Knowledge of endometrial cancer risk factors in a general gynecologic population.
Knowledge of endometrial cancer risk factors in a general gynecologic population.
复制标题
了解一般妇科人群子宫内膜癌危险因素。
DOI：
10.1097/ogx.0000000000000843
复制
发表时间：
2020
影响因子：
6.2
通讯作者：
E. Ko
中科院分区：
文献类型：
--
作者：
C. Washington;A. Haggerty;W. Ronner;P. Neff;E. Ko
目标
确定一般妇科患者人群中有关子宫内膜癌（EC）风险因素的知识。
研究设计
对2014年8月至10月期间在三级保健中心附属的两个普通妇科诊所接受常规妇科护理的患者进行了一项关于健康行为和EC风险因素知识的问卷调查。对患者的人口统计学资料、生活方式信息和关于EC风险因素的知识进行了评估。使用单变量和双变量分析、T2检验、Fischer精确检验和t检验对数据进行分析。
结果
231人回答。中位年龄为56岁（IQR 25-64），87%为白人。中位BMI为24.9（IQR 22.3-29.2）。24.7%超重，24.3%肥胖。大多数（69.4%）患者获得大学或研究生学位。超过一半的女性（52.1%）不知道肥胖与EC风险增加有关。当基于肥胖与非肥胖进行二分时，患者对肥胖与EC之间相关性的认识没有差异（分别为47%与48%，p = 0.93）。91%的受访者表示，他们的妇科医生或初级保健医生从未与他们讨论过EC的风险。
结论
无论受教育程度、年龄或肥胖状况，大多数女性不知道EC的常见风险。有必要加强努力，对妇女进行有关肥胖和EC其他风险因素的教育，以减少EC这一主要由肥胖引起的疾病的发病率上升。干预措施必须包括普通妇产科医生和初级保健提供者。
OBJECTIVES
To determine knowledge regarding endometrial cancer (EC) risk factors in a general gynecologic patient population.
STUDY DESIGN
A questionnaire survey regarding health behaviors and knowledge of risk factors of EC was administered to patients presenting for routine gynecologic care at two general gynecologic practices affiliated with a tertiary-care center between August and October 2014. Patient demographics, lifestyle information, and knowledge regarding EC risk factors were assessed. Data were analyzed using univariable and bivariable analyses, Χ2 tests, Fischer's exact tests, and t-tests.
RESULTS
231 women responded. Median age was 56 years old (IQR 25-64), and 87% were Caucasian. Median BMI was 24.9 (IQR 22.3-29.2). 24.7% were overweight and 24.3% obese. The majority (69.4%) of patients received a college or graduate degree. Over half of the women (52.1%) did not know that obesity was associated with increased risk of EC. When dichotomized based on obese vs non obese, there was no difference in patients' knowledge of the association between obesity and EC (47% vs 48%, respectively, p = .93). 91% of all respondents reported that their gynecologist or primary care physician had never discussed the risks of EC with them.
CONCLUSIONS
Regardless of education level, age or obesity status, the majority of women did not know the common risks of EC. Increased efforts towards educating women regarding obesity and other risk factors of EC are necessary in order to reduce the rising incidence of EC, a predominantly obesity-driven disease. Interventions must include general obstetrician-gynecologists and primary care providers.