PDF(Pubmed)
Abstract：
UNASSIGNED: Mammogram screening (MS) is the gold-standard method for early detection of breast cancer (BC), and its use has been proven to minimize BC-related deaths and reduce treatment costs. However, recent epidemiological surveys have reported that rates of mammogram uptake by the Saudi female population are low. Here, we assessed the knowledge of BC and perceived barriers to MS uptake among pre-eligible northern Saudi women.
UNASSIGNED: We administered a standard and validated Arabic questionnaire to 400 women aged 40-69 years. SPSS version 21.0 (IBM Corporation, Armonk, NY, USA) was used for data analysis. We applied logistic regression analysis to find the factors associated with participants\' knowledge of BC and MS. Spearman correlation test was applied to find the correlation between knowledge and barrier scores.
UNASSIGNED: The study participants reported that smoking habits (61.3%) and unhealthy food habits (57.8%) were the most common risk factors for BC. Of the studied participants, 56.3% had low or medium degrees of knowledge about BC risk factors and MS. The degree of knowledge was significantly associated with education level (adjusted odds ratio [aOR], 2.35; 95% confidence interval [CI]. = 1.61-3.13; P = 0.008) and a family history of BC (aOR, 3.66; 95% CI, 1.94-5.49; P < 0.001). Fear of a BC diagnosis (50.8%) and concerns regarding test procedures were the most common barriers to MS uptake. We also found a negative correlation between participants\' knowledge and perceived barriers to MS (rho = -0.389, P < 0.001).
UNASSIGNED: We recommend that concerned authorities offer women multiple health education sessions covering BC risk factors and the necessity for pre-eligible women to undergo MS spaced at regular intervals at different facilities. Furthermore, a multicentric mixed-methods survey is warranted to find the qualitative aspects of barriers to MS.
UNASSIGNED: We administered a standard and validated Arabic questionnaire to 400 women aged 40-69 years. SPSS version 21.0 (IBM Corporation, Armonk, NY, USA) was used for data analysis. We applied logistic regression analysis to find the factors associated with participants\' knowledge of BC and MS. Spearman correlation test was applied to find the correlation between knowledge and barrier scores.
UNASSIGNED: The study participants reported that smoking habits (61.3%) and unhealthy food habits (57.8%) were the most common risk factors for BC. Of the studied participants, 56.3% had low or medium degrees of knowledge about BC risk factors and MS. The degree of knowledge was significantly associated with education level (adjusted odds ratio [aOR], 2.35; 95% confidence interval [CI]. = 1.61-3.13; P = 0.008) and a family history of BC (aOR, 3.66; 95% CI, 1.94-5.49; P < 0.001). Fear of a BC diagnosis (50.8%) and concerns regarding test procedures were the most common barriers to MS uptake. We also found a negative correlation between participants\' knowledge and perceived barriers to MS (rho = -0.389, P < 0.001).
UNASSIGNED: We recommend that concerned authorities offer women multiple health education sessions covering BC risk factors and the necessity for pre-eligible women to undergo MS spaced at regular intervals at different facilities. Furthermore, a multicentric mixed-methods survey is warranted to find the qualitative aspects of barriers to MS.
摘要：
■乳房X线筛查（MS）是早期发现乳腺癌（BC）的金标准方法，它的使用已被证明可以最大程度地减少与BC相关的死亡并降低治疗成本。然而,最近的流行病学调查显示，沙特女性人口的乳房X光片摄取率很低。这里,我们评估了符合资格的沙特北部女性的BC知识和MS摄取障碍.
■我们对400名年龄在40-69岁的女性进行了标准且经过验证的阿拉伯语问卷。SPSS版本21.0(IBM公司，Armonk,NY,美国)用于数据分析。我们应用logistic回归分析来寻找与参与者对BC和MS知识的相关因素。应用Spearman相关检验来发现知识与障碍得分之间的相关性。
研究参与者报告说，吸烟习惯（61.3％）和不健康的饮食习惯（57.8％）是BC最常见的危险因素。在被研究的参与者中，56.3％的人对BC危险因素和MS的了解程度低或中等。知识程度与教育水平显著相关(调整后的比值比[aOR]，2.35；95%置信区间[CI]。=1.61-3.13；P=0.008）和BC家族史（aOR，3.66；95%CI，1.94-5.49；P<0.001）。对BC诊断的恐惧（50.8％）和对测试程序的担忧是MS摄取的最常见障碍。我们还发现参与者的知识和对MS的感知障碍之间存在负相关（rho=-0.389，P<0.001）。
■我们建议有关当局为女性提供多种健康教育课程，涵盖BC风险因素，以及符合资格的女性在不同机构定期接受MS的必要性。此外，有必要进行多中心混合方法调查，以找到MS障碍的定性方面。
■我们对400名年龄在40-69岁的女性进行了标准且经过验证的阿拉伯语问卷。SPSS版本21.0(IBM公司，Armonk,NY,美国)用于数据分析。我们应用logistic回归分析来寻找与参与者对BC和MS知识的相关因素。应用Spearman相关检验来发现知识与障碍得分之间的相关性。
研究参与者报告说，吸烟习惯（61.3％）和不健康的饮食习惯（57.8％）是BC最常见的危险因素。在被研究的参与者中，56.3％的人对BC危险因素和MS的了解程度低或中等。知识程度与教育水平显著相关(调整后的比值比[aOR]，2.35；95%置信区间[CI]。=1.61-3.13；P=0.008）和BC家族史（aOR，3.66；95%CI，1.94-5.49；P<0.001）。对BC诊断的恐惧（50.8％）和对测试程序的担忧是MS摄取的最常见障碍。我们还发现参与者的知识和对MS的感知障碍之间存在负相关（rho=-0.389，P<0.001）。
■我们建议有关当局为女性提供多种健康教育课程，涵盖BC风险因素，以及符合资格的女性在不同机构定期接受MS的必要性。此外，有必要进行多中心混合方法调查，以找到MS障碍的定性方面。
