印度泰米尔纳德邦韦洛尔农村妇女乳腺癌和宫颈癌的筛查做法及相关因素

Screening practices for breast and cervical cancer and associated factors, among rural women in Vellore, Tamil Nadu.

作者信息

Saha Shubhashis, Priya S Mohana, Surender Anu, Jacob Rohan Chacko, George Michael Philip, Varghese Namitha Mary, Kumar Nishant, Eappen Noel, Kumar Prabhas Ranjan, Raymond Riya, Phillips Ashna Christine, Mathew Reuben Thomas, Vijayan Miji M, Sukhadhan Christina, Thomas Bincy Mary, Marconi Sam David, Sindhu Kulandaipalayam Natarajan, Oommen Anu Mary, John Sushil Mathew

机构信息

Department of Community Health, Division of Gastrointestinal Sciences, Christian Medical College, Vellore, Tamil Nadu, India.

The Wellcome Trust Research Laboratory, Division of Gastrointestinal Sciences, Christian Medical College, Vellore, Tamil Nadu, India.

出版信息

Indian J Cancer. 2021 Sep 19. doi: 10.4103/ijc.IJC_83_20.

DOI:10.4103/ijc.IJC_83_20

PMID:35017369

Abstract

BACKGROUND

Population-based screening coverage for breast and cervical cancer screening in the community is inadequately reported in India. This study assessed screening rates, awareness, and other factors affecting screening, among rural women aged 25-60 years in Vellore, Tamil Nadu.

METHODS

Women aged 25-60 years, from five randomly selected villages of a rural block were included in this cross-sectional study in Vellore, Tamil Nadu. Households were selected by systematic random sampling, followed by simple random sampling of eligible women in the house. A semi-structured questionnaire was used to assess screening practices, awareness, and other factors related to cervical and breast cancer.

RESULTS

Although 43.8% and 57.9% were aware of the availability of screening for cervical and breast cancer respectively, screening rates were only 23.4% (95% confidence interval [CI]: 18.4-28.4%) and 16.2% (95% CI: 11.9-20.5%), respectively. Adequate knowledge (score of ≥50%) on breast cancer was only 5.9%, with 27.2% for cervical cancer. Only 16.6% of women had ever attended any health education program on cancer. Exposure to health education (breast screening odds ratio [OR]: 6.89, 95% CI: 3.34-14.21; cervical screening OR: 6.92, 95% CI: 3.42-14.00); and adequate knowledge (breast OR: 4.69, 95% CI: 1.55-14.22; cervix OR: 3.01, 95% CI: 1.59-5.68) were independently associated with cancer screening.

CONCLUSION

Awareness and screening rates for breast and cervical cancer are low among rural women in Tamil Nadu, a south Indian state with comparatively good health indices, with health education being an important factor associated with screening practices.

摘要

背景

印度社区中基于人群的乳腺癌和宫颈癌筛查覆盖率报告不足。本研究评估了泰米尔纳德邦韦洛尔地区25至60岁农村妇女的筛查率、知晓率以及影响筛查的其他因素。

方法

在泰米尔纳德邦韦洛尔地区开展的这项横断面研究纳入了从一个农村街区随机选取的5个村庄中年龄在25至60岁的妇女。通过系统随机抽样选取家庭，然后在家庭中对符合条件的妇女进行简单随机抽样。使用半结构化问卷评估筛查行为、知晓率以及与宫颈癌和乳腺癌相关的其他因素。

结果

尽管分别有43.8%和57.9%的人知晓宫颈癌和乳腺癌筛查服务的可及性，但筛查率分别仅为23.4%（95%置信区间[CI]：18.4 - 28.4%）和16.2%（95% CI：11.9 - 20.5%）。对乳腺癌具备充分知识（得分≥50%）的妇女仅占5.9%，对宫颈癌具备充分知识的妇女占27.2%。仅有16.6%的妇女曾参加过任何关于癌症的健康教育项目。接受健康教育（乳腺癌筛查优势比[OR]：6.89，95% CI：3.34 - 14.21；宫颈癌筛查OR：6.92，95% CI：3.42 - 14.）；以及具备充分知识（乳腺癌OR：4.69，95% CI：1.55 - 14.22；宫颈癌OR：3.01，95% CI：1.59 - 5.68）与癌症筛查独立相关。