合肥市社区居民乳腺癌筛查行为及意愿的健康信念分析  

Health beliefs and breast cancer screening behavior and willingness of community residents in Hefei

作　　者：沙蕊[1] 赵婷[1] 冯瑞[1] 柴静[1] 程静[1] 卢曼曼[1] 王德斌[1] 

机构地区：[1]安徽医科大学卫生管理学院,合肥230032

出　　处：《安徽医科大学学报》2017年第7期993-997,共5页Acta Universitatis Medicinalis Anhui

基　　金：国家自然科学基金(编号:71503009)

摘　　要：目的分析健康信念对乳腺癌筛查行为及意愿的作用。方法采用横断面设计和随机整群抽样的方法 ,对40~70岁女性进行问卷调查。结果获得805份有效问卷,乳腺癌筛查率为18.6%,愿意筛查率为62.7%。健康信念的4个维度认知均是乳腺癌筛查行为与意愿的影响因素(P<0.05),其中患癌风险认知对乳腺癌筛查行为的影响最大(OR=3.01),癌筛好处认知对筛查意愿的影响最大(OR=3.11)。结论健康信念作为乳腺癌筛查行为及意愿的影响因素,可为未来乳腺癌筛查促进措施提供理论基础。Objective To analyze the relationship between health beliefs and breast cancer screening behavior and willingness. Methods Cross-sectional design and random cluster sampling were used to investigate women aged 40 to 70 years via structured questionnaire. The relationship between health belief and breast cancer screening behav- ior and willingness was analyzed by Chi-square test and Logistic regression analysis. Results A total of 805 respondents completed the survey, 18.6% of them had ever undertaken breast cancer screening and 62. 7% of them reported willingness to receive the service. The four aspects of health beliefs were the impact factors of breast cancer screening behavior and willingness （P 〈 0. 05 ）. The awareness of risks to cancer had the greatest impact on breast cancer screening behavior （ OR = 3.01 ） and the awareness of benefits of cancer screening had the greatest impact on willingness （ OR = 3.31 ）. Conclusion Health belief model as influential factors of breast cancer screening will provide a theoretical basis for improving cancer screening uptake rate.

关 键 词：乳腺癌 筛查 健康信念 

分 类 号：R730.1[医药卫生—肿瘤]