运城市女性人群乳腺癌预防知信行现状调查

Investigation of knowledge,attitude,and practice regarding breast cancerprevention among females in Yuncheng City

目的 调查运城市女性人群乳腺癌预防知信行现状,为提高运城市女性人群预防乳腺癌能力提供依据。方法 于2022年10—12月采用便利抽样法对运城市下辖1个市、2个县级市、10个县各随机抽取1个社区(村)的125名女性居民进行乳腺癌预防知信行调查,采用描述流行病学分析方法对乳腺癌预防知信行现状进行分析,并采用单、多因素分析方法对其影响因素进行分析。结果 共有1 491名运城市成年女性纳入研究。乳腺癌预防认知得分(3.91±1.70)分、信念得分(38.65±5.12)分、行为得分(2.06±0.83)分。多重线性回归分析结果提示年龄(β’=-0.658)、文化程度(中专/高中β’=0.189、大专及以上β’=0.279)、乳腺结节病史(β’=0.184)、乳腺癌家族史(β’=0.110)、知识来源(网络β’=-0.216、其他-0.073)是乳腺癌预防认知的影响因素;年龄(β’=-0.116)、文化程度(中专/高中β’=0.185、大专及以上β’=0.587)、乳腺结节病史(β’=0.698)、乳腺癌家族史(β’=0.147)、医保类型(城镇职工β’=0.195、城乡居民β’=0.469)、认知得分(β’=0.920)是乳腺癌预防信念的影响因素;年龄(β’=-0.053)、文化程度(中专/高中β’=0.098、大专及以上β’=0.370)、乳腺结节病史(β’=0.392)、乳腺癌家族史(β’=0.194)、医保类型(城镇职工β’=0.421、城乡居民β’=0.061)、认知得分(β’=0.326)、信念得分(β’=0.512)是女性人群乳腺癌预防行为的影响因素。结论 运城市女性人群乳腺癌预防知信行得分处于中等水平,需要根据相关影响因素明确关注人群、加强有效干预措施,以更好地改善该人群乳腺癌预防知信行现状,提高其预防和筛查水平。

Objective To investigate the status of knowledge,attitude,and practice regarding breast cancer prevention among females in Yuncheng City,and provide the basis for improving the ability of females in Yuncheng City to prevent breast cancer.Methods From October to December 2022,a convenient sampling method was adopted to randomly select one community(village)in one city,two county‐level cities,and ten counties under the jurisdiction of Yuncheng City,and 125 female residents were selected from each community(village)to conduct a survey on knowledge,attitude,and practice of breast cancer prevention.Descriptive epidemiological analysis method was used to analyze the status of knowledge,attitude,and practice regarding breast cancer prevention.The influence factors were analyzed by univariate and multivariate analysis methods.Results A total of 1491 adult females from Yuncheng City were included in the study.The scores of knowledge,attitude,and practice of breast cancer prevention were(3.91±1.70),(38.65±5.12),and(2.06±0.83)respectively.Multiple linear regression analysis suggested that age(β'=-0.658),education level(β'=0.189 for secondary school/high school,β'=0.279 for junior college or above),history of breast nodules(β'=0.184),family history of breast cancer(β'=0.110),and knowledge source(β'=-0.216 for network,β'=-0.073 for others)were the influencing factors of breast cancer prevention knowledge score.Age(β'=-0.116),education level(β'=0.185 for secondary school/high school,β'=0.587 for junior college or above),history of breast nodules(β'=0.698),family history of breast cancer(β'=0.147),type of medical insurance(β'=0.195 for urban workers,β'=0.469 for urban and rural residents),and knowledge score(β'=0.920)were the influencing factors of breast cancer prevention attitude score.Age(β'=-0.053),education level(β'=0.098 for secondary school/high school,β'=0.370 for junior college or above),history of breast nodules(β'=0.392),family history of breast cancer(β'=0.194),type of medical insurance(β'=0.421 for urban workers,β'=0.061 for urban and rural residents),knowledge score(β'=0.326),and attitude score(β'=0.512)were the influencingfactors of breast cancer prevention practice score among females. Conclusions The score of knowledge,attitude,and practice of breast cancer prevention among females in Yuncheng City is at a medium level. It is necessary to pay attentionto the population and strengthen effective intervention measures according to the relevant influencing factors,so as tobetter improve the current situation of knowledge,attitude,and practice of breast cancer prevention and improve its preventionand screening level.