基于健康信念模型的武汉大学女生乳房自我检查与乳腺癌风险认知的预测因子

L. Woiloro, Belay Erchafo Lubego, T. Arficho, Tagesse Sedoro Diramo, Dawit Sullamo Erjino
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引用次数: 1

摘要

背景:乳腺自我检查(BSE)是发现乳腺异常的主要筛查技术。通过定期进行乳房自我检查,妇女会熟悉自己的乳房状况,使她们能够不时发现任何变化。疯牛病必须由个体雌性从幼年开始例行性地进行。这是因为乳腺癌可以在20岁时发展。本研究旨在运用健康信念模型,评估WCU女学生乳房自我检查与乳腺癌风险认知的预测因子。方法:对埃塞俄比亚霍萨纳瓦查莫大学女学生进行横断面研究。数据收集工具为匿名、有效、可靠的问卷调查,获取影响乳房自检预测因子和乳腺癌风险认知的因素信息。数据录入Epi data V-3.1,使用SPSS 21版进行分析。采用二元logistic回归分析检验因变量与自变量之间的相关性。p值<0.05为显著性截断点。结果:共纳入441名研究对象,有效率为99.3%,研究人群平均年龄21岁。98%的参与者是单身,38%是新教信徒。其中92.3%的人听说过乳腺癌,43.3%的人听说过疯牛病。乳腺癌和疯牛病的主要信息来源为媒体74.1%。学生对乳房自检的总体知晓率为61%。Wachemo大学女生乳腺自检的独立预测因素为:对BSE有良好的了解、乳腺癌风险认知5.01[2.13,11.18]、面对乳房不适3.04[1.07,9]、乳腺癌家族史6.32[1.08,14.95]、高感知易感性2.5[1.2,6.09]、高感知严重程度3.3[1.01,8.65]。结论与建议:在本研究中,Wachemo大学女生乳房自我检查的比例为39.2%,尽管有类似的数据,但低于其他研究。应该通过设计和实施干预措施来提高女学生自我检查乳房的技能和效能。政府机构应该扩大乳房筛查服务,将其作为青少年友好服务的一部分,因为它的长期后果是严重的。
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Predictor of Breast Self-Examination and Breast Cancer Risk Perception among Female Students of WCU, Using Health Belief Model
Background: Breast Self-Examination (BSE) is a primary screening technique to detect breast abnormalities. By performing regular breast self-examination, women would become familiar with their breasts condition so as to enable them to detect any changes from time to time. BSE must be routinely performed by an individual female from young. This is because breast cancer can be developed at the very age of twenty. This study was aimed to assess the predictor of breast self-examination and breast cancer risk perception among female students of WCU, by using health belief model. Methods: Cross-sectional study was conducted in Wachamo University female students, Hossana, Ethiopia. Data collection tool is an anonymous valid and reliable questionnaire, which acquired information about the factors affecting predictor of breast self-examination and breast cancer risk perception. The data was entered in Epi data V-3.1 and analysed using SPSS version 21. Binary logistic regression analysis was also employed to examine association between dependent and independent variables. P-value of <0.05 was considered as cut off point for significance. Results: A total of 441 study subjects participated in this study making response rate of 99.3 % with mean age of the study population was 21 years. 98 % of the participants were single and 38% were protestant religion followers. Most of them 92.3% ever heard about breast cancer and 43.3% of the participants ever heard about BSE. The main source of information on breast cancer and BSE were media 74.1%. The overall knowledge of the students about breast self-examination was 61%. Good knowledge on BSE and breast cancer risk perception 5.01[2.13, 11.18], facing of breast discomfort 3.04[1.07, 9], family history of breast cancer 6.32[1.08, 14.95], high perceived susceptibility 2.5[1.2, 6.09], high perceived severity were 3.3[1.01, 8.65]) were independent predictors of breast self-examination among female Wachemo University students. Conclusions and Recommendation: In this study breast self-examination among female Wachemo University students so comes to be 39.2% which is lower than other studies even if there is some similar figures were there. Intervenes should have to be needed by designing and carrying out to enhance the skills and efficacy of the female students regarding self-examinations of their breasts. Governmental organization should have to scale up breast screening service as one of the packages from youth friendly service because it’s long-term consequence serious.
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