Ju Nianting, Liao Shengkai, Zheng Suge, Hua Tiantian, Zhang Shunhua
School of Medical Imaging, Bengbu Medical College, Bengbu, Anhui, China.
Department of Stomatology, The First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui, China.
J Obstet Gynaecol Res. 2021 Feb;47(2):583-591. doi: 10.1111/jog.14550. Epub 2020 Nov 4.
Breast cancer is the most frequent malignant tumor among Chinese women. Breast self-examination (BSE) is a simple, effective method for early detection of screening and it is essential for the prevention and control of breast cancer. The aim of this study was to create a hypothetical model to determine the factors influencing women's BSE behavior in Eastern China.
A survey was conducted using an online questionnaire and targeting 1200 women aged 18-70 years in Eastern China. Collected data were analyzed using ibm spss 25.0 and amos 24.0 software.
The final model showed a desirable fitness to sample data. A direct positive relationship exists between knowledge on risk factors and BSE. A direct positive association was found between positive attitudes and BSE, while negative attitudes have a direct negative impact on BSE. Objective factors not only had a significant direct impact on BSE, but also directly affected the positive attitudes. Positive attitudes play an intermediary role between objective factors and BSE.
Knowledge on risk factors about breast cancer, attitudes toward BSE and objective factors are new predictors which may influence BSE by using the structural equation modeling method.
乳腺癌是中国女性中最常见的恶性肿瘤。乳房自我检查（BSE）是早期筛查的一种简单、有效的方法，对乳腺癌的预防和控制至关重要。本研究的目的是建立一个假设模型，以确定影响中国东部女性BSE行为的因素。
采用在线问卷对中国东部1200名18 - 70岁的女性进行调查。使用ibm spss 25.0和amos 24.0软件对收集到的数据进行分析。
最终模型显示出对样本数据的良好拟合度。风险因素知识与BSE之间存在直接的正相关关系。积极态度与BSE之间存在直接的正相关，而消极态度对BSE有直接的负面影响。客观因素不仅对BSE有显著的直接影响，而且直接影响积极态度。积极态度在客观因素和BSE之间起中介作用。
通过结构方程建模方法，乳腺癌风险因素知识、对BSE的态度和客观因素是可能影响BSE的新预测因素。
