Balekouzou Augustin, Yin Ping, Pamatika Christian Maucler, Nambei Sylvain Wilfrid, Djeintote Marceline, Doromandji Eric, Gouaye Andre Richard, Yamba Pascal Gastien, Guessy Elysee Ephraim, Ba-Mpoutou Bertrand, Mandjiza Dieubeni Rawago, Shu Chang, Yin Minghui, Fu Zhen, Qing Tingting, Yan Mingming, Mella Grace, Koffi Boniface
Department of Epidemiology and Biostatistics, School of Public Health, Tongji Medical College of Huazhong University of Sciences and Technology, Wuhan, China E-mail :
Asian Pac J Cancer Prev. 2016;17(8):3769-76.
Breast cancer is the leading cause of cancer deaths among women worldwide. High breast cancer mortality has been attributed to lack of public awareness of the disease. Little is known about the level of knowledge of breast cancer in Central African Republic. This study aimed to investigate the knowledge of health professionals on breast cancer.
This cross-sectional study was conducted among 158 health professionals (27 medical; 131 paramedical) in 17 hospitals in Bangui using a self-administered questionnaire. Descriptive statistical analysis, Person's χ 2 test and ANOVA were applied to examine associations between variables with <0.05 being considered significant.
Data analyzed using SPSS version 20 indicates that average knowledge about breast cancer perception of the entire population was 47.6%, diagnosis method 45.5%, treatment 34.3% and risk factors 23.8%. Most respondents (65.8%) agreed that breast cancer is important in the Central African Republic and that family history is a risk factor (44.3%). Clinical assessments and mammography were considered most suitable diagnostic methods, and surgery as the best treatment. The knowledge level was significantly higher among medical than paramedical staff with regard to risk factors, diagnosis and treatment. However the trainee group had very high significant differences of knowledge compared with all other groups.
There is a very urgent need to update the various training programs for these professionals, with recommendations of retraining. Health authorities must create suitable structures for the overall management of cancer observed as a serious public health problem.
乳腺癌是全球女性癌症死亡的主要原因。乳腺癌死亡率高归因于公众对该疾病缺乏认识。关于中非共和国乳腺癌的知识水平知之甚少。本研究旨在调查卫生专业人员对乳腺癌的了解情况。
本横断面研究在班吉17家医院的158名卫生专业人员（27名医生；131名辅助医务人员）中进行，使用自填式问卷。应用描述性统计分析、皮尔逊卡方检验和方差分析来检验变量之间的关联，P<0.05被认为具有统计学意义。
使用SPSS 20版分析的数据表明，全体人群对乳腺癌认知的平均知晓率为47.6%，诊断方法知晓率为45.5%，治疗知晓率为34.3%，危险因素知晓率为23.8%。大多数受访者（65.8%）认为乳腺癌在中非共和国很重要，且家族史是一个危险因素（44.3%）。临床评估和乳房X线摄影被认为是最合适的诊断方法，手术是最佳治疗方法。在危险因素、诊断和治疗方面，医生的知识水平明显高于辅助医务人员。然而，实习生组与所有其他组相比，知识差异非常显著。
迫切需要更新针对这些专业人员的各种培训计划，并建议进行再培训。卫生当局必须建立适当的结构，以对作为严重公共卫生问题的癌症进行全面管理。
