成都市社区女性乳腺癌认知及乳腺自检行为调查分析  

Investigation on breast cancer cognition and breast self-examination behavior of urban female in Chengdu

作　　者：吕鑫 邓开怡 张祎莹 陈科燃 刘丹萍 LV Xin;DENG Kai-yi;ZHANG Yi-ying;CHEN Ke-ran;LIU Dan-ping(Department of Health Behawior and Social Medicine,West China School of Public Health and West China Fourth Hospital,Sichuan University,Chengdu,Sichuan 610041,China)

机构地区：[1]四川大学华西公共卫生学院/华西第四医院健康行为与社会医学系,四川成都610041

出　　处：《现代预防医学》2022年第24期4452-4456,共5页Modern Preventive Medicine

摘　　要：目的调查了解成都市社区女性乳腺癌相关知识知晓情况及乳腺自检行为现状,分析影响乳腺自检行为的因素,为制定和实施提高女性乳腺癌相关知识水平和促进乳腺检查行为的措施提供参考依据。方法采用两阶段随机抽样方法,抽取成都市社区1541名年满15岁且未诊断乳腺癌的女性进行问卷调查。使用方法包括描述性分析、χ2检验、非条件二分类logistic回归分析。结果调查女性乳腺癌知识的总知晓率为29.3%(10848/36984),做过乳腺自检的女性仅占25.5%(393/1541)。乳腺自检行为受到年龄(45~59岁OR=2.436,95%CI:1.343~4.419;≥60岁OR=2.327,95%CI:1.181~4.582)、文化程度(高中/技校/中专OR=3.169,95%CI:1.777~5.653;大专OR=2.842,95%CI:1.526~5.293;本科及以上OR=3.752,95%CI:2.009~7.007)、获取乳腺癌知识的主动性(OR=3.905,95%CI:2.483~6.141)及乳腺癌认知水平(OR=1.186,95%CI:1.148~1.225)的影响。结论城市社区女性乳腺癌认知水平偏低,乳腺自检状况欠佳,建议加大对乳腺癌相关知识的宣传力度,并定期指导和训练女性进行乳腺自检,以提高女性乳腺癌认知水平及对乳腺检查的重视度。Objective To investigate the awareness of breast cancer and breast self-examination among females in urban communities of Chengdu and to explore the influencing factors of self-examination,so as to provide reference for the development and implementation of measures to improve female breast cancer related knowledge and breast examination behavior.Methods By using the method of two-stage random sampling,1541 women aged 15 years and not diagnosed with breast cancer in Chengdu urban community were investigated by questionnaire.Descriptive analysis,χ2test,and unconditional binary Logistic regression analysis were performed.Results The total awareness rate of knowledge about breast cancer among females investigated was 29.3%(10848/36984).Only 25.5%(393/1541)of the females conducted breast self-examination.Breast self-examination behavior was influenced by age(45 to 59 years old,OR=2.436,95%CI:1.343-4.419;≥60 years old,OR=2.327,95%CI:1.181-4.582),education level(high school/technical school/technical secondary school,OR=3.169,95%CI:1.777-5.653;junior college,OR=2.842,95%CI:1.526-5.293;bachelor degree or above,OR=3.752,95%CI:2.009-7.007),initiative of acquiring breast cancer knowledge(OR=3.905,95%CI:2.483-6.141),and cognitive level of breast cancer(OR=1.186,95%CI:1.148-1.225).Conclusion The cognitive level of breast cancer of women in urban community is low,and the status of breast self-examination is poor.It is suggested to strengthen the publicity of breast cancer-related knowledge and regularly guide and train women to conduct breast self-examination,in order to improve the cognitive level of female breast cancer and attach importance to breast examination.

关 键 词：女性 乳腺癌 认知 乳腺自我检查 

分 类 号：R737.9[医药卫生—肿瘤] R173[医药卫生—临床医学]