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合肥市社区居民乳腺癌筛查行为及意愿的健康信念分析
引用本文:沙蕊,赵婷,冯瑞,柴静,程静,卢曼曼,王德斌.合肥市社区居民乳腺癌筛查行为及意愿的健康信念分析[J].安徽医科大学学报,2017,52(7).
作者姓名:沙蕊  赵婷  冯瑞  柴静  程静  卢曼曼  王德斌
作者单位:安徽医科大学卫生管理学院,合肥,230032
摘    要:目的 分析健康信念对乳腺癌筛查行为及意愿的作用. 方法 采用横断面设计和随机整群抽样的方法,对40~70岁女性进行问卷调查.结果 获得805份有效问卷,乳腺癌筛查率为18.6%,愿意筛查率为62.7%.健康信念的4个维度认知均是乳腺癌筛查行为与意愿的影响因素(P<0.05),其中患癌风险认知对乳腺癌筛查行为的影响最大(OR=3.01),癌筛好处认知对筛查意愿的影响最大(OR=3.11).结论 健康信念作为乳腺癌筛查行为及意愿的影响因素,可为未来乳腺癌筛查促进措施提供理论基础.

关 键 词:乳腺癌  筛查  健康信念

Health beliefs and breast cancer screening behavior and willingness of community residents in Hefei
Abstract:Objective To analyze the relationship between health beliefs and breast cancer screening behavior and willingness.Methods Cross-sectional design and random cluster sampling were used to investigate women aged 40 to 70 years via structured questionnaire.The relationship between health belief and breast cancer screening behavior and willingness was analyzed by Chi-square test and Logistic regression analysis.Results A total of 805 respondents completed the survey, 18.6% of them had ever undertaken breast cancer screening and 62.7% of them reported willingness to receive the service.The four aspects of health beliefs were the impact factors of breast cancer screening behavior and willingness (P<0.05).The awareness of risks to cancer had the greatest impact on breast cancer screening behavior (OR=3.01) and the awareness of benefits of cancer screening had the greatest impact on willingness (OR=3.31).Conclusion Health belief model as influential factors of breast cancer screening will provide a theoretical basis for improving cancer screening uptake rate.
Keywords:breast cancer  screening  health belief
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