乳房X光检查。然而,40岁及以上的女性中,分别有10.0%和16.1%报告进行过乳房X光检查和CBE。进行BSE的人受教育程度更高,认识患癌症的人,并且听说过癌症警示信号。教育水平和“听说过癌症警示信号”都与CBE显著相关。65.1%的人从电视/广播获得癌症信息,29.4%的人从医生处获得。尽管69.4%的人认为癌症可以早期发现,但绝大多数(95.8%)认为早期发现癌症非常可取,55.1%的人表示肯定会参加任何筛查项目。大多数受访者(92.6%)坚持需要医生推荐才能参加,78.1%的人期望任何此类项目应在现有医院/诊所进行。
应制定具有文化敏感性的健康教育信息,以填补所有人群阶层的知识空白。沙特人将受益于公共卫生教育工作者与媒体之间的合作,以加快癌症信息的传播。