四川省城市女性对乳腺癌的知识、筛查态度现况调查  

A Population-based Cross Section Study on the Knowledge of Breast Cancer and the Attitude to Screening of Residents from A City of Sichuan Province

作　　者：李卉[1] 宋争放[1] 牛静雅[2] 席晓秋[1] 王琼[2] 李佳圆[2] 曹兰清 

机构地区：[1]四川省肿瘤医院,成都610041 [2]四川大学华西公共卫生学院,成都610041 [3]成都市妇女儿童医学中心,成都610031

出　　处：《肿瘤预防与治疗》2010年第4期305-308,共4页Journal of Cancer Control And Treatment

基　　金：四川省卫生厅应用基础研究项目(项目编号:080405)

摘　　要：目的：了解四川省社区女性乳腺癌知识及对筛检的态度现况.方法：2008年9月～12月,在国家乳腺癌筛查四川省成都项目点对参加筛查的630名35岁～69岁社区女性进行乳腺癌相关危险因素知识及对参加筛查的意愿进行问卷调查.采用方差分析（SNK法比较组间差异）、χ^2检验进行分析比较不同人口学特征人群的知识得分及意愿差异.结果：所有调查对象知识得分平均分为（7.43±1.351）分,得分合格率为92.7%,完全正确率2.1%（10/630）;知识得分在＂受教育程度＂、＂收入水平＂、＂职业＂、＂是否患乳腺良性疾病＂分组中差异有统计学意义（ANOVA,P〈0.05）.99.7%的女性愿意主动参加（自费方式）乳腺癌的健康体检.选择的筛查机构方面,43.33%以上的女性愿意选择公立综合性医院及妇幼专科医院,而仅有24.44%的女性愿意选择社区卫生服务中心.结论：对受教育程度低、收入低的女性应加强乳腺癌相关知识的健康教育.应加强社区卫生服务中心建设,以保证筛查工作的可持续性.Objective： To explore the situation of the knowledge of breast cancer and the attitude toward screening of women from a city of Sichuan province. Methods ： From Sept. to Dec. 2008, 630 women lived in Chengdu City in Sichuan Province enrolled in National Breast Cancer Screening Project were investigated with a questionnaire, which included the knowledge of risk factors of breast cancer and the attitude toward screening. ANOVA （SNK method） and Х^2 -test were used to analyze the difference of the score of knowledge among demographical factors and ratios of the attitude toward screening. Results： Mean and standard deviation of score of knowledge of overall investigated women was 7.43 ±1. 351, and pass rate was 92.7% , while the rate of complete correct was relatively low as 2. 1%. Knowledge scores were significantly different in education level, income level, occupation and ever suffering from benign breast disease （ ANOVA, P 〈 0. 05）. 99. 7% women would like to accept pay-by-oneself breast cancer screening. Over 43.33% women would like to select Public Comprehensive Hospital or Maternal and Child Care Service Centre, and only 24. 44% women would like to select Community Medical Service Centers. Conclusion： Health education of breast cancer should be improved, especially for women with low income or low education. To ensure the sustainability of screening of breast cancer, it is necessary to strengthen development of Community Medical Service Centers.

关 键 词：筛查 乳腺癌 社区女性 知识和态度 

分 类 号：R737.9[医药卫生—肿瘤] R73-31[医药卫生—临床医学]