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首页> 外文期刊>International Journal of Preventive Medicine >Factors Associated with Breast Cancer Screening Decision Stage among Women in Tehran, Iran
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Factors Associated with Breast Cancer Screening Decision Stage among Women in Tehran, Iran

机译：伊朗德黑兰妇女乳腺癌筛查决策阶段相关因素

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Background: Early detection through screening is the best method to reduce death due to breast cancer. It has been shown, having knowledge and generating positive attitudes, influences the decision of women to participate in the screening programs. The aim of this study was to identify the factors associated with breast cancer screening (BCS) and with an intention to have screening among women in Tehran, Iran. Methods: A cross-sectional study was carried out from January to July 2011, among women who had attended to primary health-care centers in West Tehran using multi-stage sampling method. We invited 1,240 women sequentially to complete a self-administered survey questionnaire at the beginning of their visit; and 1,012 (82%) completed the survey. The questionnaire included, items drawn from the Preventive Health Model that assess socio-demographic background and perceptions about BCS. Multiple logistic regression analysis was performed to identify factors associated with screening and intention to do screening in the future. Results: The mean age of subjects was 38.2 years. Women who perceived more screening efficacy (odd ratio [OR] =1.63; confidence interval [CI] 95%: 1.12-2.37) and fewer performance barriers (OR = 0.82; CI 95%: 0.68-0.97) were more likely to perform clinical breast exam in the future. The women who reported higher clinical breast exam self-efficacy (OR = 1.82; CI 95%: 1.39-2.37), mammography self-efficacy (OR = 1.31; CI 95%: 1.04-1.65), screening efficacy (OR = 1.53; CI 95%: 1.18-1.97), and family influence (OR = 1.27; CI 95%: 1.05-1.54), and those who reported fewer screening performance barriers (OR = 0.56; CI 95%: 0.48-0.67) were more likely to decide for carried out mammography in the future. Most respondents indicated that they intended to do clinical breast exam and mammography in the future (75.8% and 72.1% respectively). About 65% of women reported they would do both. Conclusions: We found that women's intention to do BCS was very high and a comprehensive national program is needed to guide their intention. Among different demographic factors, the impact of education level on doing BCS was significant.
机译：背景：通过筛查进行早期发现是减少乳腺癌死亡的最好方法。研究表明，拥有知识并产生积极态度会影响妇女参与筛查计划的决定。这项研究的目的是确定与乳腺癌筛查（BCS）相关的因素，并旨在对伊朗德黑兰的女性进行筛查。方法：2011年1月至2011年7月，采用多阶段抽样方法，对参加过西德黑兰初级卫生保健中心就诊的妇女进行了横断面研究。我们在访问开始时按顺序邀请了1,240名妇女填写一份自我管理的调查问卷; 1,012位（82％）完成了调查。问卷包括从预防健康模型中提取的项目，这些项目评估了社会人口统计学背景和对BCS的看法。进行了多元逻辑回归分析，以识别与筛查相关的因素以及将来进行筛查的意图。结果：受试者的平均年龄为38.2岁。感觉到更高筛查功效（几率[OR] = 1.63;置信区间[CI] 95％：1.12-2.37）和更少的性能障碍（OR = 0.82; CI 95％：0.68-0.97）的女性更有可能进行临床检查将来进行乳房检查。那些报告临床乳房检查自我效能较高（OR = 1.82; CI 95％：1.39-2.37），乳房X光造影自我效能较高（OR = 1.31; CI 95％：1.04-1.65），筛查效能（OR = 1.53; CI 95％：1.18-1.97）和家庭影响力（OR = 1.27; CI 95％：1.05-1.54），以及筛查表现障碍较少的人（OR = 0.56; CI 95％：0.48-0.67）决定将来进行乳房X线摄影。大多数受访者表示，他们打算将来进行临床乳房检查和乳房X线照相术（分别为75.8％和72.1％）。大约65％的女性报告说他们会两者都做。结论：我们发现女性从事BCS的意愿很高，需要一个全面的国家计划来指导她们的意愿。在不同的人口因素中，受教育程度对进行BCS的影响很大。

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