摘要
目的 了解四川省社区女性乳腺癌机会性筛查参与情况及影响因素。方法 2021年7—8月,采用方便抽样法在四川省6个城市对35~64岁的社区女性进行问卷调查。调查内容包括一般人口学特征、生殖生育情况、健康相关行为、个人疾病史、肿瘤家族史、“两癌”筛查史、“两癌”机会性筛查意愿、“两癌”及其筛查知识等。采用SPSS 17.0软件进行统计学分析,采用χ~2检验比较不同特征女性个人主动前往医疗机构乳腺癌筛查率的差异,采用非条件logistic回归进行多因素分析。结果 共纳入1 446例研究对象,共458例(31.7%)女性曾经接受过乳腺癌筛查,其中312例女性曾接受过机会性筛查,机会性筛查率为21.6%。194例曾经在医生建议下进行过乳腺癌筛查。在最近一次医生建议的筛查中,筛查地点分别为社区或乡镇卫生服务机构(14.5%,28/193),区级或县级医院(44.0%,85/193)、市级医院(32.1%,62/193)、省级医院(8.8%,17/193)及其他(0.5%,1/193)。18例(9.3%)仅接受了临床触诊,119例(61.3%)接受了超声检查,47例(24.2%)接受了钼靶检查。198例个人曾经主动到医疗卫生机构要求筛查乳腺癌。最近一次的个人主动筛查地点分别为社区或乡镇卫生服务机构(10.2%,20/196)、区级或县级医院(32.1%,63/196)、市级医院(44.9%,88/196)、省级医院(11.7%,23/196)及其他(1.0%,2/196)。9例(4.5%)仅接受了临床触诊,137例(69.2%)接受了超声检查,41例(20.7%)接受了钼靶检查。相对于离退休人员,职业分类为其他的女性个人主动筛查率更高(OR=3.168);有人工流产史(OR=1.526)、有HRT史(OR=2.795)、有乳腺良性疾病史(OR=3.977)、具有主动筛查意愿(OR=3.433)、听说过“两癌”筛查者(OR=2.004)、听说过乳腺癌筛查方法者(OR=2.134)的个人主动筛查率更高(均P<0.05)。结论 四川省社区女性乳腺癌机会性筛查率较低。医疗机构在平时诊疗中应加强对乳腺癌高危人群的机会性筛�
Objective To understand the participation and influencing factors of opportunistic breast cancer screening among community women in Sichuan Province.Methods From July to August 2021,convenient sampling method was used to conduct a questionnaire survey among community females aged 35-64 in 6 cities of Sichuan Province.The contents of the survey included general demographic characteristics,reproductive factors,health-related behavior,personal disease history and family cancer history,breast cancerand cervical cancerscreening history,breast cancerand cervical canceropportunistic screening willingness,breast cancerand cervical cancer knowledge and their screening knowledge,etc.SPSS 17.0 was used for statistical analysis.The χ~2 test was used to compare the differences in the rates of women with different characteristics voluntarily going to medical institutions for breast cancer screening.And multivariate analysis was conducted by non-conditional Logistic regression.Results A total of 1 446 women were included in the study.458 women(31.7%) had been screened for breast cancer in their lifetime,and 312 had undergone opportunistic screening,with an opportunistic screening rate of 21.6%.194 women reported being screened at a doctor's recommendation.In the most recent physician-recommended screening,the screening institution were community or township health services(14.5%,28/193),district or county hospitals(44.0%,85/193),municipal hospitals(32.1%,62/193),provincial hospitals(8.8%,17/193) and others(0.5%,1/193).Eighteen(9.3%) women underwent clinical palpation only,while 119(61.3%) underwent ultrasound and 47(24.2%) underwent mammography.A total of 198 individuals reported having undergone voluntary screening.The screening sites in the last voluntary screening were community or township health services(10.2%,20/196),district or county hospitals(32.1%,63/196),municipal hospitals(44.9%,88/196),provincial hospitals(11.7%,23/196),and others(1.0%,2/196).9(4.5%) women underwent clinical palpation only,while 137(69.2%) underwe
作者
黄明全
阳永连
汤军
叶运莉
李卉
HUANG Ming-quan;YANG Yong-lian;TANG Jun;YE Yun-li;LI Hui(Department of Breast Surgery,Affiliated Hospital of Southwest Medical University,Luzhou,Sichuan 646000,China;不详)
出处
《中国妇幼保健》
CAS
2023年第23期4633-4638,共6页
Maternal and Child Health Care of China
基金
四川省基层卫生事业发展研究中心资助项目(SWFZ18-Q-2)。
关键词
乳腺癌
机会性筛查
影响因素
Breast cancer
Opportunistic screening
Influencing factors
