Department of Pharmacological and Pharmaceutical Sciences, College of Pharmacy, University of Houston, Houston, TX 77204, USA.
Department of Medical Laboratory Sciences, Faculty of Applied Medical Sciences, Jordan University of Science and Technology, Irbid 22110, Jordan.
Int J Environ Res Public Health. 2023 Feb 18;20(4):3645. doi: 10.3390/ijerph20043645.
Despite significant declines in breast cancer (BC) incidence in the West, this disease is widespread in Jordan, where cancer detection occurs at much advanced stages. This is particularly concerning for Syrian refugee women resettled in Jordan, who are less likely to undergo cancer preventative procedures because of poor health literacy and lack of health services access. The present work assesses and compares breast cancer awareness and breast cancer screening behaviors among Syrian refugee women and Jordanian women residing close to the Syrian-Jordanian border city of . A cross-sectional survey was conducted using a validated Arabic version of the Breast Cancer Screening Beliefs Questionnaire (BCSBQ). A total of 138 Syrian refugee women and 160 Jordanian women participated in the study. Results indicate that 93.6% of Syrian refugee women and Jordanian women ≥ 40 years of age reported never having undergone a mammogram. Syrian refugee women and Jordanian women reported low attitudes toward general health checkup (mean score for Syrian refugees 45.6 vs. 42.04 among Jordan women; = 0.150). Barriers for BC screening were higher among Syrian refugees (mean score = 56.43) than Jordanian women (mean score = 61.99, = 0.006). Women with higher education were more likely to report fewer barriers to screening ( = 0.027). The study documents a significant lack of BC screening awareness among Syrian refugee women and Jordanian women, indicating that future work is needed to alter current attitudes towards mammograms and early detection measures especially for Syrian refugee women and Jordanian women residing in rural areas of Jordan.
尽管西方乳腺癌（BC）的发病率显著下降，但这种疾病在约旦仍很普遍，癌症的检出通常处于较晚期。这对在约旦重新安置的叙利亚难民妇女来说尤其令人担忧，由于健康素养较低和缺乏医疗服务的可及性，她们更不可能进行癌症预防措施。本研究评估并比较了叙利亚难民妇女和居住在靠近叙利亚-约旦边境城市的约旦妇女的乳腺癌意识和乳腺癌筛查行为。采用经过验证的阿拉伯语版乳腺癌筛查信念问卷（BCSBQ）进行了横断面调查。共有 138 名叙利亚难民妇女和 160 名约旦妇女参加了这项研究。结果表明，93.6%的叙利亚难民妇女和≥40 岁的约旦妇女报告从未接受过乳房 X 光检查。叙利亚难民妇女和约旦妇女对一般健康检查的态度较低（叙利亚难民的平均得分为 45.6，而约旦妇女的平均得分为 42.04；=0.150）。BC 筛查的障碍在叙利亚难民中较高（平均得分为 56.43），而在约旦妇女中较高（平均得分为 61.99，=0.006）。受教育程度较高的妇女更有可能报告较少的筛查障碍（=0.027）。该研究记录了叙利亚难民妇女和约旦妇女对 BC 筛查的显著认识不足，表明需要进一步开展工作，改变目前对乳房 X 光检查和早期检测措施的态度，特别是针对居住在约旦农村地区的叙利亚难民妇女和约旦妇女。
