Mohaghegh Pegah, Yavari Parvin, Akbari Mohammad Esmail, Abadi Alireza, Ahmadi Farzane
Dept. of Health and Community Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran ; Cancer Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Cancer Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Iran J Cancer Prev. 2014 Fall;7(4):232-8.
Stage is one of the most important prognostic factors for the cancer diagnosis, including the breast cancer. Studies have found that the rate of breast cancer late-stage diagnosis, among the women with lower socioeconomic status, is more than the others. The aim of this study was investigation the relationship between family levels of socioeconomic status and stage at diagnosis of breast cancer.
This cross-sectional, descriptive study has conducted on 526 patients who have suffered from breast cancer, and have registered in Cancer Research Center of Shahid Beheshti university of Medical science, from March 2008 till December 2013. A reliable and valid questionnaire about family status of socioeconomic status, have filled by interviewing the patients via phone. For analyzing the data, Multinomial logistic regression, Kendal tau-b correlation coefficient and Contingency Coefficient tests have executed by SPSS 19.
The results have indicated that the mean age of the patients was 48.30 (SD=11.41). There was a significant relationship between stage at diagnosis of breast cancer and family levels of socioeconomic status at the time of diagnosis (p=0.024). Also, the relationship between stage at diagnosis and living place (in or out of Tehran) was significant (p=0.044). In the Multiple logistic regressions, these associations were significant. There wasn't any significant relationship between stage of diagnosis of breast cancer and age, marital status and family history.
Regarding the results of this study, deep paying attention to the family socioeconomic status as an important variable in stage at diagnosis of breast cancer, among Iranian women, was too important, and then providing the prevention plans related to this topic has seemed necessary.
分期是癌症诊断(包括乳腺癌)中最重要的预后因素之一。研究发现,社会经济地位较低的女性中乳腺癌晚期诊断率高于其他女性。本研究的目的是调查家庭社会经济地位水平与乳腺癌诊断分期之间的关系。
本横断面描述性研究对2008年3月至2013年12月在沙希德·贝赫什提医科大学癌症研究中心登记的526例乳腺癌患者进行。通过电话访谈患者,填写一份关于家庭社会经济地位的可靠有效问卷。为分析数据,使用SPSS 19执行多项逻辑回归、肯德尔tau-b相关系数和列联系数检验。
结果表明患者的平均年龄为48.30岁(标准差=11.41)。乳腺癌诊断分期与诊断时的家庭社会经济地位水平之间存在显著关系(p=0.024)。此外,诊断分期与居住地点(德黑兰市内或市外)之间的关系也显著(p=0.044)。在多元逻辑回归中,这些关联是显著的。乳腺癌诊断分期与年龄、婚姻状况和家族史之间没有显著关系。
根据本研究结果,在伊朗女性中,高度重视家庭社会经济地位作为乳腺癌诊断分期的一个重要变量非常重要,因此制定与此主题相关的预防计划似乎很有必要。