Academic Affairs and Training Department, King Abdulaziz Hospital, Makkah, Saudi Arabia.
Department of Health Services and Hospital Administration, Faculty of Economics and Administration, King Abdulaziz University, Jeddah, Saudi Arabia.
J Med Internet Res. 2021 Feb 25;23(2):e25404. doi: 10.2196/25404.
Despite Saudi Arabia's free and well-established cancer care program, breast cancer incidence and mortality are rising. Husbands' knowledge, and wives' attitudes and practices related to breast cancer screening are not well understood in Saudi Arabia.
The aim of this study was to investigate husbands' knowledge, and wives' attitudes and practices related to breast cancer screening in Saudi Arabia.
This cross-sectional study collected data from 403 husbands in the holy city of Makkah through an online self-reported questionnaire over a period of 2 months, from May 6 to July 7, 2020. Tabulation, bivariate, and multiple regression analyses were the major tools used for data analysis. Multivariate logistic regressions were used to examine the association between husbands' knowledge and wives' behavior regarding breast cancer screening methods.
Husbands' knowledge score (a 1-point increase) was significantly associated with the wives' utilization of mammograms (adjusted odds ratio [AOR] 1.089, 95% CI 1.024-1.159) and breast self-examination (AOR 1.177, 95% CI 1.105-1.255). Husbands' knowledge also influenced the wives' attitudes toward learning about breast self-examination (AOR 1.138, 95% CI 1.084-1.195). There was no significant association between husbands' knowledge and wives' utilization of clinical breast examination. However, richer husbands showed a socioeconomic gradient concerning their wives' utilization of clinical breast examinations (AOR 2.603, 95% CI 1.269-5.341).
Overall, husbands' knowledge of breast cancer influences wives' attitudes and practices related to breast cancer screening methods in Saudi Arabia. Thus, interventions delivered to husbands might increase breast cancer awareness and survival.
尽管沙特阿拉伯有免费且成熟的癌症护理计划，但乳腺癌的发病率和死亡率仍在上升。在沙特阿拉伯，人们对丈夫在乳腺癌筛查方面的知识，以及妻子的态度和做法了解甚少。
本研究旨在调查沙特阿拉伯丈夫在乳腺癌筛查方面的知识，以及妻子的态度和做法。
本横断面研究于 2020 年 5 月 6 日至 7 月 7 日期间，通过在线自报问卷，在圣城麦加收集了 403 名丈夫的数据，为期 2 个月。主要数据分析工具包括列表、双变量和多元回归分析。多元逻辑回归用于检验丈夫知识与妻子对乳腺癌筛查方法的行为之间的关联。
丈夫的知识得分（每增加 1 分）与妻子进行乳房 X 光检查（调整后的优势比 [AOR] 1.089，95%可信区间 [CI] 1.024-1.159）和乳房自我检查（AOR 1.177，95%CI 1.105-1.255）的利用显著相关。丈夫的知识也影响了妻子对学习乳房自我检查的态度（AOR 1.138，95%CI 1.084-1.195）。丈夫的知识与妻子进行临床乳房检查的利用之间没有显著关联。然而，较富裕的丈夫在妻子进行临床乳房检查的利用方面存在社会经济梯度（AOR 2.603，95%CI 1.269-5.341）。
总体而言，丈夫对乳腺癌的认识影响了沙特阿拉伯妻子对乳腺癌筛查方法的态度和做法。因此，对丈夫进行干预可能会提高对乳腺癌的认识和生存率。
