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Birinci basamak sağlık çalışanlarının mamografi tarama oranları ve etkileyen faktörler

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

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References

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  • 8. Yalcintas A., Arslantaş A.B., Ecevit P.C., Ozdemirkan T., Ustu Y., Ugurlu M. Female healthcare workers and breast cancer screening. Turkish Journal of Family Medicine and Primary Care 2018;12(2), 92-101. DOI: 10.21763/tjfmpc.432462
  • 9. Kwon HT, Ma GX, Gold RS, Atkinson NL, Wang MQ. Primary Care Physicians’ Cancer Screening Recommendation Practices and Perceptions of Cancer Risk of Asian Americans. Asian Pacific Journal of Cancer Prevention 2013;14(3): 1999–2004, DOI: 10.7314/apjcp.2013.14.3.1999
  • 10. Coskun S, Can H, Turan S. Knowledge about Cervical Cancer Risk Factors and PapSmear Testing Behavior among Female Primary Health CareWorkers: A Study from South Turkey. Asian Pacific Journal of Cancer Prevention 2013;14(11): 6389-6392 DOI: 10.7314/apjcp.2013.14.11.6389
  • 11. Akpinar YY, Baykan Z, Naçar M, Gun I, Çetinkaya F. Knowledge, attitude about breast cancer and practice of breast cancer screening among female health care professionals: a study from Turkey. Asian Pacific Journal of Cancer Prevention 2011;12(11):3063-3068
  • 12. Hong HC, Lee H, Collins EG, Park C, Quinn L, Ferrans CE. Factors affecting trust in healthcare among middle-aged to older Korean American women. BMC Women's Health 2018;18:109 doi: 10.1186/s12905-018-0609-x.
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  • 16. Canbulat N, Uzun O. Health beliefs and breast cancer screening behaviors among female health workers in Turkey. European Journal of Oncology Nursing 2008 Apr;12(2):148-156. doi: 10.1016/j.ejon.2007.12.002
  • 17. Demireloz M, Çeber E, Ozenturk G. Midwives roles in women's improvement of protective behaviour against breast cancer whether they have a family history of cancer or not. Asian Pacific Journal of Cancer Prevention, 2010;11(4):1037-1043
  • 18. Aflakseir A, Abbasi P. Health Beliefs as Predictors of Breast Cancer Screening Behaviour in a Group of Female Employees in Shiraz. Iran J Cancer Prevention 2012;5(3):124-129
  • 19. Gebreegziabher M, Asefa GN, Berhe S. Factors Affecting the Practices of Cervical Cancer Screening among Female Nurses at Public Health Institutions in Mekelle Town, Northern Ethiopia, 2014: A Cross-Sectional Study. Journal of Cancer Research 2016;doi:10.1155/2016/4743075, https://www.hindawi.com/journals/jcr/2016/4743075/ Accessed 26 June 2019
  • 20. Korkut Y. Assessment of knowledge, attitudes, and behaviors regarding breast and cervical cancer among women in western Turkey. J Internal Medicine Research 2019;47(4):1660-1666. doi: 10.1177/0300060519830252
  • 21. Kaya C., Ustu Y., Ozyoruk E., Aydemir O., Simsek Ç., Sahin A.D. Knowledge, Attitudes and Behaviors of Health Workers About Cancer Screenings. Ankara Med J 2017; 17(1):73-83.
  • 22. Kan, Y, Son H. Gender Differences in Factors Associated With Colorectal Cancer Screening: A National Cross-Sectional Study in Korea. Asia Pacific J Public Health 2017;29 (6): 495-505, doi: 10.1177/1010539517718336
  • 23. Patel K, Hargreaves M, Liu J, Bond B, Brown E, Williams E et. al. Factors influencing colorectal screening in low-income African Americans in Tennessee. Journal of Community Health 2012;37:673–679, DOI: 10.1007/s10900-011-9498-8
  • 24. Sozmen K, Unal B, Sakarya S, Dinc G, Yardım N, Keskinkilic B, et. al. Determinants of Breast and Cervical Cancer Screening Uptake Among Women in Turkey. Asia Pacific J Public Health 2016;28(6): 528-538, DOI: 10.1177/1010539516654541
  • 25. Choi KH, Heo J, Kim S, Jeon YJ, Oh M. Factors Associated With Breast and Cervical Cancer Screening in Korea: Data From a National Community Health Survey. Asia Pac J Public Health 2013;25(6): 476-486, DOI: 10.1177/1010539513506601
  • 26. Nicholls R, Perry L, Gallagher R, Duffield C, Sibbritt D, Xu X. The personal cancer screening behaviours of nurses and midwives. J Adv Nursing 2017;73(6):1403-1420. doi: 10.1111/jan.13221
  • 27. Shiryazdi SM, Kholasehzadeh G, Neamatzadeh H, Kargar S. Health beliefs and breast cancer screening behaviors among Iranian female health workers. Asian Pac J Cancer Prevention 2014;15(22):9817-9822, DOI: 10.7314/apjcp.2014.15.22.9817
  • 28. Muliira JK, D'Souza MS, Ahmed SM. Contrasts in Practices and Perceived Barriers to Colorectal Cancer Screening by Nurses and Physicians Working in Primary Care Settings in Oman. J Cancer Education 2016;31(1):15-25. doi: 10.1007/s13187-015-0806-3
  • 29. Garc´ıa AZG. Factors Influencing Colorectal Cancer Screening Participation. Gastroenterology Research and Practice 2012;483417. doi:10.1155/2012/483417

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

Year 2020, Volume: 14 Issue: 2, 216 - 223, 20.01.2020
https://doi.org/10.21763/tjfmpc.616793

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.




