Abda Naima, Najdi Adil, El Fakir Samira, Tachfouti Nabil, Berraho Mohamed, Chami Khazraji Youssef, Abousselham Loubna, Belakhel Latifa, Bekkali Rachid, Nejjari Chakib
Department of Epidemiology and Public Health, Faculty of Medicine and Pharmacy, University Mohammed Premier, Oujda, Morocco. Email:
Asian Pac J Cancer Prev. 2017 Apr 1;18(4):963-968. doi: 10.22034/APJCP.2017.18.4.963.
Background: Breast cancer is the most common cancer of women in Morocco and its diagnosis is usually made at advanced stages. The aim of this study was to describe the knowledge, practices and attitudes of general practitioners regarding early detection of breast cancer. Methods: A cross-sectional study was carried out during July 2011 on a sample of 140 general practitioners employed in basic health care facilities. Results: The majority (85.7%) of general practitioners were aware of the existence of a ministerial circular which aimed to generalize breast cancer screening. Systematic practice of clinical breast examination was reported by 18.0% of doctors for every woman between 45 and 70 years and a systematic breast self-examination check-up was reported by 59.4% of physicians. Mammography was requested by 54.1% of physicians in the presence of risk factors. Females and physicians practicing in urban areas were less likely to have a knowledge, attitudes and practices score higher than 8 as compared to male physicians and those practicing in rural areas. Discussion and conclusion: Our study showed that the knowledge, attitudes and practices of general practitioners regarding the early detection of breast cancer program were not satisfactory; hence the urgent need for improved implementation of the program in the affected regions.
乳腺癌是摩洛哥女性中最常见的癌症，其诊断通常在晚期进行。本研究的目的是描述全科医生在乳腺癌早期检测方面的知识、实践和态度。方法：2011年7月对140名受雇于基层医疗机构的全科医生进行了一项横断面研究。结果：大多数（85.7%）全科医生知晓旨在普及乳腺癌筛查的部长级通知。18.0%的医生报告称对45至70岁的每位女性进行临床乳房检查，59.4%的医生报告称进行系统的乳房自我检查。54.1%的医生在存在风险因素时要求进行乳房X光检查。与男性医生和在农村地区执业的医生相比，在城市地区执业的女性医生和医生在知识、态度和实践方面得分高于8分的可能性较小。讨论与结论：我们的研究表明，全科医生在乳腺癌早期检测项目方面的知识、态度和实践并不令人满意；因此，迫切需要在受影响地区更好地实施该项目。
