Nazzal Zaher, Sholi Hisham, Sholi Suha B, Sholi Mohammad B, Lahaseh Rawya
Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, West Bank, occupied Palestinian territory.
Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, West Bank, occupied Palestinian territory.
Lancet. 2018 Feb 21;391 Suppl 2:S51. doi: 10.1016/S0140-6736(18)30417-3.
Mammography screening is an effective tool for early detection and management of breast cancer. Female health-care workers' awareness of breast cancer screening is important because their beliefs and behaviours could influence other women. The aim of this study was to assess mammography screening uptake by female health-care workers at primary health-care centres and to identify the primary motivators and barriers that affect uptake.
This cross-sectional study included all governmental primary health-care centres in the West Bank. Governorates were grouped into three regions as follows: north West Bank (Nablus, Jenin, Tulkarm, Tubas, Qalqiliya, and Salfit), middle West Bank (Jerusalem, Jericho, and Ramallah), and south West Bank (Hebron, and Bethlehem). The study population included all female health-care workers older than 40 years. Those who performed mammography for a suspected mass or other breast abnormalities were excluded. A self-administered questionnaire was used to collect data on demographic characteristics, knowledge about mammography screening, the extent and regularity of mammography screening, and motivators and barriers influencing their mammography screening uptake. The rate of mammography screening uptake was calculated. χ test and t tests were used to assess screening motivators and barriers. The study was approved by the Institutional Review Board of the An-Najah National University. Participation was voluntary, and written consent was obtained from each participant.
299 female health-care workers completed a self-administered questionnaire. The mean age of the participants was 46 years (SD 4·7). 284 (95%) women had adequate knowledge about breast cancer and mammography screening, and 149 (50%) women reported having had at least one mammogram. 62 (21%) women had had regular scheduled mammograms. The most frequent reported motivators were the perceived benefit that early detection of breast cancer is important for its management (269 [90%] women) and the belief that mammography can detect breast cancer before its symptoms appear (251 [84%] women). The most frequent barrier to mammography screening was being busy (140 [47%] women) and the lack of perceived susceptibility (125 [42%] women).
Mammography screening was suboptimal in a population of female health-care workers. Educational interventions are needed to remove barriers that limit compliance to recommendations and to emphasise the importance of early detection in breast cancer management. Ensuring the availability and accessibility of screening services, particularly for health-care workers within their work settings, would improve the acceptance and compliance for mammography screening programmes.
None.
乳腺钼靶筛查是早期发现和管理乳腺癌的有效工具。女性医护人员对乳腺癌筛查的认知很重要，因为她们的观念和行为可能会影响其他女性。本研究的目的是评估基层医疗中心女性医护人员的乳腺钼靶筛查接受情况，并确定影响接受程度的主要动机和障碍。
这项横断面研究纳入了约旦河西岸所有政府基层医疗中心。省份被分为三个区域，如下所示：约旦河西岸北部（纳布卢斯、杰宁、图勒凯尔姆、图巴斯、盖勒吉利耶及萨尔费特）、约旦河西岸中部（耶路撒冷、杰里科及拉马拉）和约旦河西岸南部（希布伦及伯利恒）。研究人群包括所有40岁以上的女性医护人员。因疑似肿块或其他乳房异常而进行乳腺钼靶检查的人员被排除。使用一份自填式问卷收集有关人口统计学特征、乳腺钼靶筛查知识、乳腺钼靶筛查的范围和规律性，以及影响其乳腺钼靶筛查接受程度的动机和障碍的数据。计算乳腺钼靶筛查接受率。采用χ检验和t检验评估筛查动机和障碍。本研究获得了纳贾赫国立大学机构审查委员会的批准。参与是自愿的，且获得了每位参与者的书面同意。
299名女性医护人员完成了一份自填式问卷。参与者的平均年龄为46岁（标准差4.7）。284名（95%）女性对乳腺癌和乳腺钼靶筛查有充分了解，149名（50%）女性报告至少进行过一次乳腺钼靶检查。62名（21%）女性进行过定期乳腺钼靶检查。最常报告的动机是认为早期发现乳腺癌对其治疗很重要（269名[90%]女性），以及相信乳腺钼靶检查能在乳腺癌出现症状之前检测出该病（251名[84%]女性）。乳腺钼靶筛查最常见的障碍是忙碌（140名[47%]女性）和缺乏易感性认知（125名[42%]女性）。
在女性医护人员群体中，乳腺钼靶筛查情况并不理想。需要开展教育干预，以消除限制遵循建议的障碍，并强调早期发现对乳腺癌治疗的重要性。确保筛查服务的可获得性和可及性，尤其是在工作场所为医护人员提供服务，将提高对乳腺钼靶筛查项目的接受度和依从性。
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