Bourdeanu Laura, Alatrash Manal, Ketchedjian Nayiri, Pate Barbara
Excelsior College, Albany, NY.
West Coast University, Anaheim, CA.
JCO Glob Oncol. 2020 Jul;6:1200-1210. doi: 10.1200/GO.20.00019.
Breast cancer is the most prevalent malignancy among Lebanese women, and nearly half of these women are age < 50 years at diagnosis. Despite the current screening guidelines in Lebanon to start mammograms at 40 years of age, monthly self-breast examination, and yearly clinical breast examination, compliance with these recommendations remains low in both Lebanese and Lebanese-American women. This study aimed to examine different factors associated with breast cancer screening compliance in Lebanese and Lebanese-American women and determine and compare factors that predict breast cancer screening for these 2 groups. A cross-sectional study design was used to examine the factors associated with breast cancer screening compliance in Lebanese and Lebanese-American women. A total of 250 Lebanese women and 105 Lebanese-American women completed the questionnaires. Of these, 74.3% of Lebanese-American women and 72.5% of Lebanese women had ever had a mammogram, and 58.4% of Lebanese women had had a clinical breast examination, compared with 84.8% of Lebanese-American women. In both groups, health care provider recommendation was a predictor of having had a mammogram. Although the breast cancer screening practices of both groups are higher than previously reported, they continue to fall below the recommended rate of 81% according to the Healthy People Project. Given the susceptibility of Lebanese women age > 40 years to develop breast cancer, promotional breast cancer screening campaigns must emphasize the importance of adhering to screening guidelines for both Lebanese and Lebanese-American women.
乳腺癌是黎巴嫩女性中最常见的恶性肿瘤，这些女性中近一半在确诊时年龄小于50岁。尽管黎巴嫩目前的筛查指南建议40岁开始进行乳房X光检查、每月进行自我乳房检查以及每年进行临床乳房检查，但黎巴嫩女性和黎巴嫩裔美国女性对这些建议的依从性仍然很低。本研究旨在探讨与黎巴嫩女性和黎巴嫩裔美国女性乳腺癌筛查依从性相关的不同因素，并确定和比较预测这两组人群乳腺癌筛查的因素。采用横断面研究设计来研究与黎巴嫩女性和黎巴嫩裔美国女性乳腺癌筛查依从性相关的因素。共有250名黎巴嫩女性和105名黎巴嫩裔美国女性完成了问卷调查。其中，74.3%的黎巴嫩裔美国女性和72.5%的黎巴嫩女性曾进行过乳房X光检查，58.4%的黎巴嫩女性进行过临床乳房检查，而黎巴嫩裔美国女性的这一比例为84.8%。在两组中，医疗保健提供者的建议都是进行乳房X光检查的一个预测因素。尽管两组的乳腺癌筛查行为都高于此前报告的水平，但根据“健康人民计划”，它们仍低于推荐的81%的比例。鉴于40岁以上的黎巴嫩女性易患乳腺癌，推广乳腺癌筛查活动必须强调黎巴嫩女性和黎巴嫩裔美国女性遵守筛查指南的重要性。
