Mohaghegh Pegah, Yavari Parvin, Akbari Mohammad Esmaeil, Abadi Alireza, Ahmadi Farzaneh, Shormeij Zeinab
Dept. of Health and Community Medicine, School of 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. 2015 Jan-Feb;8(1):53-9.
Not only the expand development of knowledge for reducing risk factors, but also the improvement in early diagnosis and treatment of cancer, and socioeconomic inequalities could affect cancer incidence, diagnosis stage, and mortality. The aim of this study was investigation the relationships between family levels of socioeconomic status and distribution of breast cancer risk factors.
This descriptive cross-sectional study has conducted on 526 patients who were suffering from breast cancer, and have registered in Cancer Research Center of Shahid Beheshti University of Medical Sciences from March 2008 to December 2013. A reliable and valid questionnaire about family levels of socioeconomic status has 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 SPSS19.
The mean age of the patients was 48.30 (SD=11.41). According to the results of this study, there was a significant relationship between family socioeconomic status and patient's age at diagnosis of breast cancer (p value<0.001). Also, the relationships between socioeconomic status and number of pregnancies, and duration of breast feeding were significant (p value> 0.001). In the multiple logistic regressions, the relationship between excellent socioeconomic status and number of abortions was significant (p value> 0.007). Furthermore, the relationships between moderate and good socioeconomic statuses and smoking were significant (p value=0.05 and p value=0.02, respectively).
The results have indicated that among those patients having better socioeconomic status, age at cancer diagnosis, number of pregnancies and duration of breast feeding was lower, and then number of abortions was more than the others. According to the results of this study, it was really important to focus on family socioeconomic status as a critical and effective variable on breast cancer risk factors among the Iranian women.
不仅降低风险因素的知识不断扩展,癌症早期诊断和治疗的改进,以及社会经济不平等都会影响癌症发病率、诊断阶段和死亡率。本研究的目的是调查家庭社会经济地位水平与乳腺癌风险因素分布之间的关系。
这项描述性横断面研究对526例乳腺癌患者进行,这些患者于2008年3月至2013年12月在设拉子医科大学癌症研究中心登记。通过电话采访患者,填写一份关于家庭社会经济地位水平的可靠有效问卷。为分析数据,使用SPSS19执行多项逻辑回归、肯德尔tau-b相关系数和列联系数检验。
患者的平均年龄为48.30(标准差=11.41)。根据本研究结果,家庭社会经济地位与乳腺癌诊断时患者年龄之间存在显著关系(p值<0.001)。此外,社会经济地位与怀孕次数和母乳喂养持续时间之间的关系也很显著(p值>0.001)。在多元逻辑回归中,优秀社会经济地位与流产次数之间的关系显著(p值>0.007)。此外,中等和良好社会经济地位与吸烟之间的关系也很显著(p值分别为0.05和0.02)。
结果表明,在社会经济地位较好的患者中,癌症诊断年龄、怀孕次数和母乳喂养持续时间较低,而流产次数则比其他患者多。根据本研究结果,关注家庭社会经济地位作为伊朗女性乳腺癌风险因素的关键和有效变量非常重要。