四川省女性乳腺癌筛查参与行为现状及影响因素分析

目的 了解四川省女性乳腺癌筛查参与行为现状并分析其影响因素。方法 对四川省40～69岁女性乳腺癌筛查参与情况进行横断面调查，通过logistic回归分析乳腺癌筛查参与行为的影响因素。结果 共调查2 050名女性，其中971名至少接受过一次乳腺癌筛查，筛查率为47.4%，其中30.1%的女性最近一次筛查时间为三年前。筛查措施以乳腺超声（39.4%）和乳腺查体（33.7%）为主，仅193例（9.4%）做过乳腺X线检查。多因素logistic回归分析显示，更年轻（40～49岁：OR=1.767,95%CI:1.293～2.415;50～59岁：OR=1.770,95%CI:1.318～2.377）、文化程度更高（高中：OR=1.615,95%CI:1.234～2.115；大专及以上：OR=6.619,95%CI:4.364～10.039）、已婚（OR=1.642,95%CI:1.134～2.378）、居住地为城市（OR=1.403,95%CI:1.070～1.840）、有保险（一种：OR=1.291,95%CI:1.040～1.602；两种：OR=1.908,95%CI:1.287～2.83...

Analysis of the current situation of breast cancer screening participation behavior and influencing factors among women in Sichuan

Objective To investigate the status and of influencing factors of breast cancer screening participation among women in Sichuan. Methods A cross-sectional survey was conducted on the participation in breast cancer screening among women aged 40-69 years in Sichuan Province. Logistic regression was used to analyze the influencing factors of breast cancer screening participation. Results In total 2 050 women completed the survey, of which 971 had at least one breast cancer screening, with a screening rate of 47.4%, of which 30.1% of the women were last screened three years ago. The screening measures of choice were mainly breast ultrasound (39.4%) and breast clinical examination (33.7%), with only 193 cases (9.4%) having had mammography. Multivariate Logistic regression analysis showed that women who were younger (40-49 years: OR=1.767, 95%CI: 1.293-2.415; 50-59 years: OR=1.770, 95%CI: 1.318-2.377), with higher education (high school: OR=1.615, 95%CI: 1.234-2.115; junior college and above: OR=6.619, 95%CI: 4.364-10.039), married (OR=1.642, 95%CI: 1.134-2.378), with urban residence (OR=1.403, 95%CI: 1.070-1.840), having insurance (one: OR=1.291, 95%CI: 1.040-1.602; two: OR=1.908, 95%CI: 1.287-2.830), with screening costs covered by insurance (OR=2.635, 95%CI: 1.748-3.972), and with annual physical examination habits (OR=2.314, 95%CI: 1.889-2.835) had higher participation rates in breast cancer screening. Conclusion The breast cancer screening rate of women aged 40 to 69 in Sichuan is low, especially regular screening. Normative screening policies should be established that benefit elderly, rural, low-educated, uninsured, and spouseless women. Women have a low level of breast cancer risk perception and we need to pay attention to breast cancer prevention and treatment publicity, especially the popularization of mammography knowledge.