PDF(Pubmed)
Abstract：
UNASSIGNED: Several obstacles can hinder breast cancer screening. This study aimed to investigate the knowledge, attitude, and practice (KAP) toward ultrasound screening for breast cancer in women.
UNASSIGNED: This cross-sectional study recruited women who visited the breast specialist clinic of Zhongshan City People\'s Hospital (a tertiary hospital) between August 2022 and April 2023 through convenience sampling. KAP scores ≥70% were considered adequate.
UNASSIGNED: This study enrolled 501 participants. The mean knowledge, attitude, and practice levels were 8.56 ± 1.81/12 (possible range 0-12, 71.33%), 29.80 ± 2.71 (possible range 8-40, 74.50%), and 32.04 ± 3.09 (possible range 8-40, 80.10%). Senior high school education (vs. junior high school and below, coefficient = 1.531, 95%CI: 1.013-2.312, p = 0.044), bachelor\'s education and above (vs. junior high school and below, coefficient = 5.315, 95%CI: 3.546-7.966, p < 0.001), housewife or unemployed (vs. employed, coefficient = 0.671, 95%CI: 0.466-0.966, p = 0.032), and a history of breast ultrasound (vs. no, coefficient = 1.466, 95%CI: 1.121-1.917, p = 0.005) were independently and positively associated with knowledge. Knowledge (coefficient = 1.303, 95%CI: 1.100-1.544, p = 0.002) and monthly income >10,000 (vs. <5,000, coefficient = 4.364, 95%CI: 1.738-10.956, p = 0.002) were independently and positively associated with attitude. Only attitude (coefficient = 1.212, 95%CI: 1.096-1.340, p < 0.001) was independently and positively associated with the practice. A structural equation modeling (SEM) analysis was used to estimate causality among KAP dimensions, showing that knowledge directly influenced attitude (β = -1.090, p = 0.015), knowledge did not directly influence practice (β = -0.117, p = 0.681) but had an indirect influence (β = 0.826, p = 0.028), and attitude directly influenced practice (β = -0.757, p = 0.016).
UNASSIGNED: Women in Zhongshan City had good knowledge, favorable attitudes, and active practice toward breast ultrasound screening for breast cancer. Women\'s characteristics associated with a poorer KAP were identified, allowing for more targeted interventions.
UNASSIGNED: This cross-sectional study recruited women who visited the breast specialist clinic of Zhongshan City People\'s Hospital (a tertiary hospital) between August 2022 and April 2023 through convenience sampling. KAP scores ≥70% were considered adequate.
UNASSIGNED: This study enrolled 501 participants. The mean knowledge, attitude, and practice levels were 8.56 ± 1.81/12 (possible range 0-12, 71.33%), 29.80 ± 2.71 (possible range 8-40, 74.50%), and 32.04 ± 3.09 (possible range 8-40, 80.10%). Senior high school education (vs. junior high school and below, coefficient = 1.531, 95%CI: 1.013-2.312, p = 0.044), bachelor\'s education and above (vs. junior high school and below, coefficient = 5.315, 95%CI: 3.546-7.966, p < 0.001), housewife or unemployed (vs. employed, coefficient = 0.671, 95%CI: 0.466-0.966, p = 0.032), and a history of breast ultrasound (vs. no, coefficient = 1.466, 95%CI: 1.121-1.917, p = 0.005) were independently and positively associated with knowledge. Knowledge (coefficient = 1.303, 95%CI: 1.100-1.544, p = 0.002) and monthly income >10,000 (vs. <5,000, coefficient = 4.364, 95%CI: 1.738-10.956, p = 0.002) were independently and positively associated with attitude. Only attitude (coefficient = 1.212, 95%CI: 1.096-1.340, p < 0.001) was independently and positively associated with the practice. A structural equation modeling (SEM) analysis was used to estimate causality among KAP dimensions, showing that knowledge directly influenced attitude (β = -1.090, p = 0.015), knowledge did not directly influence practice (β = -0.117, p = 0.681) but had an indirect influence (β = 0.826, p = 0.028), and attitude directly influenced practice (β = -0.757, p = 0.016).
