Breast cancer screening behaviors among Chinese women in Mainland China

Breast cancer screening behaviors among Chinese women in Mainland China
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DOI:
10.1111/nhs.12533
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发表时间:
2018-12-01
影响因子:
2.7
通讯作者:
Lee, Chun Fan
Lee, Chun Fan
中科院分区:
医学4区
文献类型:
--
作者:
Bao, Yingyi;Kwok, Cannas;Lee, Chun Fan

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在本研究中,我们报告了目前中国妇女的乳腺癌筛查率,并研究了人口统计学因素和文化信仰是否与她们的筛查行为相关。采用横断面调查方法,对494名中国妇女进行了乳腺癌筛查信念问卷(BCSBQ)的调查。资料以双样本t检定及多元逻辑回归分析。结果表明,参与筛查实践的比例从27.5%的乳房自我检查(BSE),36.4%的临床乳房检查,23.5%的乳房X光检查和40%的超声检查不等。以前从事过四种筛查方法之一的妇女在修改后的BCSBQ的三个分量表上的得分显著较高。年龄较大和有一个被诊断患有乳腺癌的朋友分别被证明是BSE和参与乳房X光检查或超声检查的预测因素。教育水平也被证明与四个筛选措施呈正相关。我们认为,有关乳腺癌的文化信念和筛查实践在中国妇女的筛查行为中起着重要作用。
In the present study, we reported on the current breast cancer screening rates among Chinese women in China and examined whether demographic factors and cultural beliefs were associated with their screening behavior. A cross-sectional survey was conducted with a convenience sample of 494 Chinese women who completed the modified Breast Cancer Screening Beliefs Questionnaire (BCSBQ). Two-sample t-tests and multivariable logistic regression were employed to analyze the data. The results indicated that participation in screening practices ranged from 27.5% for breast self-examination (BSE), 36.4% for clinical breast examination, 23.5% for mammography, and 40% for ultrasonography. Women who had previously engaged in one of the four screening practices had significantly higher scores on the three subscales of the modified BCSBQ. Being older and having a friend who had been diagnosed with breast cancer were shown to be predictors for BSE and participation in either mammography or ultrasonography, respectively. Education levels were also shown to be positively associated with the four screening measures. We suggest that cultural beliefs about breast cancer and screening practices play a significant role in Chinese women's screening behavior.