PDF(Pubmed)
Abstract：
BACKGROUND: Breast cancer (BC) is among the most prevalent oncological cases in the world, and the global burden of the disease is expected to rise further in the coming years. Strategies aiming at early diagnosis, backed by research and a well-trained healthcare cadre, can aid low- and middle-income countries (LMIC) in tackling the possible cancer-caused strain on healthcare systems. Our study aimed to evaluate the level of knowledge of medical students concerning BC and explore barriers and facilitators of breast self-examination (BSE).
METHODS: A sequential explanatory mixed-methods study approach to better understand factors and beliefs influencing preventive health practice in BSE was conducted among students at a medical college in rural Maharashtra, India. One hundred and two female medical students completed the quantitative phase, and 15 of them gave in-depth interviews (IDIs) for the qualitative aspect.
RESULTS: Among the participants, 67.6% had good knowledge of risk factors, but only 10% knew the recommendations for BSE, clinical breast examination (CBE), and mammography. We found that being taught BSE by a trusted source and knowing a BC patient were significant facilitators. In contrast, lack of self-efficacy and two fear factors were found to be acting as barriers for BSE, one being the absence of fear of ever getting BC and the other fear of detecting a lump.
CONCLUSIONS: This study reveals a gap between knowledge of risk factors and their translation to disease prevention practice. The barriers elicited are modifiable by planning and implementing an appropriate training program covering risk factors and recommending all available screening and preventative modalities. A well-trained medical staff will be instrumental in improving the health status of our community and country.
METHODS: A sequential explanatory mixed-methods study approach to better understand factors and beliefs influencing preventive health practice in BSE was conducted among students at a medical college in rural Maharashtra, India. One hundred and two female medical students completed the quantitative phase, and 15 of them gave in-depth interviews (IDIs) for the qualitative aspect.
RESULTS: Among the participants, 67.6% had good knowledge of risk factors, but only 10% knew the recommendations for BSE, clinical breast examination (CBE), and mammography. We found that being taught BSE by a trusted source and knowing a BC patient were significant facilitators. In contrast, lack of self-efficacy and two fear factors were found to be acting as barriers for BSE, one being the absence of fear of ever getting BC and the other fear of detecting a lump.
CONCLUSIONS: This study reveals a gap between knowledge of risk factors and their translation to disease prevention practice. The barriers elicited are modifiable by planning and implementing an appropriate training program covering risk factors and recommending all available screening and preventative modalities. A well-trained medical staff will be instrumental in improving the health status of our community and country.
摘要：
背景：乳腺癌（BC）是世界上最常见的肿瘤病例之一，预计未来几年，全球疾病负担将进一步上升。旨在早期诊断的策略，在研究和训练有素的医疗干部的支持下，可以帮助低收入和中等收入国家（LMIC）解决可能的癌症对医疗保健系统造成的压力。我们的研究旨在评估医学生对BC的知识水平，并探索乳房自我检查（BSE）的障碍和促进者。
方法：在马哈拉施特拉邦农村一所医学院的学生中进行了一项序贯解释性混合方法研究方法，以更好地了解影响疯牛病预防健康实践的因素和信念，印度。一百零二名女医学生完成了定量阶段,其中15人对定性方面进行了深入采访(IDI)。
结果：在参与者中，67.6%的人对危险因素有良好的认识，但只有10%的人知道疯牛病的建议，临床乳房检查（CBE），还有乳房X线照相术.我们发现，由可信赖的来源教授BSE并认识BC患者是重要的促进因素。相比之下,缺乏自我效能感和两个恐惧因素被发现是疯牛病的障碍，一种是没有害怕得到BC，另一种是害怕检测到肿块。
结论：这项研究揭示了风险因素知识与将其转化为疾病预防实践之间的差距。通过计划和实施涵盖风险因素的适当培训计划并建议所有可用的筛查和预防方式，可以改变所引起的障碍。训练有素的医务人员将有助于改善我们社区和国家的健康状况。
方法：在马哈拉施特拉邦农村一所医学院的学生中进行了一项序贯解释性混合方法研究方法，以更好地了解影响疯牛病预防健康实践的因素和信念，印度。一百零二名女医学生完成了定量阶段,其中15人对定性方面进行了深入采访(IDI)。
结果：在参与者中，67.6%的人对危险因素有良好的认识，但只有10%的人知道疯牛病的建议，临床乳房检查（CBE），还有乳房X线照相术.我们发现，由可信赖的来源教授BSE并认识BC患者是重要的促进因素。相比之下,缺乏自我效能感和两个恐惧因素被发现是疯牛病的障碍，一种是没有害怕得到BC，另一种是害怕检测到肿块。
结论：这项研究揭示了风险因素知识与将其转化为疾病预防实践之间的差距。通过计划和实施涵盖风险因素的适当培训计划并建议所有可用的筛查和预防方式，可以改变所引起的障碍。训练有素的医务人员将有助于改善我们社区和国家的健康状况。
