Wong Florence Mei Fung, Cheng Winnie Lai Sheung
School of Nursing, Tung Wah College, Kowloon, Hong Kong SAR, China.
J Menopausal Med. 2019 Apr;25(1):41-48. doi: 10.6118/jmm.2019.25.1.41. Epub 2019 Apr 25.
OBJECTIVES: This study examined breast cancer screening (BCS) practices and its associated factors among menopausal and postmenopausal women. METHODS: A cross-sectional design was conducted using convenience sampling at a community center. The modified Chinese BCS Belief questionnaire was used to understand BCS practice. RESULTS: A total of 144 eligible women presented better knowledge and perceptions about breast cancer (mean, 11.46; standard deviation [SD], 3.65) and barriers to achieving mammographic screening (mean, 14.75; SD, 3.70). Participants aged ≥ 50 years had a negative association with the attitudes towards general health check-ups (B = -1.304, standard error [SE] = 0.65, = 0.046). In this context, having regular physical exercise had a positive association with attitudes towards general health check ups (B = 1.458, SE = 0.06, = 0.017), and knowledge and perceptions about breast cancer (B = 1.068, SE = 0.62, = 0.086). Being employed had a positive associated with barriers to achieving mammographic screening (B = 1.823, SE = 0.51, < 0.001). CONCLUSIONS: The women had better knowledge and perception about breast cancer and fewer barriers to mammographic screening. However, attitudes towards general health check-ups were relatively poor. It is noteworthy that women who aged ≥ 50 years and had insufficient physical exercise had poor attitudes. Those who were employed had fewer barriers, and those who had regular physical exercise had better knowledge on the benefits of the BCS practice. Importantly, women who aged ≥ 50 years and lack physical exercise need education about breast cancer to increase their awareness of breast wellness.
目的:本研究调查了绝经和绝经后女性的乳腺癌筛查(BCS)行为及其相关因素。 方法:采用便利抽样法在社区中心进行横断面设计。使用改良的中国BCS信念问卷来了解BCS行为。 结果:共有144名符合条件的女性对乳腺癌有较好的知识和认知(均值为11.46;标准差[SD]为3.65),以及对进行乳房X光检查的障碍认知(均值为14.75;SD为3.70)。年龄≥50岁的参与者与对一般健康检查的态度呈负相关(B = -1.304,标准误[SE] = 0.65,P = 0.046)。在此背景下,经常进行体育锻炼与对一般健康检查的态度呈正相关(B = 1.458,SE = 0.06,P = 0.017),以及与对乳腺癌的知识和认知呈正相关(B = 1.068,SE = 0.62,P = 0.086)。就业与进行乳房X光检查的障碍呈正相关(B = 1.823,SE = 0.51,P < 0.001)。 结论:这些女性对乳腺癌有较好的知识和认知,进行乳房X光检查的障碍较少。然而,对一般健康检查的态度相对较差。值得注意的是,年龄≥50岁且体育锻炼不足的女性态度较差。就业者的障碍较少,经常进行体育锻炼的人对BCS行为的益处有更好的了解。重要的是,年龄≥50岁且缺乏体育锻炼的女性需要接受乳腺癌教育,以提高她们对乳房健康的认识。
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