职业、学历、家庭收入与乳腺密度及乳腺癌的相关性

Correlation between profession,education background,family income and mammographic density,breast cancer

目的 :探讨职业、学历、家庭收入与乳腺密度及乳腺癌之间的相关性。方法 :对随机抽取的自愿接受全数字化乳腺X线检查的5 006例女性进行问卷调查,依据2003年版美国ACR BI-RADS分类系统对乳腺密度进行分型,其中195例经病理证实为乳腺癌,分析职业、学历、家庭收入与乳腺密度及乳腺癌的相关性。结果:5 006例中致密型305例(6.09%)、多量型3 719例(74.29%)、少量型726例(14.50%)、脂肪型256例(5.11%),乳腺密度的构成与职业、家庭收入、学历有相关性(均P<0.05)。195例乳腺癌中,致密型1例(0.51%)、多量型100例(51.28%)、少量型68例(34.87%)、脂肪型26例(13.33%),乳腺密度的构成与家庭收入、学历有相关性(均P<0.05)。结论:女性乳腺密度与职业、学历、家庭收入有关,而文化程度较低的女性患乳腺癌的风险较高。

Objective：Discussing the correlation between profession,education,family income and mammographic density,breast cancer. Method：Questionnaire for a random sample of 5006 women who volunteered to accept the full digital breast X-ray. Typed the breast density according to ACR BI-RADS （the U.S.,2003）. Among them 195 cases were breast cancer,which were proved by pathology. Analyzed the correlation between profession,education,family income and mammographic density,breast cancer. Result：Among 5006 cases,305 cases were compact type （6.09%）,3719 cases were more quantity type （74.29%）,726 cases were less quantity type （14.51%）,256 cases were fat type （5,11%）. The mammographic density was correlated with pro-fession （P=0.001）,family income （P=0.004）,education （P=0.004）. Among 195 cases breast cancer proved by pathology 1 case was compact type （0.52%）,100 cases were more quantity type （51.28%）,68 cases were less quantity type （34.87%）,26 cases were fat type （13.33%）. The mammographic density was correlated with family income （P=0.046）,education （P=0.048）. Conclu-sion：Women mammographic density is correlated with profession,education,family income. The woman with low degree of edu-cation could suffer from more risk of breast cancer.