刚果民主共和国布滕博市鲁文佐里大学女学生乳房自我检查

Kambale Mastaki J, Kalondero J, Munzombo T, Mutume Kabila T, Ngwala Ngwala B
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摘要

乳房自我检查是早期发现预防乳腺癌的最有效措施之一。材料与方法在2018 - 2019学年期间,对刚果民主共和国布滕博市鲁文佐里警官大学(UOR)的女学生进行了一项基于机构和自我管理问卷的横断面调查。结果358名女学生中有215名被纳入调查,应答率为60.00%。平均年龄22.74岁(95%CI: 22.25 ~ 23.24),中位年龄22.00岁。南德族/伊拉族占81.55%;95%CI: 75.61%-86.31%),医学院(56.34%;95%置信区间:49.55%-62.90%)和天主教(53.49%;95%置信区间:46.75% - -60.11%)。对乳腺自检(BSE)有基本了解的占绝对多数(79.44%;95%CI: 73.45%-84.37%),而只有略占多数的人至少患过一次疯牛病(55.71%;95%置信区间:48.88% - -62.34%)。只有学习课程(医学)、居住地(布滕博市)、对乳腺癌和疯牛病的基础知识有显著影响(Pearson chi2 p值分别为0.028、0.037、0.003和0.000)。最后,逻辑回归显示,只有关于疯牛病的基本知识与实践相关。相关性强(OR: 6.641;95%置信区间:2.823—-15.620)。结论绝大多数UOR女学生对乳腺癌和疯牛病有基本的了解。然而,这一事实并不能自动转化为良好的适当的健康行为意味着疯牛病。为了解决这一健康问题,必须采取更有效的增敏措施。
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Breast self examination by female students of the universite officielle de ruwenzori, butembo city, democratic republic of Congo
ntroduction Breast self-examination is one of the most effective measures strongly recommended for the prevention of breast cancers by means of early detection. Material and method An institution and self-administered questionnaire based cross-sectional survey was conducted among female students of the Université Officielle de Ruwenzori (UOR), Butembo city, in the Democratic Republic of Congo (DRC) during the academic period 2018 to 2019. Results 215 female students out of 358 were included (response rate: 60.00%). Age mean and median were 22.74 years (95%CI: 22.25-23.24) and 22.00 years respectively. Most of them belonged to Nande/Yira tribe (81.55%; 95%CI: 75.61%-86.31%), the Faculty of Medicine (56.34%; 95%CI: 49.55%-62.90%) and catholic religion (53.49%; 95%CI: 46.75%-60.11%). The absolute majority of them had a basic knowledge about breast self-examination (BSE) (79.44%; 95%CI: 73.45%-84.37%) while only a slight majority has performed BSE at least once (55.71%; 95%CI: 48.88%-62.34%). Only the course of study (Medicine), residence (Butembo city), having basic knowledge about breast cancers and BSE impacted significantly on practice of BSE (Pearson chi2 p-values of 0.028, 0.037, 0.003 and 0.000 respectively). Finally, logistic regressions showed that only basic knowledge about BSE was associated with its practice. The relationship was strong (OR: 6.641; 95%CI: 2.823-15.620). Conclusion The large majority of UOR’s female students have basic knowledge about breast cancers and BSE. However, this fact is not automatically translated in a good appropriate health behavior meaning BSE. More effective sensitization has to be done in order to fix this health problem.
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