A survey of overall life satisfaction and its association with breast diseases in Chinese women.
A survey of overall life satisfaction and its association with breast diseases in Chinese women.
复制标题
中国女性总体生活满意度及其与乳腺疾病的关系调查
DOI：
10.1002/cam4.565
复制
发表时间：
2016-01
期刊：
影响因子：
4
通讯作者：
Chen K
中科院分区：
文献类型：
--
作者：
Bai A;Li H;Huang Y;Liu X;Gao Y;Wang P;Dai H;Song F;Hao X;Chen K
探讨中国女性总体生活满意度与健康生活方式、乳腺癌知识、体检、乳腺癌和乳腺良性疾病检出率的关系。在中国的一项多中心乳腺疾病筛查项目中，我们招募了33，057名年龄在45-65岁之间、既往未诊断为乳腺癌的女性。在完成流行病学调查问卷后，所有参与者分别接受临床乳腺检查、乳腺超声检查和乳腺X线摄影检查。所有乳腺癌病例和选定的良性乳腺疾病样本均经病理证实。计算单变量和多变量比值比（OR）和95%置信区间（CI），以估计生活满意度与生活方式、乳腺癌知识、体检和乳腺疾病检出率之间的关系。总体生活满意度与女性的健康生活方式呈正相关。与不太满意的女性相比，满意的女性不太可能吸烟（OR = 0.54; 95%CI：0.47-0.62），多锻炼（OR = 1.49; 95%CI：1.26-1.75），少吃油炸食品（OR = 0.60; 95% CI：0.50-0.71）、烟熏（OR = 0.54，95% CI：0.47-0.63）、腌制（OR = 0.66，95% CI：0.55-0.79）和烧烤（OR = 0.63，95% CI：0.54-0.74）食物。满意的女性更有可能了解乳腺癌知识（OR = 1.48，95% CI：1.29-1.70），定期体检（OR = 1.11，95% CI：1.01-1.12）。与满意度低的女性相比，满意度高的女性乳腺良性疾病的检出率显著降低（OR = 0.90，95% CI：0.82-0.99），乳腺癌的检出率也显著降低（OR = 0.66，95% CI：0.35-1.25）。整体生活满意度越高的女性，越倾向于健康的生活方式、乳腺癌知识和定期体检，从而导致筛查中乳腺疾病的检出率较低。
To investigate the association between overall life satisfaction and healthy lifestyle, knowledge of breast cancer, physical examination, and detection rate of breast cancer and benign breast disease in Chinese women. In a multicentered breast disease screening program in China, we enrolled 33,057 women aged 45–65 years without prior diagnosis of breast cancer. After completing an epidemiological questionnaire, all participants were examined by clinical breast examination, breast ultrasound, and mammography independently. All breast cancer cases and a selected sample of benign breast diseases were confirmed pathologically. Univariate and multivariate odds ratios (ORs) and 95% confidence intervals (CIs) were calculated to estimate the association between life satisfaction and lifestyle, knowledge of breast cancer, physical examination, and detection rate of breast diseases. Overall life satisfaction was positively associated with women's healthy lifestyle. Compared with less satisfied women, satisfied women were less likely to be smokers (OR = 0.54; 95% CI: 0.47–0.62), have more exercise (OR = 1.49; 95% CI: 1.26–1.75), eat less fried (OR = 0.60; 95% CI: 0.50–0.71), smoked (OR = 0.54, 95% CI: 0.47–0.63), pickled (OR = 0.66, 95% CI: 0.55–0.79), and grilled (OR = 0.63, 95% CI: 0.54–0.74) foods. Satisfied women were more likely to have knowledge of breast cancer (OR = 1.48, 95% CI: 1.29–1.70), and have regular physical examinations (OR = 1.11, 95% CI: 1.01–1.12). Compared to less satisfied women, we found significantly lower detection rate of benign breast diseases (OR = 0.90, 95% CI: 0.82–0.99), and lower but nonsignificant detection rate of breast cancer (OR = 0.66, 95% CI: 0.35–1.25) in satisfied women. Women with a higher overall life satisfaction are more likely to have healthy lifestyle, knowledge of breast cancer, and regular physical examination, thus resulting in a lower detection rate of breast diseases in screening.