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Abstract：
BACKGROUND Breast pain, prevalent among women of reproductive age, varies during menstrual cycles and is influenced by sociodemographic and clinical factors. This study aimed to assess these demographic and clinical variables in women with breast pain, considering the spatial distinctions between urban and rural locations. MATERIAL AND METHODS This retrospective study included 730 women presenting with mastalgia between 2010 and 2023. The study evaluated patient demographics, pain characteristics (eg, breast pain duration, site, quadrant-based localization, and radiation of breast pain), radiologic findings, and the presence of comorbid medical conditions. RESULTS There were 498 patients in the urban group and 232 patients in the rural group. Among the radiologic findings, the rate of mastitis was higher in the rural group (P<0.05). Regarding the localization of breast pain within the quadrants, left breast upper-inner (LUI) quadrant pain was more common in the rural group (P=0.014). Regarding comorbid medical conditions, the prevalence of gastrointestinal system disease was higher in the rural group (P=0.009). Using logistic regression analysis, gastrointestinal disease was determined to be a significant independent risk factor for increased LUI quadrant pain in the rural group (odds ratio [OR]: 3.132, P=0.014), while pre-existing thyroid disease (OR: 2.482, P=0.004), hypertension (OR: 2.534, P=0.006), and radiologic evidence of ductal ectasia (OR: 2.878, P=0.03) were independent risk factors in the urban group. CONCLUSIONS Patient outcomes may be improved by a tailored, population-based approach to mastalgia patients in rural and urban locations focused on their radiologic findings and comorbid medical conditions.
摘要：
背景技术乳房疼痛,在育龄妇女中普遍存在，月经周期变化，并受社会人口统计学和临床因素的影响。这项研究旨在评估乳房疼痛女性的人口统计学和临床变量，考虑到城乡之间的空间差异。材料和方法这项回顾性研究包括2010年至2023年期间730名患有乳腺痛的女性。这项研究评估了患者的人口统计学，疼痛特征(例如，乳房疼痛持续时间，site,基于象限的定位，和乳房疼痛的辐射)，放射学发现，以及并存的医疗状况。结果城市组498例,农村组232例。在放射学发现中，农村组的乳腺炎发生率较高(P.
