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王德秀, 魏萍, 闵坤, 杨远菊, 唐晓永, 谢丽, 袁慧, 李季冬. 贵州黔南地区农村已婚育龄妇女乳腺疾病患病现状及危险因素[J]. 中国公共卫生, 2017, 33(10): 1449-1454. DOI: 10.11847/zgggws2017-33-10-08
引用本文: 王德秀, 魏萍, 闵坤, 杨远菊, 唐晓永, 谢丽, 袁慧, 李季冬. 贵州黔南地区农村已婚育龄妇女乳腺疾病患病现状及危险因素[J]. 中国公共卫生, 2017, 33(10): 1449-1454. DOI: 10.11847/zgggws2017-33-10-08
WANG De-xiu, WEI Ping, MIN Kun.et al, . Prevalence and influence factors of breast diseases of among rural married childbearing women in Qiannan region of Guizhou province[J]. Chinese Journal of Public Health, 2017, 33(10): 1449-1454. DOI: 10.11847/zgggws2017-33-10-08
Citation: WANG De-xiu, WEI Ping, MIN Kun.et al, . Prevalence and influence factors of breast diseases of among rural married childbearing women in Qiannan region of Guizhou province[J]. Chinese Journal of Public Health, 2017, 33(10): 1449-1454. DOI: 10.11847/zgggws2017-33-10-08

贵州黔南地区农村已婚育龄妇女乳腺疾病患病现状及危险因素

Prevalence and influence factors of breast diseases of among rural married childbearing women in Qiannan region of Guizhou province

  • 摘要: 目的 了解贵州省黔南地区农村已婚育龄妇女乳腺疾病患病现状及其危险因素,为采取相应的干预措施提供依据。方法 于2015年3月—2017年2月采用多阶段整群随机抽样方法抽取99 887名黔南地区17~45岁农村已婚育龄妇女进行问卷调查、体格检查、近红外线扫描仪检查、B超检查、钼靶X线检查和活体组织检查,确诊乳腺疾病。结果 99 887名农村已婚育龄妇女中,确诊乳腺疾病33 417例,患病率为33.45%,标化患病率为33.31%。33 417例乳腺疾病中,乳腺增生疾病28 771例(86.09%),乳腺纤维瘤2 317例(6.93%),乳头状瘤1 975例(5.91%),小叶萎缩不全169例(0.51%),乳腺囊肿79例(0.24%),乳腺炎12例(0.04%),癌前病变51例(0.15%),乳腺癌43例(0.13%)。多因素非条件logistic 回归分析结果显示,年龄30~39岁、苗族、焦虑、性格急躁、束胸、饮酒、体质指数(BMI)≥24.0 kg/m2、喜欢鱼肉类食品、睡眠时间<7 h、月经周期>28 d、月经量多、重度痛经、初潮年龄<13岁、结婚年龄>25岁、初产年龄>25岁、怀孕次数≤2次、流产次数≤2次、足月妊娠次数≤2次、生育次数≤2次、哺乳孩子个数≤2个、累积哺乳时间≤36个月、有妇科疾病和依山而居是贵州黔南地区农村已婚育龄妇女乳腺疾病患病的危险因素。结论 贵州黔南地区农村已婚育龄妇女乳腺疾病患病率处于较高水平,应引起高度重视。

     

    Abstract: Objective To examine the prevalence and influencing factors of breast diseases of among married childbearing women in rural Qiannan area of Guizhou province for implementing effective interventions.Methods A total of 99 887 married reproductive women (aged 17-45 years) were randomly selected in rural Qiannan area with stratified multi-stage cluster sampling and surveyed with questionnaire interview,physical examination,breast ultrasonography,near infrared scanner examination,mammography,and biopsy test for diagnosis of breast diseases from March 2015 to February 2017.SAS 9.1 was used in data analyses.Results Among all the participants,the crude and standardized prevalence rate of breast diseases were 33.45% (33 417/99 887) and 33.31%.Of the 33 417 participants diagnosed with breast diseases,86.09% (28 771) suffered from hyperplasia of mammary glands,6.93% (2 317) from mammary gland fibroma,5.91% (1 975) from papilloma,0.51% (169) form lobular atrophy,0.24% (79) from galactoma,0.04% (12) from mammitis,0.15% (51) from precancerous lesions,and 0.13% (43) with breast cancer,respectively.The results of multivariate unconditioned logistic regression analysis showed that the risk factors of breast diseases among the participants included at age of 30 to 39 years,being Miao nationality,having anxiety,with inpatient character,having corset,alcohol drinking,with a body mass index of ≥24.0 kg/m2,preference of fish and meat food,with a sleeping time of <7 hours per day,with a menstrual cycle of >28 days,having menorrhagia,with severe dysmenorrhea,having menarche before the age of 13 years,having a marriage before age of 25 years,with a primiparous age of > 25 years,having 2 pregnancies or less,having 2 abortions or less,having 2 full term pregnancies or less,having 2 deliveries or less,giving breastfeeding to 2 children or less,having a cumulative lactation duration of ≤36 months,suffering from gynecological disease,and living in the mountainous areas.Conclusion Special attention should be paid to the high prevalence rate of breast diseases among married childbearing women in rural Qiannan area of Guizhou province.

     

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