Osei Eric, Osei Afriyie Sandra, Oppong Samuel, Ampofo Emmanuel, Amu Hubert
Department of Population and Behavioural Sciences, School of Public Health, University of Health and Allied Sciences, PMB 31, Hohoe, Ghana.
Department of Public Health Graduate School, Yonsei University, Seoul, Republic of Korea.
J Oncol. 2021 Apr 16;2021:8811353. doi: 10.1155/2021/8811353. eCollection 2021.
While breast cancer accounts for the highest mortality among women across the globe, little is known about its perceived risks among them. We examined the perceived risk of breast cancer among undergraduate female university students in Ghana.
This was a cross-sectional survey of 358 undergraduate female students at the University of Health and Allied Sciences, Ghana. Descriptive and inferential statistics comprising frequencies, percentages, chi-square, and binary logistic regression analyses were used in analysing the data collected. All analyses were done using STATA Version 13.1.
Seventy-three percent were aware of breast cancer and 45.2% out of this did not perceive themselves to be at risk of breast cancer. Academic year (=0.02), school (=0.01), knowledge of someone with breast cancer ( < 0.001), family history of breast cancer ( < 0.001), current use of oral pills/injectable contraception (=0.03), history of breast cancer screening ( < 0.001), and intention to perform breast self-examination ( < 0.001) were the risk factors of breast cancer risk perception. Students without a family history of breast cancer were 90% less likely to perceive breast cancer risk (AOR = 0.10, 95% CI = 0.04-0.29) compared with those having a family history of breast cancer. Students who had never screened for breast cancer were also 62% less likely to perceive that they were at risk of breast cancer (AOR = 0.10, 95% CI = 0.04-0.29) compared with those who had ever screened for breast cancer.
This study showed that female university students tend to estimate their breast cancer risk based on their experience of breast cancer. Students who have ever screened for breast cancer and those with the intention to perform breast self-examination in the future are more likely to perceive themselves as being at risk and thus take action to avoid getting breast cancer.
虽然乳腺癌是全球女性中死亡率最高的癌症，但人们对女性对其感知风险知之甚少。我们调查了加纳本科女大学生对乳腺癌的感知风险。
这是一项对加纳卫生与联合科学大学358名本科女学生的横断面调查。使用包括频率、百分比、卡方检验和二元逻辑回归分析在内的描述性和推断性统计方法对收集到的数据进行分析。所有分析均使用STATA 13.1版本完成。
73%的人知晓乳腺癌，其中45.2%的人认为自己没有患乳腺癌的风险。学年（=0.02）、学院（=0.01）、认识患乳腺癌的人（<0.001）、乳腺癌家族史（<0.001）、当前使用口服避孕药/注射用避孕药（=0.03）、乳腺癌筛查史（<0.001）以及进行乳房自我检查的意愿（<0.001）是乳腺癌风险感知的危险因素。与有乳腺癌家族史的学生相比，没有乳腺癌家族史的学生感知乳腺癌风险的可能性低90%（比值比=0.10，95%置信区间=0.04 - 0.29）。与曾经进行过乳腺癌筛查的学生相比，从未进行过乳腺癌筛查的学生认为自己有患乳腺癌风险的可能性也低62%（比值比=0.10，95%置信区间=0.04 - 0.29）。
本研究表明，女大学生倾向于根据自己对乳腺癌的经历来估计自身患乳腺癌的风险。曾经进行过乳腺癌筛查以及未来有进行乳房自我检查意愿的学生更有可能认为自己有风险，从而采取行动预防乳腺癌。
