Predictors of Breast Cancer Screening Uptake: A Pre Intervention Community Survey in Malaysia
Predictors of Breast Cancer Screening Uptake: A Pre Intervention Community Survey in Malaysia
复制标题
DOI：
10.7314/apjcp.2012.13.7.3443
复制
发表时间：
2012-01-01
影响因子：
--
通讯作者：
Lim, Jennifer
中科院分区：
文献类型：
--
作者：
Dahlui, Maznah;Gan, Daniel Eng Hwee;Lim, Jennifer
导言：尽管马来西亚努力对妇女进行乳腺癌和乳腺癌筛查方面的健康教育，但在马来西亚，乳腺癌的发病率和晚期症状仍然是一个问题。目的：确定与普通人群中女性接受乳腺癌筛查相关的因素。方法：本次干预前调查在郊区进行。对所有家庭进行了接触，并对20至60岁的妇女进行了预先测试的指导性问卷调查。收集的变量包括社会人口学特征、乳腺癌知识和乳腺癌筛查实践。进行单因素和多因素分析。结果：381名调查对象中有41.5%得分高于平均水平，对乳腺癌病因和危险因素的平均知晓率为3.41分(SD1.609)。58.5%的人曾进行过BSE，其中一半的人每月定期进行BSE。护士和医生对CBE的摄取率分别为40.7%和37.3%。钼靶摄取率为14.6%。乳腺癌相关知识(OR=2.654，95%CI：1.033~6.816)、已婚(OR=2.213，95%CI：1.201~4.076)和参加CBE(OR=1.729，95%CI：1.122~2.665)是影响乳腺癌发生的重要因素。有意义的预测因素包括已婚(OR=2.161，95%CI：1.174~3.979)、对乳腺癌的了解程度(OR=2.286，95%CI：1.012~5.161)和对乳腺癌筛查的社会支持(OR=2.312，95%CI：1.245~4.293)。患有CBE的女性更有可能接受乳房X光检查(OR=5.744，95%CI：2.112-15.623)，p
Introduction: Despite health education efforts to educate women on breast cancer and breast cancer screening modalities, the incidence of breast cancer and presentation at an advanced stage are still a problem in Malaysia. Objectives: To determine factors associated with the uptake of breast cancer screening among women in the general population. Methods: This pre-intervention survey was conducted in a suburban district. All households were approached and women aged 20 to 60 years old were interviewed with pre-tested guided questionnaires. Variables collected included socio-demographic characteristics, knowledge on breast cancer and screening practice of breast cancer. Univariate and multivariate analysis were performed. Results: 41.5% of a total of 381 respondents scored above average; the mean knowledge score on causes and risks factors of breast cancer was 3.41 out of 5 (SD1.609). 58.5% had ever practiced BSE with half of them performing it at regular monthly intervals. Uptake of CBE by nurses and by doctors was 40.7% and 37.3%, respectively. Mammogram uptake was 14.6%. Significant predictors of BSE were good knowledge of breast cancer (OR=2.654, 95% CI: 1.033-6.816), being married (OR=2.213, 95% CI: 1.201-4.076) and attending CBE (OR=1.729, 95% CI: 1.122-2.665). Significant predictors for CBE included being married (OR=2.161, 95% CI: 1.174-3.979), good knowledge of breast cancer (OR=2.286, 95% CI: 1.012-5.161), and social support for breast cancer screening (OR=2.312, 95% CI: 1.245-4.293). Women who had CBE were more likely to undergo mammographic screening of the breast (OR=5.744, 95% CI: 2.112-15.623), p