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埃及明亚地区农村妇女对乳腺癌及其筛查的认知:一项基于人群的研究

Awareness about Breast Cancer and Its Screening among Rural Egyptian Women, Minia District: a Population-Based Study.

作者信息

Esmail Hassan Ebtesam, Seedhom Amany Edward, Mahfouz Eman Mohamed

机构信息

Public Health Department, Minia University, Minia, Egypt. Email:

出版信息

Asian Pac J Cancer Prev. 2017 Jun 25;18(6):1623-1628. doi: 10.22034/APJCP.2017.18.6.1623.

Abstract

Background: Recent global cancer statistics indicate rising global incidence of breast cancer and the increase is occurring at a faster rate in developing countries. Training women how to carry out breast self-examination (BSE) can help them to be alert to any abnormalities in their breasts to speedily seek medical consultation. Health behavior may be influenced by level of awareness about breast cancer. Methods: A cross-sectional community- based study aimed to assess the level of knowledge about breast cancer risk factors, early warning signs, screening approaches and related predictors. Also, to determine the extent of practice of breast self- examination (BSE) among rural women, Minia in the period from February to May 2016. A total of 600 women were randomly included in the study. A questionnaire included socio-demographic characteristics and information related to their knowledge about breast cancer. Data analysis was carried out using SPSS version 19. Results: Moderate and high knowledge scores were presented by 46.9 %. Nearly 40% of participants had the knowledge that smoking increased the likelihood of cancer breast and almost 30% of them affirmed that being obese or having a positive family history of cancer breast made them vulnerable to cancer breast. It was found that 28.7% and 18.2% of them knew that aging and nulliparity increased the likelihood of breast cancer. Participants with better knowledge score were 4.8 times more likely to practice BSE. Conclusion: This study revealed poor knowledge among rural women regarding cancer breast. BSE and clinical breast examination were not well practiced. It is recommended to create awareness programs about breast cancer and regular patterns of BSE.

摘要

背景

近期全球癌症统计数据表明,全球乳腺癌发病率呈上升趋势,且在发展中国家上升速度更快。培训女性如何进行乳房自我检查(BSE)有助于她们警惕乳房的任何异常情况,以便迅速寻求医疗咨询。健康行为可能会受到对乳腺癌认知水平的影响。方法:一项基于社区的横断面研究旨在评估对乳腺癌危险因素、早期预警信号、筛查方法及相关预测因素的知晓程度。此外,确定2016年2月至5月期间米尼亚农村妇女乳房自我检查(BSE)的实践程度。共有600名妇女被随机纳入该研究。一份问卷包括社会人口学特征以及与她们对乳腺癌的认知相关的信息。使用SPSS 19版进行数据分析。结果:46.9%的人知识得分中等和较高。近40%的参与者知道吸烟会增加患乳腺癌的可能性,近30%的人确认肥胖或有乳腺癌家族史会使她们易患乳腺癌。发现28.7%和18.2%的人知道衰老和未生育会增加患乳腺癌的可能性。知识得分较高的参与者进行BSE的可能性高4.8倍。结论:本研究揭示农村妇女对乳腺癌的认知较差。BSE和临床乳房检查的实践情况不佳。建议开展关于乳腺癌和BSE常规模式的宣传项目。

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