Breast cancer literacy among higher secondary students: results from a cross-sectional study in Western Nepal.
Breast cancer literacy among higher secondary students: results from a cross-sectional study in Western Nepal.
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DOI：
10.1186/s12885-016-2166-8
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发表时间：
2016-02-18
期刊：
影响因子：
3.8
通讯作者：
Mishra SR
中科院分区：
文献类型：
--
作者：
Bhandari PM;Thapa K;Dhakal S;Bhochhibhoya S;Deuja R;Acharya P;Mishra SR
作为全球女性中最常见的癌症，充分了解乳腺癌的风险因素，症状和可治愈性至关重要。然而，很少有研究报告乳腺癌识字的学生使用一个有效的工具。对来自11所高中的11年级和12年级学生进行了一项横断面研究，从帕尔巴特区的每个ilaka中随机选出一名学生。对516名学生进行了修改后的综合乳腺癌知识测试问卷的自我调查。知识得分分为两类：“良好的知识”和“穷人的知识”，以中位数得分为分界线。卡方检验用于确定社会人口统计学因素（包括性别）在知识方面的差异。只有4.8%的学生正确回答了至少一半的项目，1. 4%的学生没有正确回答任何关于风险因素和可治愈性的项目。62.4%的学生认为体育锻炼是乳腺癌的保护因素.非癌性乳腺肿块（56.6%）和超重（36.4%）是乳腺癌的危险因素. 42.8%的学生报告了乳房肿瘤切除术和放射疗法治疗乳腺癌的知识，而只有39.0%的学生知道乳房切除术以外的治疗方法的可用性。男性的知情程度明显高于女性（χ2 = 4.02，p = 0.045）。乳房疼痛（23.3%）、乳房形状改变（20.0%）和排脓（14.1%）是最常见的三种症状。近二分之一（47.1%）的学生表示，学校课程没有充分告知他们有关乳腺癌的信息。我们的研究表明，尼泊尔西部高中学生对乳腺癌的危险因素、症状和可治愈性知之甚少。尽管如此，关于乳腺癌的一些神话仍然存在。一半的学生认为学校课程没有充分告知他们乳腺癌。今后的研究应着眼于采取必要措施，解决知识不足的问题，沿着学校课程中存在的差距。本文的在线版本（doi：10.1186/s12885-016-2166-8）包含补充材料，可供授权用户使用。
Being the most common cancer among women worldwide, it is vital to be well-aware of breast cancer risk factors, symptoms and curability. However, few studies have reported breast cancer literacy in students using a validated instrument. A cross-sectional study was conducted among students of grades 11 and 12 from eleven higher secondary schools, one selected randomly from each ilaka of Parbat district. Questionnaire with modified Comprehensive Breast Cancer Knowledge Test was self-administered to 516 students. Knowledge score was categorized into two categories: ‘good knowledge’ and ‘poor knowledge’ taking median score as the cut-off. Chi-square test was used to determine difference in knowledge by socio-demographic factors, including gender. Only 4.8 % of the students responded correctly to at least half of the items, and 1.4 % did not respond correctly to any of the items on risk factors and curability. Physical exercise was identified as a protective factor of breast cancer by 62.4 % of the students. Presence of noncancerous breast lumps (56.6 %) and being overweight (36.4 %) were recognized as the risk factors. Knowledge of lumpectomy and radiation therapy for treatment of breast cancer was reported by 42.8 % of students, while only 39.0 % were aware of the availability of treatment therapies other than mastectomy. Males were significantly better informed than females (χ2 = 4.02, p = 0.045). Pain in the breast (23.3 %), change in the shape of the breast (20.0 %) and discharge of pus (14.1 %) were the three most commonly recognized symptoms. Nearly one in two (47.1 %) students indicated that the school curriculum inadequately informed them on breast cancer. Our study demonstrates poor knowledge on breast cancer risk factors, symptoms and curability among higher secondary school students in Western Nepal. Still, several myths regarding breast cancer persist. Half of the students had the perception that school curriculum inadequately informed them on breast cancer. Future studies should aim at the measures necessary to address the inadequate knowledge, along with the perceived gap in school curriculum. The online version of this article (doi:10.1186/s12885-016-2166-8) contains supplementary material, which is available to authorized users.