1 Institute of Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam.
2 National Cancer Hospital, Hanoi, Vietnam.
Cancer Control. 2019 Jan-Dec;26(1):1073274819863777. doi: 10.1177/1073274819863777.
Breast cancer is the most common cancer in women all over the world, also in Vietnam. In recent years, the incidence of breast cancer has been increasing in Vietnam, and most cases are diagnosed at late stages, making treatment more difficult. More and better early detection could help more women to survive. The aim of this study was to identify the current knowledge, attitude and practice about early detection of breast cancer as well as potential predictors of breast cancer screening among women aged 20 to 49 year in a mountainous commune in Thanh Hoa Province, Vietnam, in a largely ethnic Muong population. Women aged 20 to 49 years were selected by systematic random sampling to participate in a cross sectional study in October 2017. They were interviewed with a closed questionnaire about their knowledge of breast cancer, its risk factors, and warning signs. A checklist for performance of breast self-examination was also applied. Three hundred six women agreed to participate in the study. More than half had a low level of knowledge, and were weak in attitude and practice about breast self-examination, clinical breast examination, breast ultrasound, and mamography. Among women who had practiced at least 1 screening method, 17.0% mentioned clinical breast examination, and only 13.8% reported practicing breast self-examination. Factors associated with practice included knowledge about breast cancer early detection (BCED), ethnicity, income, the BCED information approach, and the BCED screening programs approach. The finding of a very low proportion of women in the mountainous setting with good awareness and practice on early detection of breast cancer is important evidence to inform the BCED intervention program developers about where and how to target which information, especially to reach more ethnic minority women.
乳腺癌是全世界女性中最常见的癌症，在越南也是如此。近年来，越南乳腺癌的发病率一直在上升，而且大多数病例都是在晚期诊断出来的，这使得治疗更加困难。更多和更好的早期检测可以帮助更多的女性存活下来。本研究旨在确定在越南清化省一个山区公社 20 至 49 岁的妇女中，目前对乳腺癌早期检测的知识、态度和实践情况，以及乳腺癌筛查的潜在预测因素，该地区主要是苗族人口。通过系统随机抽样选择 20 至 49 岁的妇女参加 2017 年 10 月的横断面研究。她们接受了关于乳腺癌知识、其危险因素和预警信号的封闭问卷访谈。还应用了乳房自我检查检查表。306 名妇女同意参加这项研究。超过一半的人知识水平较低，对乳房自我检查、临床乳房检查、乳房超声和乳房 X 线检查的态度和实践都很薄弱。在至少进行过 1 种筛查方法的妇女中，17.0%提到了临床乳房检查，只有 13.8%报告进行了乳房自我检查。与实践相关的因素包括乳腺癌早期检测（BCED）知识、族裔、收入、BCED 信息方法和 BCED 筛查计划方法。在山区环境中，很少有妇女具有良好的乳腺癌早期检测意识和实践，这一发现为 BCED 干预计划制定者提供了重要证据，告知他们应在何处以及如何针对哪些信息开展工作，特别是要让更多的少数民族妇女受益。
