パレスチナの女性がマンモグラフィーを受けることを妨げている障害:定性的な研究
Hendia Abu Nabaa'1, Nisreen Shelleh2
1Primary Health Care Centers, Palestinian Minstry of Health, Salfit distrect, occupied Palestinian territory.
Lancet (London, England)
|March 20, 2018
まとめ
パレスチナの女性の乳房検査の普及率の低さは 心理的,社会的,宗教的,経済的障壁と関連しています これらの要因に対処することは 乳がんの早期発見と健康の改善に不可欠です
科学分野:
- 公衆衛生
- 女性 の 健康
- 癌 の 検診
背景:
- 乳がんは,占領下のパレスチナの女性の主要な癌であり,第二の死因です.
- マンモグラフィー検査は 乳がんを検診する重要なツールですが 40歳以上のパレスチナ女性では あまり普及していません
研究 の 目的:
- パレスチナの女性のマンモグラフィー検査の障壁を調査する.
- スクリーニングの決定に影響を与える社会文化,心理,医療システムの要因を理解する.
主な方法:
- ラマラとサルフィートで調査的定性研究が行われました.
- 24件の半構造面接と7件のフォーカスグループディスカッションが,様々な背景を持つ女性と実施されました.
- トランスクリプトされたデータを分析するために,テーマ分析が用いられました.
主要な成果:
- 主な障壁は心理的 (恐れ,恥ずかしさ,自己優先度の低い),社会的 (汚名,家族の規範),宗教的な信念,財政的な制約 (健康保険の欠如) です.
- 疾患に関連する懸念 (有効性,安全性) と保健システムに関する問題も報告されました.
- 政治的な要因と マンモグラフィーの知識の不足が 普及率の低下に寄与した.
結論:
- 健康を追求する行動は複雑で 多面的な障壁の影響を受けます
- 地域におけるマンモグラフィー検診の参加と乳がんの早期発見を 改善するために 特定された障壁を保健政策で 解決しなければなりません
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