关于拒绝免费查乳房造影的见解:探索促成因素
Bader Alshamsan1,2, Tasneem Alajlan3,4, Ahlam Alsalhi4
1Department of Medicine, College of Medicine, Qassim University, Qassim, Saudi Arabia.
Breast cancer (Dove Medical Press)
|August 22, 2024
概括
在沙特阿拉伯,乳腺癌查性乳房造影 (SMG) 的拒绝率为23.6%. 诸如婚姻状况,居住地和先前查史等因素影响女性的决定,突出了针对性干预的必要性.
科学领域:
- 公共卫生 公共卫生
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在沙特阿拉伯卡西姆地区,通过乳腺癌早期检测计划 (BCED) 提供免费的查乳房造影 (SMG).
- 在SMG计划实施和符合条件的女性实际采用之间存在很大的差距.
- 了解SMG拒绝率和障碍对于改善早期乳腺癌检测至关重要.
研究的目的:
- 在卡西姆地区的BCED计划中,评估查性乳房造影 (SMG) 的拒绝率.
- 确定导致妇女决定拒绝SMG的关键障碍.
- 确定影响妇女参与乳腺癌查的因素.
主要方法:
- 一项涉及2446名年龄在40-69岁的女性的横截面研究于2023年9月进行.
- 参与者匿名完成了一项关于查历史,知识和拒绝原因的经过验证的阿拉伯语调查.
- 使用后勤回归分析来确定与SMG拒绝相关的因素.
主要成果:
- 整体SMG拒绝率为23.6% (女性2446人中有576人).
- 居住在外围地区的妇女 (aOR=1.45) 和没有先前SMG病史的妇女 (aOR=2.14) 的拒绝几率明显更高.
- 与寡妇/离婚妇女相比,已婚妇女的拒绝可能性较低 (aOR=0.69).
结论:
- 卡西姆的SMG拒绝率相当于发达国家.
- 对于SMG的普及仍然存在障碍,需要针对特定的人口群体进行有针对性的干预.
- 改善查参与需要解决这些障碍,以确保公平获取和促进积极的健康行为.
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