乳腺癌筛查与焦虑和抑郁症状发生率间的相关性分析  

Correlation between breast cancer screening and the incidence of anxiety and depression symptoms

作　　者：许桂峰 吕京 陈洪杰[2] 高登鹏[2] 冯至真 Xu Guifeng;Lv Jing;Chen Hongjie(Oncology Department,Langfang People's Hospital,Langfang 065000,China)

机构地区：[1]廊坊市人民医院肿瘤科,065000 [2]廊坊市人民医院普外科,065000 [3]廊坊市第三人民医院呼吸科 [4]河北医科大学

出　　处：《中华保健医学杂志》2020年第4期391-393,共3页Chinese Journal of Health Care and Medicine

基　　金：廊坊市科学技术研究与发展计划项目(2019013018)。

摘　　要：目的探究乳腺癌筛查与焦虑和抑郁症状发生率间的相关性。方法选取2018年1月~2019年9月廊坊市45~69岁常住妇女4096例,收集其基本资料及乳腺癌筛查情况,并评估每位妇女的焦虑及抑郁程度,将从未进行或距离上次乳腺癌筛查>3年的妇女分为未筛查组(2470例),将距离上次乳腺癌筛查≤3年的妇女分为筛查组(1626例),比较两组研究对象各项基本资料以及焦虑、抑郁程度间的差异性,并采用多因素logistic回归分析探究影响未及时进行乳腺癌筛查的独立相关因素。结果筛查组中存在焦虑症状的妇女148(9.1%)例,未筛查组为375(15.2%)例,差异具有统计学意义(P<0.05);筛查组中存在抑郁症状的妇女196例(12.1%),未筛查组中为382例(15.5%),差异具有统计学意义(P<0.05)。多因素logistic回归分析结果表明,焦虑、抑郁均是影响妇女未及时进行乳腺癌筛查的独立相关因素,OR值分别为1.618(1.331~2.217)、2.512(1.406~4.516)。结论未及时进行乳腺癌筛查的妇女存在焦虑、抑郁症状的比例显著提高,焦虑、抑郁与妇女未及时进行乳腺癌筛查间存在显著的相关性。Objective To investigate the correlation between breast cancer screening and the incidence of anxiety and depression symptoms.Methods From January 2018 to September 2019,45-69-year-old resident women were selected in this study,the basic data and the participation in breast cancer screening were collected,the level of anxiety and depression of each woman was assessed,all women volunteered to participate in this study.Women who had never been or had been breast cancer screening for>3 years were in the unscreened groups,women who received breast screening≤3 years were in the screening group,the basic data and the levels of anxiety and depression between the two groups were compared,and multi-factor logistic regression analysis were used to explore the independent factors that related with the accidence of missing breast cancer screening.Results In the screening group,there were 148(9.1%)women with anxiety symptoms,and 375(15.2%)cases in the unscreened group,P<0.001,the difference was statistically significant.The proportion of depression symptoms in the screening group was 12.1%(196 cases),and 15.5%(382 cases)in the unscreened group,and the difference was statistically significant P=0.002,.Multivariate logistic regression analysis results showed that anxiety and depression were independent related factors that associated with women's missing of breast cancer screening.Conclusion Women who miss breast screening might have higher odds of anxiety and depression,anxiety and depression might be related with women's missing breast screening.

关 键 词：乳腺癌 筛查 焦虑 抑郁 

分 类 号：R737.9[医药卫生—肿瘤]