BACKGROUND In women worldwide, breast cancer is the most common cancer. Breast cancer accounted for 26.6% of all new cancers in females diagnosed in 2015 in Hong Kong.AIM To examine women's awareness, perception, ...BACKGROUND In women worldwide, breast cancer is the most common cancer. Breast cancer accounted for 26.6% of all new cancers in females diagnosed in 2015 in Hong Kong.AIM To examine women's awareness, perception, knowledge, and screening practice of breast cancer in Hong Kong.METHODS We carried out a population-based survey using random telephone interviews to women aged 18 or above using the United Kingdom Cancer Research Breast Cancer Awareness Measure(United Kingdom CAM). The data was analysed using proportions, chi-square test(χ~2-test) and adjusted odds ratios(ORs).RESULTS A total of 1000 participants completed the CAM questionnaire from 1,731 responses(response rate = 57.8%) from September to October 2017. One in five and one in four respondents recalled ≥ 3 early warning signs and ≥ 2 risk factors of breast cancer respectively. The majority(62.6%) reported they were not confident that they would notice a change in their breasts. Among the respondents, 16.8% would have regular mammography at least every two years.In general, 4 in 10 women had tried practices on preventing breast cancer.Respondents with better result in recalling breast cancer signs and symptoms were more likely to seek immediate medical help when noticed a change in their breasts(χ2-test P = 0.038), and more likely had tried prevention practice(χ~2-test P< 0.001). Respondents received higher education(secondary school or above) had higher breast cancer awareness(OR = 2.83, CI: 1.61-4.97), more frequent screening(OR = 2.64, CI: 1.63-4.26) and more had tried prevention practices(OR = 2.80, CI:1.96-4.02) when compared to those with lower education. Those in age groups 31-45 and 46-60 had higher percentages in performing breast self-exam and mammography when compared to the 18-30 and 61 or above age groups.CONCLUSION Population-wide public health initiatives should emphasize on prevention and early detection of breast cancer in women, with targeted strategy for those with low education level and advance in age.展开更多
目的了解学龄前儿童日常身体活动现状,进一步研究身体活动与执行功能之间的相关性。方法2018年5-7月在北京地区抽取3家幼儿园,采用方便抽样方法抽取中班儿童201人,连续3d佩戴加速度计ActiGraph GT9X,采用早期儿童执行功能测量工具包(Ear...目的了解学龄前儿童日常身体活动现状,进一步研究身体活动与执行功能之间的相关性。方法2018年5-7月在北京地区抽取3家幼儿园,采用方便抽样方法抽取中班儿童201人,连续3d佩戴加速度计ActiGraph GT9X,采用早期儿童执行功能测量工具包(Early Years Toolbox,EYT)进行工作记忆、抑制控制和转换三项执行功能测试,采用自编问卷调查受试儿童的屏幕时间。结果学龄前儿童每日中高强度身体活动、总身体活动时间分别为(95.65±29.02)min、(204.58±46.91)min,男女之间每日轻度、中度、剧烈、中高强度以及总身体活动时间存在差异(U=2593.00,2136.00,2440.00,t=4.09,3.68,P<0.05)。每日屏幕时间为(72.84±51.79)min,男女之间差异无统计学意义(P>0.05)。工作记忆、抑制控制、转换三项执行功能测试得分依次是2.40±0.80、0.76±0.16、14.08±3.49,男女之间差异无统计学意义(P>0.05)。身体活动与EYT测试得分相关性分析发现在4岁组儿童中针对转换的测试得分与每日高强度身体活动时间存在显著相关性(r=0.199,P=0.040)。进一步以屏幕时间、每日总身体活动时间,每日中高强度身体活动时间达标与否进行分组,未发现各组间EYT测试得分差异有统计学意义(P>0.05)。结论学龄前儿童存在身体活动不足的状况,身体活动和执行功能之间存在相关性,且这种相关性与身体活动的强度有关。展开更多
基金the Centre for Health Behaviours Research,Jockey Club School of Public Health and Primary Care,The Chinese University of Hong Kongthe Hong Kong Breast Cancer Foundation
文摘BACKGROUND In women worldwide, breast cancer is the most common cancer. Breast cancer accounted for 26.6% of all new cancers in females diagnosed in 2015 in Hong Kong.AIM To examine women's awareness, perception, knowledge, and screening practice of breast cancer in Hong Kong.METHODS We carried out a population-based survey using random telephone interviews to women aged 18 or above using the United Kingdom Cancer Research Breast Cancer Awareness Measure(United Kingdom CAM). The data was analysed using proportions, chi-square test(χ~2-test) and adjusted odds ratios(ORs).RESULTS A total of 1000 participants completed the CAM questionnaire from 1,731 responses(response rate = 57.8%) from September to October 2017. One in five and one in four respondents recalled ≥ 3 early warning signs and ≥ 2 risk factors of breast cancer respectively. The majority(62.6%) reported they were not confident that they would notice a change in their breasts. Among the respondents, 16.8% would have regular mammography at least every two years.In general, 4 in 10 women had tried practices on preventing breast cancer.Respondents with better result in recalling breast cancer signs and symptoms were more likely to seek immediate medical help when noticed a change in their breasts(χ2-test P = 0.038), and more likely had tried prevention practice(χ~2-test P< 0.001). Respondents received higher education(secondary school or above) had higher breast cancer awareness(OR = 2.83, CI: 1.61-4.97), more frequent screening(OR = 2.64, CI: 1.63-4.26) and more had tried prevention practices(OR = 2.80, CI:1.96-4.02) when compared to those with lower education. Those in age groups 31-45 and 46-60 had higher percentages in performing breast self-exam and mammography when compared to the 18-30 and 61 or above age groups.CONCLUSION Population-wide public health initiatives should emphasize on prevention and early detection of breast cancer in women, with targeted strategy for those with low education level and advance in age.
文摘目的了解学龄前儿童日常身体活动现状,进一步研究身体活动与执行功能之间的相关性。方法2018年5-7月在北京地区抽取3家幼儿园,采用方便抽样方法抽取中班儿童201人,连续3d佩戴加速度计ActiGraph GT9X,采用早期儿童执行功能测量工具包(Early Years Toolbox,EYT)进行工作记忆、抑制控制和转换三项执行功能测试,采用自编问卷调查受试儿童的屏幕时间。结果学龄前儿童每日中高强度身体活动、总身体活动时间分别为(95.65±29.02)min、(204.58±46.91)min,男女之间每日轻度、中度、剧烈、中高强度以及总身体活动时间存在差异(U=2593.00,2136.00,2440.00,t=4.09,3.68,P<0.05)。每日屏幕时间为(72.84±51.79)min,男女之间差异无统计学意义(P>0.05)。工作记忆、抑制控制、转换三项执行功能测试得分依次是2.40±0.80、0.76±0.16、14.08±3.49,男女之间差异无统计学意义(P>0.05)。身体活动与EYT测试得分相关性分析发现在4岁组儿童中针对转换的测试得分与每日高强度身体活动时间存在显著相关性(r=0.199,P=0.040)。进一步以屏幕时间、每日总身体活动时间,每日中高强度身体活动时间达标与否进行分组,未发现各组间EYT测试得分差异有统计学意义(P>0.05)。结论学龄前儿童存在身体活动不足的状况,身体活动和执行功能之间存在相关性,且这种相关性与身体活动的强度有关。
