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乳腺癌筛查采用阶段;认知预测因素的作用。

Stage of Breast Cancer Screening Adoption; The Role of Cognitive Predictors.

作者信息

Naimi Ebrahim, Mirzaei-Alavijeh Mehdi, Ahmadi-Jouybari Touraj, Ataee Mari, Aghaei Abbas, Ahmadi Jouybari Hadi

机构信息

Department of Public Health, Faculty of Health, Yasuj University of Medical Sciences, Yasuj, Iran.

Social Development and Health Promotion Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran.

出版信息

Asian Pac J Cancer Prev. 2019 Aug 1;20(8):2373-2378. doi: 10.31557/APJCP.2019.20.8.2373.

Abstract

Breast cancer is the most common cancer among women. The present study investigated the stage of breast cancer screening adoption and the role of some of the cognitive predictors in a sample of Iranian married women. There were a total of 334 married women clients of eight health centers in Kermanshah city, the west of Iran, were randomly selected to participate voluntarily. Women filled out a self-report questionnaire. Data were analyzed by SPSS version 20 using One-way ANOVA, χ2-test, Fisher’s exact test, and bivariate correlations statistical tests at 95% significant level. The mean age was 39.75 years [SD: 7.73]. Nearly 58.4%, 26.9%, 3%, 9.6%, and 2.1% of the respondents were reported pre-contemplation, contemplation, preparation, action, and maintenance of breast cancer screening adoption, respectively. There was a significant association between age (P=0.005), and positive family history of breast cancer (P=0.037), perceived susceptibility (P=0.005), perceived severity (P=0.001) and knowledge of symptoms (P=0.018) with breast cancer stage of screening adoption. Our findings can provide better knowledge for the development and implementing of stage-targeted breast cancer screening adoption promotion programs. We conclude that it seems that the focus of health planner should be to rise to perceived severity; perceived susceptibility and knowledge of symptoms of breast cancer about the promotion of breast cancer screening adoption an Iranian woman.

摘要

乳腺癌是女性中最常见的癌症。本研究调查了伊朗已婚女性样本中乳腺癌筛查采用阶段以及一些认知预测因素的作用。在伊朗西部克尔曼沙阿市的8个健康中心,总共随机选取了334名已婚女性客户自愿参与。女性填写了一份自我报告问卷。使用SPSS 20版在95%显著水平下通过单因素方差分析、χ²检验、费舍尔精确检验和双变量相关性统计检验对数据进行分析。平均年龄为39.75岁[标准差:7.73]。分别有近58.4%、26.9%、3%、9.6%和2.1%的受访者报告处于乳腺癌筛查采用的未考虑阶段、考虑阶段、准备阶段、行动阶段和维持阶段。年龄(P = 0.005)、乳腺癌家族史阳性(P = 0.037)、感知易感性(P = 0.005)、感知严重性(P = 0.001)和症状知识(P = 0.018)与乳腺癌筛查采用阶段之间存在显著关联。我们的研究结果可为制定和实施针对不同阶段的乳腺癌筛查采用促进项目提供更好的认识。我们得出结论,健康规划者的重点似乎应该是提高对乳腺癌严重性的感知;对乳腺癌易感性的感知以及对伊朗女性乳腺癌症状的了解,以促进乳腺癌筛查的采用。

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