文章摘要
沈琼,张秀军,于玉领,张志华,余国斌,赵东,孙业桓.安徽省农村已婚育龄妇女乳腺疾病筛查及相关因素探讨[J].中华流行病学杂志,2009,30(9):895-898
安徽省农村已婚育龄妇女乳腺疾病筛查及相关因素探讨
Study on a breast.disease screening program and related factors among rural married women at reproductive age in Anhui province
投稿时间:2009-01-03  修订日期:2007-10-11
DOI:
中文关键词: 乳腺疾病;筛查;农村妇女;影响因素
英文关键词: Breast-disenses;Screening;Rural women;Influencing factors
基金项目:安徽省2006年度重点项目(060230060);安徽省自然科学基金(07028)
作者单位E-mail
沈琼 安徽医科大学公共卫生学院流行病学与卫生统计学系, 合肥 230032  
张秀军 安徽医科大学公共卫生学院流行病学与卫生统计学系, 合肥 230032 zxj731024@163.com 
于玉领 安徽医科大学公共卫生学院流行病学与卫生统计学系, 合肥 230032  
张志华 安徽医科大学公共卫生学院流行病学与卫生统计学系, 合肥 230032  
余国斌 安徽省人121与计划生育委员会科技处  
赵东 安徽省人121与计划生育委员会科技处  
孙业桓 安徽医科大学公共卫生学院流行病学与卫生统计学系, 合肥 230032  
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中文摘要:
      目的探讨安徽省农村已婚育龄妇女乳腺疾病的患病率及其影响因素。方法在保证市级代表性基础上,分层、整群抽取15-49岁54400名农村已婚育龄妇女,采用先集中和后入户的调查方式进行乳腺疾病相关问卷调查和乳房检查。乳腺疾病普查包括临床体检和乳腺红外线检查。结果安徽省农村已婚育龄妇女乳腺疾病的患病率为10.69%,前三种乳腺疾病分别为乳腺增生、纤维腺瘤、乳管内乳头状瘤,其患病率分别为9.39%、0.65%、0.50%。多因素logistic回归分析结果显示,相对于妇女及其丈夫年龄429岁、识字不多(或小学未毕业)、丈夫务农、月经量适中、无痛经、总生育次数为0次、无引流产史的农村已婚育龄妇女,其妇女及丈夫年龄30~44岁、妇女初中毕业及以上、丈夫小学毕业及以上、丈夫从事其他职业(商人或教师)、月经量多、有痛经、总生育次数为1次、有引流产史的妇女罹患乳腺疾病的危险度增高;而相对于家庭年均收人≤5000元的农村已婚育龄妇女,家庭年均收入在5001-8000元的妇女罹患乳腺疾病的危险度降低。结论安徽省农村已婚育龄妇女乳腺疾病发生率较高,且受多种因素影响。应坚持定期防癌普查,加强乳腺疾病的二级预防。
英文摘要:
      Objective To study the prevalence and its related factors on breast-disenses among women at reproductive age in the mUdl areas of Anhui province。and to provide data for the development of prevention and healthcare on breast-diseases.Methods 54 400 rural fertile women aged 1 5-49 were surveyed by a stratified-cluster-udndom sampling method.Breast examination was conducted in two steps:converging at the clinics,and Iater visiting their households.Clinical examination and X.ray scanning check uD were performed.Results The rate of the breast-disease among the rural fertile women was 10.69%.and the first three breast-diseases were galactophore hyperplasia。fibroadenoma and intracanalicular papilloma。their prevalence were 9-39%,0.65%and O.50%respectively.The results of 109istic regression showed in comparison with women and their husbands who were under 29,low education,husbands being farmers,mediam menstrual flow,no dysmenorrheal.the total number of deliveries Was 0 while no history of abortion,those who aged 30 to 44,high education,husbands were doing other jobs(they were mainly businessmen or teachers),more menstrual flow,dysmenorrheal,the total number of deliveries Was 1,tlley were more likely to got breast diseases.However in comparison with women who earned less than 5000 Yuan per year,those who had 5001 to 8000 Yuan per year were less likely to get breast diseases.Conclusion Breast diseases were prevalent among rural fertile women and were affected by multi-factors.We suggestedlat screening program on breast cancer should be carried out at regular intervals and at the same time,t0 intensify second。class prevention of breast cancer,togetiler with actively treating patients with galaetophore hyperplasia,to reduce the prevalence ofprecancerous pathological changes.
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