影响穆斯林阿拉伯伊拉克妇女乳腺癌筛查行为的阿拉伯文化障碍评价

Shadan Shukur Azeez, Işıl Işık Andsoy
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引用次数: 1

摘要

目的:了解伊拉克妇女乳腺癌筛查(BCS)、乳房自检(BSE)、临床乳房检查(CBE)和乳房x光检查的实践情况,以及阿拉伯文化的影响。本研究的目的是评估女性对BCS的行为,并解释特定阿拉伯文化障碍的影响。材料和方法:本研究对1066名女性进行了描述性研究。数据收集采用三份结构化问卷。采用描述性统计和多变量logistic回归进行资料评价。结果:许多伊拉克妇女没有进行常规的疯牛病、CBE和乳房x光检查。最常见的原因是“没有乳房不适”。特定的阿拉伯文化障碍,如暴露[优势比(OR) = 0.545;95%置信区间(CI) = 0.440 ~ 0.674;ppppppp = 0.008)是伊拉克妇女乳房x光检查的预测因子。结论:阿拉伯特有的文化障碍可能是伊拉克采用平衡记分卡的主要障碍之一。健康教育,包括文化教育,可能有潜力提高对BCS的认识,并在发病时降低疾病的分期。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluation of Arab Cultural Barriers That Influence Muslim Arab Iraqi Women's Breast Cancer Screening Behavior.

Objective: Little is known about Iraqi women's practice towards breast cancer screening (BCS), breast self-examination (BSE), clinical breast examination (CBE) and mammography, and the influence of Arab culture. The aim of this study was to assess women's behavior towards BCS, and to explain the influence of specific Arab culture barriers.

Materials and methods: This descriptive study was carried out with 1,066 women. Three structured questionnaires were used in the data collection. Descriptive statistics and multivariable logistic regression were used for data evaluation.

Results: Many Iraqi women did not practice regular BSE, CBE, and mammography. The most common reason was "not having a breast complaint". Specific Arab cultural barriers such as exposure [odds ratio (OR) = 0.545; 95% confidence interval (CI) = 0.440 to 0.674; p<0.001], environment (OR = 0.571; 95% CI = 0.464 to 0.703; p<0.001) and uneasiness barriers (OR = 0.736; 95% CI = 0.557 to 0.974; p=0.032) were predictors for BSE while exposure (OR = 0.553; 95% CI = 0.447 to 0.684; p<0.001), and environment barriers (OR = 0.585; 95% CI = 0.474 to 0.772; p<0.001) was predictor for CBE. Additionally, exposure (OR = 0.324; 95% CI = 0.251 to 0.419; p<0.001), environment (OR = 0.636; 95% CI = 0.500 to 0.809; p<0.001), and uneasiness barriers (OR = 0.644; 95% CI = 0.464 to 0.893; p = 0.008) were predictors for mammography screening of Iraqi women.

Conclusion: Arab specific cultural barriers may be one of the key obstacles to BSC uptake in Iraq. Health education, including cultural education, may have the potential to increase BCS awareness and down-staging of the disease at presentation.

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