妇女乳腺癌预防知识知晓情况及影响因素分析

Women's knowledge of preventing breast cancer and its influencing factors

目的：在上海市开展妇女乳腺癌预防知晓情况调查，为有效开展乳腺癌预防的健康教育、确定乳腺癌宣传的重点人群提供依据。方法选取2013年3至4月参加上海市妇女保健所和上海市第一妇婴保健院义诊活动的妇女进行问卷调查，共有205份有效问卷纳入研究。应用Logistic回归模型进行乳腺癌知晓情况的影响因素分析。结果乳腺癌预防知识的知晓率为4．9％～91．2％，平均得分6．14±2．56）。多因素Logistic回归模型分析结果显示，在调整其他变量的情况下，高分组域低分组相比，仅家庭年人均可支配收入（OR＝0．4，95％CI：0．2～0．8）和婚姻状况（已婚OR＝0．0，95％CI：0．0～0．2；未婚OR＝0．1，95％CI：0．0～0．9）对知晓水平存在影响，具有统计学意义（均P＜0．05）。结论上海地区妇女乳腺癌预防知识水平仍有待提高，可将收入较低或离异丧偶的妇女作为乳腺癌健康教育的重点人群。

Objective To investigate the knowledge about preventing breast cancer in Shanghai so as to make basis for health education on preventing breast cancer and identification of key population .Methods The women who took part in the gratis medical service supported by Shanghai Maternal Health Care Institute and Shanghai First Maternity and Infant Hospital from March to April in 2013 were investigated . Totally 205 effective questionnaires were included in the study .The Logistic regression model was applied to analyze the influencing factors of knowledge about breast cancer .Results The awareness rate of knowledge about preventing breast cancer was 4.9%to 91.2%, and its mean score was 6.14 ±2.56.The results of multiple Logistic regression model analysis showed that the domestic annual disposable income （OR=0.4,95%CI：0.2-0.8） and marital status （married OR=0.0,95%CI：0.0-0.2;unmarried OR=0.1,95%CI：0.0-0.9） were statistically significant （both P ＆lt;0.05） when other variables were adjusted .Conclusion It is necessary to promote the knowledge of preventing breasting cancer in Shanghai .The divorced and widowed women or women with low income could be included in the key population for health education on breast cancer .