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

发布时间：2018-02-04 20:36

  本文关键词： 乳腺疾病 危险因素 已婚育龄妇女 农村居民 少数民族地区　出处：《中国公共卫生》2017年10期 　论文类型：期刊论文

【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 investigate the prevalence and risk factors of breast disease among married women of childbearing age in rural areas of southern Guizhou province. Methods from March 2015 to February 2017, multi-stage cluster random sampling was used to extract 99. A questionnaire survey was conducted among 887 married women of childbearing age of 1745 years old in southern Guizhou. Physical examination, near infrared scanner, B ultrasonic examination, mammography and living tissue examination were used to diagnose breast diseases. Results among 99 887 married women of childbearing age in rural areas. 33,417 cases of breast diseases were diagnosed, the prevalence rate was 33.45 and the standardized prevalence rate was 33.31.33,417 cases of breast diseases. There were 28 771 cases of hyperplasia of mammary gland, 2 317 cases of mammary fibroma and 1 975 cases of papilloma. There were 169 cases of lobular atrophy, 79 cases of breast cyst, 0.24% of breast cyst, 12 cases of mastitis and 0.04% of mastitis, and 51 cases of precancerous lesion. Multivariate logistic regression analysis showed that the age of 30 to 39 years old, Miao nationality, anxiety, personality irritability, chest, drinking. Body mass index (BMI) 鈮，

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