基于健康信念模型的2018年德黑兰女性乳腺钼靶筛查的影响因素：一项横断面研究。
Determinants of mammography screening in Tehranian women in 2018 based on the health belief model: A cross-sectional study.
作者信息
Rezaeimanesh Masoumeh, Solhi Mahnaz, Azar Farbod Ebadi Fard, Sajjadi Homeira, Rafiey Hassan, Nejad Farhad Nosrati, Gharehghani Mohammad Ali Mohammadi, Najafi Marzieh, Hosseini Sayedeh Mahboobeh, Karimi Salah Eddin
机构信息
PhD Candidate of Health Education and Health Promotion, School of Health, Iran University of Medical Sciences, Tehran, Iran.
Health Promotion Research Center, Iran University of Medical Sciences, Tehran, Iran.
出版信息
J Educ Health Promot. 2021 Mar 31;10:119. doi: 10.4103/jehp.jehp_339_20. eCollection 2021.
BACKGROUND
Breast cancer is the most common type of cancer among women. Mammography is the most sensitive and important method for screening and early diagnosis of breast cancer. Considering the importance of using mammography in breast cancer screening, this study was performed to evaluate mammographic determinants.
MATERIALS AND METHODS
In the cross-sectional study, we surveyed 985 women over 40 years in Tehran concerning demographic characteristics: age, socioeconomic status, a problem in the breast, alcohol use, drug use, and health belief model. Logistic regression was used to identify determinant factors associated with mammography performance.
RESULTS
The results of this study showed that 42.1% (95% confidence interval [CI]: 38, 45) participant performed mammography at least once during their lifetime. Age (odds ratio [OR] = 4.252; 95% CI = 2.041-8.857); housing situation (OR = 1.706; 95% CI = 1.178-2.469); having breast problems (OR = 5.224; 95% CI = 3.501-7.795); socioeconomic status (OR = 1.855; 95% CI = 1.035-3.325); family income level (OR = 1.998; 95% CI = 1.028-3.884); alcohol consumption (OR = 2.676; 95% CI = 1.344-5.328); smoking (OR = 2.824; 95% CI = 1.418-5.623); self-efficacy (OR = 1.935; 95% CI = 1.242-3.015); perceived barriers (OR = 2.017; 95% CI = 1.348-3.019); self-care (OR = 4.901; 95% CI = 3.152-7.620); perceived susceptibility (OR = 1.971; 95% CI = 1.271-3.057) and perceived severity (OR = 1.830; 95% CI = 1.170-2.860) were mammography behaviors determinants.
CONCLUSION
The findings indicated that the rate of mammography screening among Tehranian women is low and highlights the need for developing a comprehensive national breast cancer control program, which should be considered as the priority for health-care providers. Furthermore, the identification of these factors can help to design an appropriate educational intervention that focuses on the benefits of mammography screening.
背景
乳腺癌是女性中最常见的癌症类型。乳房X线摄影是乳腺癌筛查和早期诊断最敏感且最重要的方法。鉴于乳房X线摄影在乳腺癌筛查中的重要性，开展本研究以评估乳房X线摄影的决定因素。
材料与方法
在这项横断面研究中，我们调查了德黑兰985名40岁以上女性的人口统计学特征：年龄、社会经济地位、乳房问题、饮酒情况、药物使用情况以及健康信念模式。采用逻辑回归来确定与乳房X线摄影行为相关的决定因素。
结果
本研究结果显示，42.1%（95%置信区间[CI]：38，45）的参与者一生中至少进行过一次乳房X线摄影。年龄（比值比[OR]=4.252；95%CI=2.041-8.857）；居住状况（OR=1.706；95%CI=1.178-2.469）；有乳房问题（OR=5.224；95%CI=3.501-7.795）；社会经济地位（OR=1.855；95%CI=1.035-3.325）；家庭收入水平（OR=1.998；95%CI=1.028-3.884）；饮酒（OR=2.676；95%CI=1.344-5.328）；吸烟（OR=2.824；95%CI=1.418-5.623）；自我效能感（OR=1.935；95%CI=1.242-3.015）；感知到的障碍（OR=2.017；95%CI=1.348-3.019）；自我护理（OR=4.901；95%CI=3.152-7.620）；感知易感性（OR=1.971；95%CI=1.271-3.057）和感知严重性（OR=1.830；95%CI=1.170-2.860）是乳房X线摄影行为的决定因素。
结论
研究结果表明，德黑兰女性的乳房X线摄影筛查率较低，并突出了制定全面的国家乳腺癌控制计划的必要性，这应被视为医疗保健提供者的优先事项。此外，识别这些因素有助于设计一项侧重于乳房X线摄影筛查益处的适当教育干预措施。
Zotero 插件