PhD, RN, Associate Professor, Department of Nursing, Chung Hwa University of Medical Technology.
J Nurs Res. 2018 Apr;26(2):112-122. doi: 10.1097/jnr.0000000000000210.
Breast cancer is a major global health issue. Receiving regular breast cancer screenings aids in the early detection and treatment of breast cancer. Numerous factors influence whether a Vietnamese woman receives breast cancer screening.
The aims of this study were to understand current rates of breast cancer screening and explore the factors that influence intention to undergo breast cancer screening among Vietnamese women in transnational marriages.
This was a cross-sectional, community-based study. Data were collected via snowball sampling. We enrolled 250 women aged 18 years and over from September to December 2015.
The percentage of participants who had received a breast self-examination, breast palpation, or breast ultrasound within the past year were 25.6%, 9.6%, and 21.2%, respectively. Moreover, only 6.8% of participants had received a mammography within the past 2 years. Participants with strong perceptions of breast cancer being a serious illness, who had fewer barriers to obtaining a breast cancer screening, or who had been advised by healthcare personnel to undergo screenings were more likely to report an intention to receive periodic breast self-examinations during the subsequent 1-year period. Participants who had lived in Taiwan for a longer period, had higher levels of perceived susceptibility to breast cancer, had prior experience with breast diseases, or had fewer barriers to obtaining a breast cancer screening were more likely to report an intention to receive a breast ultrasound during the subsequent 1-year period. Finally, participants who were older, perceived greater benefits from receiving breast cancer screening, and had not entered menopause were more likely to report an intention to receive a mammography during the following 2 years.
CONCLUSIONS/IMPLICATIONS FOR PRACTICE: Medical care personnel should promote breast cancer screening among Vietnamese women in transnational marriages. The results may be useful in promoting greater awareness among medical care personnel of breast cancer issues and efficacy in performing breast cancer screening for Vietnamese women in transnational marriages and provide references for the establishment of breast cancer prevention and control policies.
乳腺癌是一个全球性的重大健康问题。定期接受乳腺癌筛查有助于早期发现和治疗乳腺癌。许多因素会影响越南女性是否接受乳腺癌筛查。
本研究旨在了解越南跨国婚姻女性乳腺癌筛查的现状,并探讨影响其乳腺癌筛查意愿的因素。
本研究采用横断面、基于社区的研究方法。通过雪球抽样,于 2015 年 9 月至 12 月招募了 250 名年龄在 18 岁及以上的女性。
在过去一年中,分别有 25.6%、9.6%和 21.2%的参与者接受过乳房自我检查、乳房触诊或乳房超声检查。此外,仅有 6.8%的参与者在过去 2 年内接受过乳房 X 线检查。参与者对乳腺癌严重程度的认识较强、获得乳腺癌筛查的障碍较少或曾被医务人员建议进行筛查的,更有可能报告在随后的 1 年内定期进行乳房自我检查的意愿。在台湾居住时间较长、对乳腺癌的易感性感知较高、有过乳房疾病史或获得乳腺癌筛查的障碍较少的参与者,更有可能报告在随后的 1 年内接受乳房超声检查的意愿。最后,年龄较大、认为接受乳腺癌筛查获益较大且未绝经的参与者,更有可能报告在随后的 2 年内接受乳房 X 线检查的意愿。
结论/对实践的启示:医疗保健人员应促进越南跨国婚姻女性进行乳腺癌筛查。研究结果有助于提高医疗保健人员对乳腺癌问题的认识,提高对越南跨国婚姻女性进行乳腺癌筛查的效果,并为制定乳腺癌防治政策提供参考。