乳腺疾病家族史对育龄女性的认知、态度及乳腺癌预防行为的影响
Impact of family history of breast disease on knowledge, attitudes, and breast cancer preventive practices among reproductive-age females.
作者信息
Agidew Melaku Mekonnen, Cherie Niguss, Damtie Zemene, Adane Bezawit, Derso Girma
机构信息
Department of Biochemistry, College of Health Sciences, Debre Tabor University, Debre Tabor 6300, Amhara, Ethiopia.
School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie 1145, Amhara, Ethiopia.
出版信息
World J Clin Oncol. 2025 Apr 24;16(4):101788. doi: 10.5306/wjco.v16.i4.101788.
BACKGROUND
Breast cancer is one of the most prevalent causes of morbidity and mortality worldwide, presenting an increasing public health challenge, particularly in low-income and middle-income countries. However, data on the knowledge, attitudes, and preventive practices regarding breast cancer and the associated factors among females in Wollo, Ethiopia, remain limited.
AIM
To assess the impact of family history (FH) of breast disease on knowledge, attitudes, and breast cancer preventive practices among reproductive-age females.
METHODS
A community-based cross-sectional study was conducted in May and June 2022 in Northeast Ethiopia and involved 143 reproductive-age females with FH of breast diseases and 209 without such a history. We selected participants using the systematic random sampling technique. We analyzed the data using Statistical Package for Social Science version 25 software, and logistic regression analysis was employed to determine odds ratios for variable associations, with statistical significance set at < 0.05.
RESULTS
Among participants with FH of breast diseases, the levels of knowledge, attitudes, and preventive practices were found to be 83.9% [95% confidence interval (CI): 77.9-89.9], 49.0% (95%CI: 40.8-57.1), and 74.1% (95%CI: 66.9-81.3), respectively. In contrast, among those without FH of breast diseases, these levels were significantly decreased to 10.5% (95%CI: 6.4-14.7), 32.1% (95%CI: 25.7-38.4), and 16.7% (95%CI: 11.7-21.8), respectively. This study also indicated that knowledge, attitudes, and preventive practices related to breast cancer are significantly higher among participants with FH of breast diseases compared to those without HF breast diseases.
CONCLUSION
Educational status, monthly income, and community health insurance were identified as significant factors associated with the levels of knowledge, attitudes, and preventive practices regarding breast cancer among reproductive-age females.
背景
乳腺癌是全球发病和死亡的最常见原因之一，对公共卫生构成了日益严峻的挑战，尤其是在低收入和中等收入国家。然而，关于埃塞俄比亚沃洛地区女性对乳腺癌的认知、态度、预防措施及相关因素的数据仍然有限。
目的
评估乳腺癌家族病史（FH）对育龄女性乳腺癌知识、态度和预防措施的影响。
方法
2022年5月和6月在埃塞俄比亚东北部进行了一项基于社区的横断面研究，纳入了143名有乳腺癌家族病史的育龄女性和209名无此类病史的女性。我们使用系统随机抽样技术选择参与者。我们使用社会科学统计软件包第25版软件分析数据，并采用逻辑回归分析来确定变量关联的比值比，设定统计学显著性为<0.05。
结果
在有乳腺癌家族病史的参与者中，知识、态度和预防措施的水平分别为83.9%[95%置信区间（CI）：77.9 - 89.9]、49.0%（95%CI：40.8 - 57.1）和74.1%（95%CI：66.9 - 81.3）。相比之下，在无乳腺癌家族病史的女性中，这些水平显著降至10.5%（95%CI：6.4 - 14.7）、32.1%（95%CI：25.7 - 38.4）和16.7%（95%CI：11.7 - 21.8）。这项研究还表明，与无乳腺癌家族病史的女性相比，有乳腺癌家族病史的参与者中与乳腺癌相关的知识、态度和预防措施显著更高。
结论
教育程度、月收入和社区医疗保险被确定为与育龄女性乳腺癌知识、态度和预防措施水平相关的重要因素。
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