摘要
目的了解广州市基层医疗机构女性医务人员乳腺癌知信行现状并探讨其相关因素,为采取针对性措施防治乳腺癌提供参考依据。方法于2015年3-5月,采用随机整群抽样法抽取广州市12个区社区卫生服务中心女性医务人员923名为调查对象,以自填问卷方式调查其乳腺癌防治知信行信息。采用SPSS 22.0软件进行t检验和方差分析,采用多分类logistic回归模型分析知信行情况的相关因素。结果广州市基层女性医务人员乳腺癌防治知识平均得分为(12.94±1.66)分(总分16分),平均知晓率为89.2%;临床或预防医生较护士、高职称较低职称者得分更高,而医技人员得分则显著低于护士。乳腺癌防治态度平均得分为(36.62±3.23)分(总分40分),预防医师防治态度更积极。乳腺癌防治行为平均得分为(10.73±1.76)分(总分13分),有乳腺自查行为者占80.2%,但按标准频次自查者比例极低。大专文化程度者较更低文化程度者行为更消极(OR=2.04,95%CI:1.12~3.72),医技人员较护士的行为更消极(OR=1.85,95%CI:1.06~3.25),已婚或同居者较未婚者行为更积极(OR=0.54,95%CI:0.30~0.95),月收入5 000元以上者行为更积极(OR=0.40,95%CI:0.24~0.69)。另外,乳腺癌防治知识水平高的人群乳腺癌防治态度更积极(OR=0.49,95%CI:0.31~0.78),乳腺癌防治态度积极的人群乳腺癌防治行为更积极(OR=0.27,95%CI:0.17~0.43)。结论广州市基层女性医务人员乳腺癌防治知识水平较高,具有较强的防治观念,但规范性自检行为仍有待提高;护士和医技辅助人员乳腺癌知信行水平相对较低;在某些亚人群中乳腺癌知信行情况不一致,是进行乳腺癌健康教育和促进的重点人群。
Objective To understand and explore the status about knowledge, attitude and practice（Kap） and related factors of female breast cancer in female medical stuff of primary health care institutions, and to provide the reference basis for targeted measures of preventing and treating the breast cancer. Methods From March 2015 to May 2015, the random cluster sampling method was used to select 923 female medical stuff from 12 community health service centers in Guangzhou as the subjects. The self-administered questionnaire was used to collect the information of Kap about female breast cancer. The t-test and one-way ANOVA were utilized to analyze the data, the related factors were analyzed with the multinomial logistic regression model, the used software was SPSS 22.0. Results The average score for knowledge of female breast cancer in female medical stuff of primary health care institutions in Guangzhou city was 12.94 ±1.66（total score=16）, and the average awareness rate was 89.2%. The scores of clinical or preventive doctors and the staff with higher titles were significantly higher than those of the nurses and the staff with lower titles, respectively; but the scores of medical technicians were significantly lower than that of nurses. The average score about preventing and treating attitude for breast cancer was 36.62±3.23（total score=40）, and the score of preventive doctors was higher than that of other staff. The average score of preventing and treating behavior for breast cancer was 10.73 ±1.76（total score=13）,and 80.2% of all subjects had self-examination behavior for breast cancer; however, the proportion of subjects with self-examination behavior still was very low according to standard frequency. The preventing and treating behavior for breast cancer in subjects with higher education level was more inactive, as compared to the subjects with lower education level（OR=2.04, 95%CI：1.12-3.72）; as compared to the nurses, the preventing and treating behavior for breast cancer in medical technicians was inactive（OR =1.85, 95% CI： 1.06-3.25）; the preventing and treating behavior for breast cancer in married or cohabitating subjects was more active, as compared to the non-married subjects（OR=0.54, 95%CI： 0.30-0.95）; the preventing and treating behavior for breast cancer in subjects with higher income（5 000 Yuan） was more active（OR=0.46, 95%CI： 0.24-0.69）. The preventing and treating attitude for breast eancer in subjects with high level of knowledge for preventing and treating breast cancer were more active（OR=0.49, 95%CI： 0.31-0.78）. The preventing and treating behavior for breast cancer in subjects with positive attitude for preventing and treating breast cancer were more active（OR =0.27, 95% CI： 0.17-0.43）. Conclusion The knowledge level of preventing and treating breast cancer in female medical stuff of primary health care institutions in Guangzhou was higher, but the regular self-examination behavior should be improved. The Kap levels in the nurses and medical technicians or paraprofessional personnel were lower, which were inconsistent among some subgroups. Those people are the targeted populations for health education and promotion of breast cancer.
作者
王敏怡
刘华章
林国桢
李燕
任泽舫
WANG Min-yi;LIU Hua-zhang;LIN Guo-zhen;LI Yan;REN Ze-fang(Department of Epidemiology and Statistics, School of Public Health,Sun Yat-Sen University, Guangzhou, Guangdong Province 510080, China)
出处
《中国慢性病预防与控制》
CAS
北大核心
2018年第5期329-333,共5页
Chinese Journal of Prevention and Control of Chronic Diseases
基金
国家自然科学基金项目(81773515)
关键词
乳腺癌
社区医疗机构
女性
知信行
相关因素
Breast cancer
Community health service centers
Female
Knowledge
attitude and practice （Kap）
Related factors
