Women's knowledge and beliefs regarding breast cancer.
Women's knowledge and beliefs regarding breast cancer.
复制标题
妇女对乳腺癌的知识和信念。
DOI：
10.1038/sj.bjc.6600260
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发表时间：
2002-05-06
影响因子：
8.8
通讯作者：
Richards, M A
中科院分区：
文献类型：
--
作者：
Grunfeld, E A;Ramirez, A J;Hunter, M S;Richards, M A
大约20-30%的妇女从自我发现乳房症状到向卫生保健提供者就诊延迟了12周或更长时间，这种延迟间隔与较差的生存率相关。了解影响患者延迟的因素对于制定有效的、有针对性的健康干预计划以缩短患者延迟非常重要。该研究的目的是在一般女性人群中获取有关乳腺癌的知识和信念，并检查反应的年龄和社会经济差异。参与者是通过邮政地址档案随机选择的，数据是通过国家统计局收集的。分布在英国各地的996名妇女参加了一个简短的结构化访谈，以了解乳腺癌的风险，乳腺癌的症状，以及他们对乳腺癌相关的管理和结果的看法。妇女对患乳腺癌的相对风险、相关风险因素和潜在乳腺癌相关症状的多样性的了解有限。老年妇女特别不善于识别乳腺癌的症状、与乳腺癌有关的风险因素以及她们个人患乳腺癌的风险。对老年妇女的症状和风险的确切了解可能有助于解释老年和延迟寻求帮助之间的强烈联系。如果这些研究结果得到证实，它们表明，任何干预方案都应特别针对老年妇女，因为年龄增长是患乳腺癌和随后延迟发病的风险因素。英国癌症杂志（2002）86，1373-1378。DOI：10.1038/sj/bjc/6600260 www.bjcancer.com © 2002英国癌症研究中心
Approximately 20–30% of women delay for 12 weeks or more from self-discovery of a breast symptom to presentation to a health care provider, and such delay intervals are associated with poorer survival. Understanding the factors that influence patient delay is important for the development of an effective, targeted health intervention programme to shorten patient delay. The aim of the study was to elicit knowledge and beliefs about breast cancer among a sample of the general female population, and examine age and socio-economic variations in responses. Participants were randomly selected through the Postal Address File, and data were collected through the Office of National Statistics. Geographically distributed throughout the UK, 996 women participated in a short structured interview to elicit their knowledge of breast cancer risk, breast cancer symptoms, and their perceptions of the management and outcomes associated with breast cancer. Women had limited knowledge of their relative risk of developing breast cancer, of associated risk factors and of the diversity of potential breast cancer-related symptoms. Older women were particularly poor at identifying symptoms of breast cancer, risk factors associated with breast cancer and their personal risk of developing the disease. Poorer knowledge of symptoms and risks among older women may help to explain the strong association between older age and delay in help-seeking. If these findings are confirmed they suggest that any intervention programme should target older women in particular, given that advancing age is a risk factor for both developing breast cancer and for subsequent delayed presentation. British Journal of Cancer (2002) 86, 1373–1378. DOI: 10.1038/sj/bjc/6600260 www.bjcancer.com © 2002 Cancer Research UK