出国医疗

阿布哈市乳腺癌发病因素:案例对照研究

来源:万方数据    时间:2013-11-18 16:57  浏览次数:
              RISK FACTORS OF BREAST CANCER IN ABHA CITY: A CASE CONTROL STUDY
                                  阿布哈市乳腺癌发病因素:案例对照研究

    Breast cancer remains the most commonly diagnosed cancer in women, and it is the second leading cause of cancer related death. Worldwide; more than a million women are diagnosed with breast cancer every year. Breast cancer incidence is increasing in most regions. The Objectives include: to Study the risk factors of breast cancer among Saudi women and initiate women's awareness regarding breast cancer. The case control study was the selected study design, setting: Departments of surgery and chemotherapy at the Asser general hospital in Abha city, Saudi Arabia. The index group (n= 32) was cases of confirmed female breast cancer patients presented in the surgical and chemotherapy departments during the period of the study .The control group was women attending mammogram unit and free from the disease. Tools of data collection: A structured questionnaire was prepared in Arabic .Data were collected by personal interview method. Health awareness lecture was given to women in public places and faculties. Though cases are more obese than controls (21.88% compared to 32.69%) yet the difference is not statistically significant (p>0.05); however, Odds ratio = 1.735 It was found that age of menarche of cases is significantly lower (11.875 ± 1.373 y) than that of controls (13.288 ± 1.412 y) (t=2.138, p < 0.05). The median duration of breast feeding was shorter among cases than controls (16 compared to 48 months) .(16 compared to 48 months)There is no significant difference between cases and controls regarding age of first pregnancy, number of children, or age of menopause (P< 0.05respectively). History of use of oral contraceptive pills is found to be significantly more among cases than controls where X2= 5.556 and odds ratio= 3. Estimated cancer risks detected by this research are lack of physical exercise (14.17), don’t eat vegetables or fruits (5.455), use of oral contraceptive pills (3.00), self examination of the breast (4.822) and breast biopsy whenever indicated (2.583),and younger age of menarche. The study recommended with further studies on a large sample size for generalization, awareness program for women about breast awareness should be initiated, health promotion should be provided through healthy guidelines and nutritional education programme focusing on healthy diet and the importance of eating fresh vegetables and fruits.

    乳腺癌仍是女性中常见的癌症,死亡率排名第二。全世界;每年1亿女性确诊为乳腺癌。大部分地区乳腺癌不断增加。宗旨:研究沙特阿拉伯女性乳腺癌变的危险因素及提高女性防癌意识。对照研究是选择性的研究设计,背景:在沙特阿拉伯阿布哈城市阿塞综合医院的外科和化疗科。标准组是确诊的乳腺癌患者在研究期间固定出现在外科和化疗室。参照组参与乳房x光检查及免费治疗。数据收集手段:问卷形式。数据以面谈方式收集。健康宣传讲座在公共场所和学院进行。虽然标准组比参照组人胖(21.88% compared to 32.69%)但是结果没有明显的变化;然而,初潮年龄比较发现标准组(11.875 ± 1.373 y)低于参照组(13.288 ± 1.412 y)1.735倍。标准组比参照组哺乳时间短。尽管初次怀孕年龄,孩子数量,绝经年龄不同,结果没有明显变化。标准组口服避孕药是参照组X2= 5.556及2倍时, 差异明显。评估癌症危险因素通过研究缺乏锻炼(14.17),不吃蔬菜或水果(5.455),口服避孕药(5.455),自我检查或活检(2.583),及初潮年龄。研究项目推荐进一步关于样品量大泛化的研究,宣传防癌意识,通过健康的指导方针和营养教育计划 提供养生,让其注重健康饮食和明白新鲜水果蔬菜重要性。



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