Zhu Lingling, Zhou Qiang, Huang Ziyue, Yang Yuan, Yang Ying, Du Yao, Zhao Yuqian, Yu Xiaoping, Li Tingyuan, Chen Wen
College of Public Health, Chengdu Medical College, Chengdu, Sichuan, 610500, People's Republic of China.
Sichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, Affiliated Cancer Hospital of University of Electronic Science and Technology of China, Chengdu, Sichuan, 610041, People's Republic of China.
Int J Womens Health. 2024 Mar 22;16:509-518. doi: 10.2147/IJWH.S453857. eCollection 2024.
This study aimed to explore the current knowledge level of breast cancer among rural women in Southwest China and analyze the influencing factors of breast cancer cognition.
From May to November 2022, 1468 rural women were invited to participate in this study. Demographic information and the Chinese version of the Breast Cancer Awareness Measure (C-BCAM) were collected through one-on-one investigations. The data were analyzed using descriptive statistics, chi-square tests, and multiple regression analysis in SPSS 26.0.
The study included a total of 1468 rural women with a median age of 54.0 (IQR, 47.0, 60.0).The average score of breast cancer in the study population was 73.0 (IQR, 66.0, 82.0). Among women in Southwest China, the awareness rates of knowledge on breast cancer symptoms, barriers to seeking medical help, and risk factors were 68.8%, 98.4%, and 62.1%, respectively. The awareness rate was found to increase with higher education levels (<0.001) and decrease with increasing age (<0.001). Multivariate logistic regression analysis identified three variables that might influence breast cancer awareness: education level, contraceptive measures, and history of breast disease (all <0.05). Specifically, history of breast disease (Odds ratio (OR) = 1.907, 95% CI = 1.128 ~ 3.223), middle school education (OR = 2.155, 95% CI = 1.585 ~ 2.928), and junior college education and above (OR = 5.536, 95% CI = 1.898 ~ 16.148) were positive factors for women's breast cancer awareness. Conversely, the use of intrauterine devices (OR = 0.523, 95% CI = 0.384 ~ 0.712) was found to be a negative factor for women's breast cancer awareness.
This study highlights the insufficient awareness of breast cancer among women in rural area of Southwest China. It emphasizes the necessity of health education to improve female breast cancer awareness.
本研究旨在探讨中国西南地区农村女性对乳腺癌的当前认知水平，并分析影响乳腺癌认知的因素。
2022年5月至11月，邀请1468名农村女性参与本研究。通过一对一调查收集人口统计学信息和中文版乳腺癌认知量表（C-BCAM）。数据在SPSS 26.0中使用描述性统计、卡方检验和多元回归分析进行分析。
该研究共纳入1468名农村女性，中位年龄为54.0岁（四分位间距，47.0，60.0）。研究人群中乳腺癌的平均得分为73.0分（四分位间距，66.0，82.0）。在中国西南地区的女性中，对乳腺癌症状、就医障碍和危险因素的知晓率分别为68.8%、98.4%和62.1%。发现知晓率随教育水平的提高而增加（<0.001），随年龄的增长而降低（<0.001）。多因素逻辑回归分析确定了三个可能影响乳腺癌认知的变量：教育水平、避孕措施和乳腺疾病史（均<0.05）。具体而言，乳腺疾病史（比值比（OR）=1.907，95%置信区间=1.1283.223）、初中教育（OR=2.155，95%置信区间=1.5852.928）以及大专及以上教育（OR=5.536，95%置信区间=1.89816.148）是女性乳腺癌认知的积极因素。相反，使用宫内节育器（OR=0.523，95%置信区间=0.384（此处原文有误，应为0.712）0.712）被发现是女性乳腺癌认知的消极因素。
本研究突出了中国西南农村地区女性对乳腺癌的认知不足。强调了开展健康教育以提高女性乳腺癌认知的必要性。