UNASSIGNED: Women in Zhongshan City had good knowledge, favorable attitudes, and active practice toward breast ultrasound screening for breast cancer. Women\'s characteristics associated with a poorer KAP were identified, allowing for more targeted interventions.
摘要：
■一些障碍可以阻碍乳腺癌筛查。这项研究旨在调查知识，态度,和实践（KAP）对女性乳腺癌的超声筛查。
■这项横断面研究通过方便抽样，招募了在2022年8月至2023年4月期间访问中山市人民医院（三级医院）乳腺专科诊所的妇女。KAP评分≥70%被认为是足够的。
■本研究招募了501名参与者。卑鄙的知识，态度,练习水平为8.56±1.81/12（可能范围为0-12，71.33%），29.80±2.71（可能范围8-40，74.50%），和32.04±3.09（可能范围8-40，80.10%）。高中教育(vs.初中及以下，系数=1.531，95CI：1.013-2.312，p=0.044），本科及以上学历(vs.初中及以下，系数=5.315，95CI：3.546-7.966，p<0.001)，家庭主妇或失业者(vs.employed,系数=0.671，95CI：0.466-0.966，p=0.032），和乳腺超声病史(vs.不,系数=1.466，95CI：1.121-1.917，p=0.005）与知识呈独立正相关。知识（系数=1.303，95CI：1.100-1.544，p=0.002），月收入>10,000（与<5,000，系数=4.364，95CI：1.738-10.956，p=0.002）与态度呈独立正相关。只有态度（系数=1.212，95CI：1.096-1.340，p<0.001）与实践独立且呈正相关。结构方程模型(SEM)分析用于估计KAP维度之间的因果关系，表明知识直接影响态度(β=-1.090，p=0.015)，知识不直接影响实践（β=-0.117，p=0.681），但有间接影响（β=0.826，p=0.028），和态度直接影响实践(β=-0.757，p=0.016)。
■中山市妇女有良好的知识，有利的态度，并积极实践乳腺超声筛查乳腺癌。确定了与较差KAP相关的女性特征，允许更有针对性的干预措施。
■这项横断面研究通过方便抽样，招募了在2022年8月至2023年4月期间访问中山市人民医院（三级医院）乳腺专科诊所的妇女。KAP评分≥70%被认为是足够的。
■本研究招募了501名参与者。卑鄙的知识，态度,练习水平为8.56±1.81/12（可能范围为0-12，71.33%），29.80±2.71（可能范围8-40，74.50%），和32.04±3.09（可能范围8-40，80.10%）。高中教育(vs.初中及以下，系数=1.531，95CI：1.013-2.312，p=0.044），本科及以上学历(vs.初中及以下，系数=5.315，95CI：3.546-7.966，p<0.001)，家庭主妇或失业者(vs.employed,系数=0.671，95CI：0.466-0.966，p=0.032），和乳腺超声病史(vs.不,系数=1.466，95CI：1.121-1.917，p=0.005）与知识呈独立正相关。知识（系数=1.303，95CI：1.100-1.544，p=0.002），月收入>10,000（与<5,000，系数=4.364，95CI：1.738-10.956，p=0.002）与态度呈独立正相关。只有态度（系数=1.212，95CI：1.096-1.340，p<0.001）与实践独立且呈正相关。结构方程模型(SEM)分析用于估计KAP维度之间的因果关系，表明知识直接影响态度(β=-1.090，p=0.015)，知识不直接影响实践（β=-0.117，p=0.681），但有间接影响（β=0.826，p=0.028），和态度直接影响实践(β=-0.757，p=0.016)。
■中山市妇女有良好的知识，有利的态度，并积极实践乳腺超声筛查乳腺癌。确定了与较差KAP相关的女性特征，允许更有针对性的干预措施。
