Mammography screening uptake among hospital personnel in Kuala Lumpur tertiary hospital.
Mammography screening uptake among hospital personnel in Kuala Lumpur tertiary hospital.
复制标题
吉隆坡三级医院医院工作人员进行乳房X光检查的情况。
DOI：
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发表时间：
2011
影响因子：
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通讯作者：
N. Al
中科院分区：
文献类型：
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作者：
Nik Nairan Abdullah;N. Aziz;Sanjay Rampal;N. Al
背景
乳腺癌是马来西亚妇女中最常见的癌症。在2006年国家癌症登记处登记的癌症病例总数中，有3 525例为女性乳腺癌病例。2006年，总的年龄标准化比率为每10万人39.3人。据估计，30%-40%的人在晚期被诊断出来，这导致了生存率很低。该研究的目的是确定与医院工作人员进行乳腺X线摄影筛查相关的因素和障碍。
方法
2007年6月至2007年11月，对707名40岁及以上的女性工作人员进行了全面抽样调查。该研究在吉隆坡的一家三级医院马来亚大学医学中心进行。预先测试的自填问卷已邮寄给符合条件的人员。
结果
在534名受访者中，乳腺X线筛查的患病率为80.3%（95%CI：76.8%，83.5%）。有医生推荐的人员与没有医生推荐的人员相比，乳腺X线筛查摄取率显著更高，调整后比值比为21.25（95%CI：12.71，36.56）。报告的障碍可分为几个主题：对手术的负面看法，如男性技师/放射技师的存在导致的尴尬;放射技师/放射技师对检测异常的信心不足;缺乏处理预期结果和手术期间疼痛的应对技能。
结论
这项研究的结果突出表明，20%的工作人员没有进行乳房X光检查，尽管没有产生任何费用，而且他们完全可以使用该程序。医生的建议和对手术的担忧应该得到解决。
BACKGROUND
Breast cancer is the most common cancer among women in Malaysia. Of the total cancer cases registered in the National Cancer Registry for 2006, 3,525 were female breast cancer cases. The overall age standardized rate was 39.3 per 100,000 population in 2006. An estimated 30%-40% were diagnosed in the late stages and this had resulted in poor survival rates. The purpose of the study was to determine the factors and barriers related to mammography screening uptake among hospital personnel.
METHODS
This mixed method explanatory study was carried out on a universal sampling of 707 female personnel aged 40 and above, from June 2007 until November 2007. The study was conducted at University Malaya Medical Centre, a tertiary hospital in Kuala Lumpur. Pre-tested self-administered questionnaires were mailed to eligible personnel.
RESULTS
The prevalence of mammography screening uptake was 80.3% (95%CI: 76.8%,83.5%) among 534 respondents. Personnel who had physician recommendation had significantly higher odds of mammography screening uptake compared to those who did not have recommendation, adjusted odds ratio of 21.25 (95%CI:12.71,36.56). Reported barriers can be grouped into several themes; negative perception of the procedure like embarrassment due to the presence of male technicians/radiographers; low confidence with radiologist/radiographers in detecting abnormality; lack of coping skills in dealing with expected results and pain during procedure.
CONCLUSIONS
The findings of this study highlighted that 20% of personnel did not undertake mammography screening although there is no cost incurred and the procedure is fully accessible to them. Opportunistic recommendation by physician and concerns on the procedure should be addressed.