Akwo Judith D, Erim Akwa E, Ikamaise Valentine C, Archibong Bassey, Ekpo Ernest U
Faculty of Allied Medical Sciences, Department of Radiography and Radiological Sciences, University of Calabar, Calabar, Nigeria.
Faculty of Allied Medical Sciences, Department of Radiography and Radiological Sciences, University of Calabar, Calabar, Nigeria.
J Med Imaging Radiat Sci. 2019 Jun;50(2):323-330.e2. doi: 10.1016/j.jmir.2019.02.003. Epub 2019 Mar 23.
The objective of this study was to assess the factors influencing women's decision to uptake screening mammography in an underinformed population.
The study is a cross-sectional survey of factors influencing screening uptake.
A modified breast cancer awareness measure was used to assess women's knowledge of breast cancer, mammography, and factors that influence screening uptake. A second questionnaire investigated health professionals' (HPs') attitude to screening and the criteria for screening recommendation. Descriptive statistics were used to assess women's breast cancer awareness, factors that influence screening uptake, and HPs' attitude to breast cancer education and mammography recommendation. We ranked HPs' responses pertaining to criteria for screening recommendation using a Kendall's W test.
Sixty-nine percent (n = 180) of women were aware of breast cancer, and half of them had performed breast self-examination (n = 131). About 53% (n = 138) of women were not aware of mammography, and only 15.4% (n = 40) of them have had a screening mammogram. Women's awareness of breast cancer risk factors and symptoms was poor. Many women would consider having a screening mammogram if instructed to do so by their husbands (87.7%; n = 228), HPs (96.2%; n = 250), and if government-funded screening programmes are available (90%; n = 234). Less than 40% (n = 21) of HPs had referred at least one woman for screening mammography within the last 6 months. Family history, age, and reproductive factors ranked as the highest criteria for screening recommendation.
Spouses and HPs may be crucial to changing the current status quo around screening utilisation and government-funded screening programmes may increase screening uptake.
本研究的目的是评估在信息不足的人群中影响女性接受乳腺钼靶筛查决定的因素。
本研究是一项关于影响筛查接受情况的因素的横断面调查。
采用一种改良的乳腺癌知晓度测量方法来评估女性对乳腺癌、乳腺钼靶以及影响筛查接受情况的因素的了解。第二份问卷调查了卫生专业人员（HPs）对筛查的态度以及筛查推荐标准。描述性统计用于评估女性的乳腺癌知晓度、影响筛查接受情况的因素以及HPs对乳腺癌教育和乳腺钼靶推荐的态度。我们使用肯德尔W检验对HPs关于筛查推荐标准的回答进行排序。
69%（n = 180）的女性知晓乳腺癌，其中一半进行过乳房自我检查（n = 131）。约53%（n = 138）的女性不知道乳腺钼靶，其中只有15.4%（n = 40）进行过乳腺钼靶筛查。女性对乳腺癌风险因素和症状的知晓度较差。如果丈夫（87.7%；n = 228）、HPs（96.2%；n = 250）指示，以及如果有政府资助的筛查项目（90%；n = 234），许多女性会考虑进行乳腺钼靶筛查。在过去6个月内，不到40%（n = 21）的HPs至少为一名女性推荐过乳腺钼靶筛查。家族史、年龄和生殖因素被列为筛查推荐的最高标准。
配偶和HPs对于改变当前筛查利用的现状可能至关重要，政府资助的筛查项目可能会提高筛查接受率。
