Birinci basamak sağlık çalışanlarının mamografi tarama oranları ve etkileyen faktörler

Year 2020, Volume: 14 Issue: 2, 216 - 223, 20.01.2020

Oya Dirican , Ünal Hülür

https://doi.org/10.21763/tjfmpc.616793

Abstract

Amaç: Bu çalışmada, Antalya'da birinci basamak çalışanlarının yürüttükleri meme kanseri tarama programına, kendilerinin katılma durumları ile, ilişkili faktörlerin incelenmesi amaçlanmıştır. Yöntem: Aile hekimliği birimlerinde, ilçe toplum sağlığı merkezlerinde ve il sağlık müdürlüğünde görevli birinci basamak çalışanı 40 yaş ve üzerindeki 572 kadın, 1 Haziran-31 Ekim 2018 arasında yürütülen çalışmaya katıldı. Ki-kare analizi, çeşitli bağımsız ve sonuç değişkenleri arasındaki oranları ve test ilişkilerini göstermek için yapıldı. Demografik ve yaşam tarzı değişkenlerinin meme kanseri tarama davranışlarını öngörüp öngörmediğini belirlemek için ikili bir lojistik regresyon modeli kullanıldı. Bulgular: Katılımcılar arasında meme kanseri tarama programına en az bir kez katılım oranı %56.8 olarak bulundu. Mamografi yaptırmayı belirleyen faktörlerin yaş (OR=1.27 %95 CI: 1.02-1.17) (p<0,001); çalışma yeri (ilçe sağlık müdürlüğü) (OR=2.67 %95 CI: 1.19-5.94) (p<0,001); çalışma süresi (20-29 yıl) (OR=13.50 %95 CI: 4.35-41.85) (p<0,001) and (>29 yıl) (OR=5.84 %95 CI: 1.26-26.9) (p<0,001); kronik hastalık varlığı (en az bir tane) (OR=4.97 %95 CI: 2.03-12.18) (p<0,001); aile öyküsü (birinci derece) (OR=2.45 %95 CI: 1.48-4.03) (p<0,001) and BMI (OR=1.08 %95 CI: 1.02-1.15) (p<0,01) olduğu gözlendi. Taramasını yaptırmayanlar arasında en fazla belirtilen bahanenin işten izin alma zorluğu olduğu görüldü. Sonuç: Bu çalışma, sağlık çalışanlarının neredeyse yarısının meme kanseri taramasını yaptırmadıklarını göstermiştir. Birinci basamak sağlık çalışanlarının, kendi kanser taramaları konusundaki uygulama bilincini artırmak için motive edilmelerinin gerekli olduğu düşünülmüştür.

Keywords

Erken teşhis, kanser taraması, meme kanseri, birinci basamak çalışanları, toplum tabanlı kanser taraması

Supporting Institution

Destek alınmamıştır.

The Mammography Screening Ratios and and Factors Affecting to Get It Among Primary Care Health Providers

Abstract

Purpose: This study was conducted to assess the factors associated with the status of primary care providers (PCPs) in their participation in the Breast Cancer Screening Program (BCSP) in Antalya. Methods: A total of 572 women participants who were over 40 years old and were working in PCPs, Community Health Center, and Provincial Health Directorate participated in this study. All of the participants were administered a questionnaire investigating their mammography screen status and factors affecting to get a screen. The study was conducted between 1 June 2018 – 31 October 2018. A binary logistic regression model (to get a mammography screening or not, as a dependent variable) was used to ascertain if the demographic and lifestyle variables predicted the screening behaviors for breast cancer. Results: Among our participants 56,8% of the had a least one mamography screening. The independent factors to get a mammography were observed as aging (OR=1.27 95% CI: 1.02-1.17) (p<0,001); work place (community health center) (OR=2.67 95% CI: 1.19-5.94) (p<0,001); experience (20-29 years) (OR=13.50 95% CI: 4.35-41.85) (p<0,001) and (>29 years) (OR=5.84 95% CI: 1.26-26.9) (p<0,001); chronic diseases (having more than one) (OR=4.97 95% CI: 2.03-12.18) (p<0,001); family history (first-degree) (OR=2.45 95% CI: 1.48-4.03) (p<0,001) and BMI (OR=1.08 95% CI: 1.02-1.15) (p<0,01). Furthermore, the most reported obstacle to the PCPs was difficulty getting time off from work. Conclusion: This study showed that unfortunately, almost half of the healthcare professionals have not had a mammography. It is think that, it is necessary to motivate PCPs to increase their awareness of practice on cancer screening.

Keywords

Early detection, cancer screening, breast cancer, primary care providers, population-based cancer screening

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