肯尼亚乳腺癌筛查的利用情况：有哪些决定因素？
Utilization of breast cancer screening in Kenya: what are the determinants?
机构信息
Department of Geography, Western University, 1151 Richmond Street, Social Science Building, London, Ontario, N6A 3K7, Canada.
Department of Sociology, Western University, 1151 Richmond Street, Social Science Building, London, Ontario, N6A 3K7, Canada.
出版信息
BMC Health Serv Res. 2020 Mar 18;20(1):228. doi: 10.1186/s12913-020-5073-2.
BACKGROUND
Breast cancer accounts for 23% of all cancer cases among women in Kenya. Although breast cancer screening is important, we know little about the factors associated with women's breast cancer screening utilization in Kenya. Using the Andersen's behavioural model of health care utilization, we aim to address this void in the literature.
METHODS
We draw data on the Kenya Demographic and Health Survey and employ univariate, bivariate, and multivariate analyses.
RESULTS
We find that women's geographic location, specifically, living in a rural area (OR = 0.89; p < 0.001) and the North Eastern Province is associated with lower odds of women being screened for breast cancer. Moreover, compared to the more educated, richer and insured, women who are less educated, poorer, and uninsured (OR = 0.74; p < 0.001) are less likely to have been screened for breast cancer.
CONCLUSION
Based on these findings, we recommend place and group-specific education and interventions on increasing breast cancer screening in Kenya.
背景
在肯尼亚，乳腺癌占女性所有癌症病例的 23%。尽管乳腺癌筛查很重要，但我们对肯尼亚妇女进行乳腺癌筛查利用的相关因素知之甚少。本研究运用安德森卫生保健利用行为模型来填补这一文献空白。
方法
我们从肯尼亚人口与健康调查中提取数据，并采用单变量、双变量和多变量分析。
结果
我们发现，女性的地理位置，特别是居住在农村地区（OR=0.89；p<0.001）和东北部地区，与女性进行乳腺癌筛查的可能性较低有关。此外，与受教育程度更高、更富裕和有保险的女性相比，受教育程度较低、较贫穷和没有保险的女性（OR=0.74；p<0.001）进行乳腺癌筛查的可能性较小。
结论
基于这些发现，我们建议在肯尼亚开展针对特定地点和群体的教育和干预措施，以增加乳腺癌筛查。
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