与撒哈拉以南非洲的临床乳腺检查相关的多方面的障碍:多层次的分析方法
Castro Ayebeng1,2, Joshua Okyere2,3, Christiana Okantey4
1School of Demography, Australian National University, Canberra, Australian Capital Territory, Australia.
PloS one
|January 13, 2025
概括
允许,距离和成本等障碍限制了撒哈拉以南非洲的临床乳房检查 (CBE) 使用. 改善医疗保健准入,移动服务和外展服务可以提高乳腺癌的早期检测.
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:
- 临床乳腺检查 (CBE) 对于早期发现和诊断乳腺癌至关重要.
- 在许多撒哈拉以南非洲 (SSA) 国家,采用CBE仍然是一个挑战.
研究的目的:
- 调查影响七个撒哈拉以南非洲国家的妇女接受临床乳房检查 (CBE) 的障碍.
- 确定影响获得乳腺癌查医疗保健服务的因素.
主要方法:
- 利用了来自布基纳法索,科特迪瓦,加纳,肯尼亚,莫桑比克,塞内加尔和坦桑尼亚的人口和健康调查的数据.
- 在65,486名年龄在25-49岁的妇女的权重样本上使用多层逻辑回归分析.
- 通过使用调整的几率比率 (aOR) 和95%的置信区间 (CI) 提出了研究结果.
主要成果:
- 在研究的SSA国家中,CBE吸收的综合患病率很低,为19.2%.
- 对CBE采用的重大障碍包括难以获得许可 (aOR=0.88),距离设施很远 (aOR=0.95) 和财务限制 (aOR=0.92).
- 令人惊的是,面临单独旅行障碍的女性显示CBE利用率增加 (aOR=1.19).
结论:
- 与许可,距离和财务相关的障碍严重阻碍了CBE的采用.
- 改善医疗保健的准入对于提高乳腺癌查率至关重要.
- 扩大移动医疗服务,将CBE纳入初级保健和有针对性的宣传等策略可以克服接入挑战.
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