加纳高中乳腺癌教育干预的影响。
The impact of a breast cancer educational intervention in Ghanaian high schools.
机构信息
Department of Surgery, University of Ghana Medical School, College of Health Sciences, University of Ghana, Accra, Ghana.
Department of Surgery, Korle Bu Teaching Hospital, Accra, Ghana.
出版信息
BMC Cancer. 2022 Aug 15;22(1):893. doi: 10.1186/s12885-022-09991-6.
INTRODUCTION
Globally breast cancer is the leading cause of cancer with an estimated 2.3 million new cases and 685,000 deaths in 2020. Late presentation is the hallmark of breast cancer in Ghana for which ignorance and fear are the major reasons fuelled largely by myths and misconceptions. Breast cancer awareness and education needs to start early to bring about a change in knowledge, attitude and practices. However, Breast cancer awareness activities in Ghana have usually targeted adult women. This study assessed the impact of breast cancer education among adolescent high school girls in Ghana.
METHODOLOGY
A pre- post-test quasi experimental study was conducted at two senior high schools. A self-administered pre-educational questionnaire was followed by an educational intervention consisting of a drama, PowerPoint lecture, question and answer session and distribution of breast cancer information leaflets. After 3 months the same questionnaire was administered as a post-education test to assess the impact of the educational intervention. The total score for each domain was categorised into adequate knowledge > 50% and inadequate knowledge < 50%.
RESULTS
The number of participants in the pre-test and post-test were 1043 and 1274; the median ages [IQR] were 16.0 [15.0-17.0] for both the pre and post-test students. General knowledge on breast cancer at pre-education (29.1%) improved to 72.5% (p < 0.001). Knowledge on signs and symptoms improved from 33.1 to 55% (p < 0.001); knowledge on risk factors improved from 55.3 to 79.2% (p < 0.001), and knowledge on breast self-examination and screening improved from 9.8 to 22.2% (p < 0.001). The overall performance of the students improved from 17.2 to 59.4% (p < 0.001).
CONCLUSION
There is inadequate knowledge about breast cancer and self-examination among senior high school girls in Ghana. Our breast cancer educational intervention was effective in improving general knowledge of breast cancer, risk factors, signs and symptoms and breast self-examination. The overall knowledge base improved from 17.2 to 59.4% 3 months post intervention, accompanied by an increase in the reported practice of breast self-examination and a greater belief that breast cancer is curable. This study has demonstrated the need for a school breast cancer educational program and that breast cancer education in high schools is effective.
简介
在全球范围内，乳腺癌是癌症的主要致病原因，据估计，2020 年全球有 230 万例新发病例和 68.5 万人死亡。在加纳，乳腺癌的特点是就诊时间晚，造成这种情况的主要原因是无知和恐惧，而这些原因主要是由误解和错误观念造成的。为了改变知识、态度和行为，乳腺癌的认知和教育需要尽早开始。然而，加纳的乳腺癌认知活动通常针对成年女性。本研究评估了在加纳对青少年高中女生进行乳腺癌教育的效果。
方法
在两所高中进行了一项预-后测试的准实验研究。在进行教育干预之前，先让学生填写一份自我管理的预教育问卷，内容包括一部戏剧、一个幻灯片演示、问答环节以及分发乳腺癌信息传单。3 个月后，对同一批学生进行同样的问卷，作为教育干预的后测，以评估教育干预的效果。每个领域的总得分被分为充分知识>50%和不充分知识<50%。
结果
前测和后测的参与者人数分别为 1043 人和 1274 人；前测和后测学生的中位数年龄[IQR]分别为 16.0[15.0-17.0]。前教育阶段（29.1%）对乳腺癌的一般知识提高到 72.5%（p<0.001）。对症状和体征的知识从 33.1%提高到 55%（p<0.001）；对危险因素的知识从 55.3%提高到 79.2%（p<0.001），对乳房自我检查和筛查的知识从 9.8%提高到 22.2%（p<0.001）。学生的整体表现从 17.2%提高到 59.4%（p<0.001）。
结论
加纳的高中女生对乳腺癌和自我检查的认知不足。我们的乳腺癌教育干预有效地提高了她们对乳腺癌、危险因素、症状和体征以及乳房自我检查的一般认知。整体知识基础从 17.2%提高到 59.4%，后测时乳房自我检查的报告率增加，并且对乳腺癌可以治愈的信念增强。这项研究表明，需要在学校开展乳腺癌教育项目，并且在高中开展乳腺癌教育是有效的。
Zotero 插件