Saeed Raed Saeed, Bakir Yousif Yacoub, Ali Layla Mohammed
Department of Radiological Sciences, Faculty of Allied Health Sciences, Kuwait University, Sulaibikhat, Kuwait E-mail :
Asian Pac J Cancer Prev. 2014;15(15):6307-13. doi: 10.7314/apjcp.2014.15.15.6307.
The aim of this study was to examine the knowledge and awareness of women in Kuwait with regard to risk factors, symptoms and diagnostic procedures of breast cancer. A total of 521 questionnaires were distributed among women in Kuwait. Results showed that 72% of respondents linked breast cancer factors to family history, while 69.7% scored abnormal breast enlargement as the most detectable symptom of the disease. Some 84% of participants had heard about self-examination, but knowledge about mammograms was limited to 48.6% and only 22.2% were familiar with diagnostic procedures. Some 22.9% of respondents identified the age over 40 years as the reasonable age to start mammogram screening. Risk factor awareness was independent on age groups (p>0.05), but both high education and family history increased the likelihood of postivie answers; the majority knew about a few factors such as aging, pregnancy after age 30, breast feeding for short time, menopause after age of 50, early puberty, and poor personal hygiene. In conclusion, 43.1% of participants had an overall good knowledge of breast cancer with regards to symptoms, risk factors and breast examination. Very highly significant associations (p<0.005) were evident for all groups except for respondents distributed by nationality (p=0.444). Early campaigns for screening the breast should be recommended to eliminate the confusion of wrong perceptions about malignant mammary disease.
本研究的目的是调查科威特女性对乳腺癌风险因素、症状及诊断程序的了解和认识。共向科威特女性发放了521份问卷。结果显示,72%的受访者将乳腺癌因素与家族病史联系起来,而69.7%的受访者将乳房异常增大列为该疾病最易察觉的症状。约84%的参与者听说过自我检查,但对乳房X光检查的了解仅为48.6%,只有22.2%的人熟悉诊断程序。约22.9%的受访者认为40岁以上是开始进行乳房X光筛查的合理年龄。风险因素认知与年龄组无关(p>0.05),但高学历和家族病史都会增加肯定回答的可能性;大多数人了解一些因素,如衰老、30岁后怀孕、母乳喂养时间短、50岁后绝经、青春期早发以及个人卫生习惯差。总之,43.1%的参与者对乳腺癌的症状、风险因素及乳房检查有总体良好的认知。除按国籍分类的受访者外(p=0.444),所有组之间均存在非常显著的关联(p<0.005)。应建议尽早开展乳房筛查活动,以消除对乳腺恶性疾病的错误认知所带来的困惑。