乌干达坎帕拉地区乳腺癌宣传活动对妇女知识、态度和做法的影响

Victoria A. Nyineizooba, Joel Isabirye
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摘要

在乌干达,每 10 万名妇女中就有 116 人罹患乳腺癌。全世界每年的乳腺癌(BRCA)发病率超过 100 万例,死亡人数超过 41.1 万。在不发达国家,存活率不到 50%,而在工业化国家,存活率则高达 90%。研究表明,造成这种情况的原因是对乳腺癌(BRCA)的诊断和识别延迟,以及对 BRCA、其病因、风险因素和筛查方法的认识、态度和实践不足。由于提高意识、改变对 BRCA 预防和治疗的消极态度以及改进筛查方法的使用这些活动的成功与否在很大程度上取决于其影响力,因此 MTN 基金会、全国乳腺癌联盟、乳腺癌行动和乌干达小姐大学的宣传人员采取了积极的提高认识和宣传计划,旨在增加知识、改变态度和改进所有必要筛查程序的实践。为了确定坎帕拉地区妇女的认识和接触程度、知识水平、态度和筛查做法,我们采用了调查和面谈的方式。健康信念模型和态度改变理论解释了不健康习惯的原因及其影响。结果显示,人们对 BRCA 症状、病因、基因检测、BSE 和 CBE 的了解比较粗浅。强烈的负面情绪和心理信念也会影响这种态度。因此,研究强调了预防而非治疗方法的必要性,并肯定了乳腺癌宣传活动对这一事业的贡献。关键词乳腺癌 宣传活动 自我检查 风险因素
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The Impact of Breast Cancer Awareness Campaigns on Women's Knowledge, Attitudes, and Practices in Uganda's Kampala District
In Uganda, breast cancer affects 116 out of every 100,000 women. Worldwide, the yearly incidence rate of breast cancer (BRCA) is more than 1 million cases and more than 411,000 deaths. In underdeveloped nations, the survival rate is less than 50%, while in industrialized nations, it is 90%. Studies have shown that this is caused by delayed diagnosis and identification of breast cancer (BRCA), as well as by inadequate understanding, attitudes, and practices about BRCA, its causes, risk factors, and screening methods. Since the success of these campaigns to raise awareness, alter negative attitudes toward BRCA prevention and treatment, and improve the use of screening methods is highly dependent on their influence, the MTN Foundation, National Breast Cancer Coalition, Breast Cancer Action, and Miss University Uganda campaigners have resorted to aggressive awareness and sensitization programs aimed at increasing knowledge, changing attitudes, and improving the practice of all necessary screening procedures. To determine the degree of awareness and exposure, knowledge level, attitude, and screening practice among women in Kampala District, a survey and in-person interviews were employed. The causes of unhealthy habits and their effects were explained by the Health Believe Model and the Attitude Change Theory. The results showed a cursory understanding of BRCA symptoms, causes, genetic testing, BSE, and CBE. Strongly negative emotional and psychological beliefs also impact that attitude. As a result, the study stressed the need of preventive rather than curative methods and acknowledged the contribution of breast cancer campaigns to the cause. Keywords: Breast cancer, Campaigns, Self-examination, Risk factors.
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