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科威特的女性了解乳腺癌及其诊断程序吗?

Are women in Kuwait aware of breast cancer and its diagnostic procedures?

作者信息

Saeed Raed Saeed, Bakir Yousif Yacoub, Ali Layla Mohammed

机构信息

Department of Radiological Sciences, Faculty of Allied Health Sciences, Kuwait University, Sulaibikhat, Kuwait E-mail :

出版信息

Asian Pac J Cancer Prev. 2014;15(15):6307-13. doi: 10.7314/apjcp.2014.15.15.6307.

Abstract

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.

摘要

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。

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