References

  • 1. Terrasse V. Latest global cancer data: Cancer burden rises to 18.1 million new cases and 9.6 million cancer deaths in 2018. International Agency for Research on Cancer (IARC). 2018; https://www.iarc.fr/wp-content/uploads/2018/09/pr263_E.pdf. Accessed 26 June 2019
  • 2. Sencan İ, Keskinkilic B. Cancer Statistics of Turkey. Republic of Turkey Ministry of General Directorate of Public Health. 2017; https://hsgm.saglik.gov.tr/depo/birimler/kanser-db/istatistik/2014-RAPOR._uzuuun.pdf. Accessed 26 June 2019
  • 3. Lauby‑Secretan B., Scoccianti C., Loomis D., Benbrahim‑Tallaa L., Bouvard V., Bianchini F., Straif K. Special Report. Breast-Cancer Screening — Viewpoint of the IARC Working Group. 2015 Massachusetts Medical Society. The New England Journal of Medicine 372;24. nejm.org June 11, 2015
  • 4. Helvie M.A., Bevers T.B. Screening Mammography for Average-Risk Women: The Controversy and NCCN's Position. JNCCN 2018; 16(11). DOI: https://doi.org/10.6004/jnccn.2018.7081
  • 5. Gultekin M. Turkey cancer control programme. Republic of Turkey Ministry of General Directorate of Public Health. 2016; https://hsgm.saglik.gov.tr/depo/birimler/kanser-db/yayinlar/raporlar/Ulusal_Kanser_Kontrol_Plani_2013_2018.pdf. Accessed 26 June 2019
  • 6. Goksel F. Health care services that require specific planning in Turkey 2011-2023. Republic of Turkey Ministry of Health General Directorate of Health Services. 2011; https://dosyamerkez.saglik.gov.tr/Eklenti/4198,turkiyede-ozellikli-planlama-gerektiren-saglik-hizmetleri-2011-2023pdf.pdf?0&_tag1=fb79d6c223c03cbede5145deae5230adb0be2a16. Accessed 26 June 2019
  • 7. Gultekin M., Dundar S., Kucukyildiz I., Karaca M.Z., Boztas G., Turan S.H., et. al. Survival of gynecological cancers in Turkey: where are we at? Journal of Gynecologic Oncology 2017; 28(6):e85. doi.org/10.3802/jgo.2017.28.e85
  • 8. Yalcintas A., Arslantaş A.B., Ecevit P.C., Ozdemirkan T., Ustu Y., Ugurlu M. Female healthcare workers and breast cancer screening. Turkish Journal of Family Medicine and Primary Care 2018;12(2), 92-101. DOI: 10.21763/tjfmpc.432462
  • 9. Kwon HT, Ma GX, Gold RS, Atkinson NL, Wang MQ. Primary Care Physicians’ Cancer Screening Recommendation Practices and Perceptions of Cancer Risk of Asian Americans. Asian Pacific Journal of Cancer Prevention 2013;14(3): 1999–2004, DOI: 10.7314/apjcp.2013.14.3.1999
  • 10. Coskun S, Can H, Turan S. Knowledge about Cervical Cancer Risk Factors and PapSmear Testing Behavior among Female Primary Health CareWorkers: A Study from South Turkey. Asian Pacific Journal of Cancer Prevention 2013;14(11): 6389-6392 DOI: 10.7314/apjcp.2013.14.11.6389
  • 11. Akpinar YY, Baykan Z, Naçar M, Gun I, Çetinkaya F. Knowledge, attitude about breast cancer and practice of breast cancer screening among female health care professionals: a study from Turkey. Asian Pacific Journal of Cancer Prevention 2011;12(11):3063-3068
  • 12. Hong HC, Lee H, Collins EG, Park C, Quinn L, Ferrans CE. Factors affecting trust in healthcare among middle-aged to older Korean American women. BMC Women's Health 2018;18:109 doi: 10.1186/s12905-018-0609-x.
  • 13. Bhutta ZA, Lassi ZS, Pariyo G, Huicho L. Global experience of community health workers for delivery of health related millennium development goals: a systematic review, country case studies, and recommendations for ıntegration into national health systems. World Health Organization 2010; https://www.who.int/workforcealliance/knowledge/publications/alliance/Global_CHW_web.pdf. Accessed 26 June 2019
  • 14. Nazzal Z, Sholi H, Sholi SB, Sholi MB, Lahaseh R. Motivators and barriers to mammography screening uptake by female health-care workers in primary health-care centres: a cross-sectional study. Lancet 2018 Feb 21;391 Suppl 2:S51. doi: 10.1016/S0140-6736(18)30417-3
  • 15. Yaren A, Ozkilinc G, Guler A, Oztop I. Awareness of breast and cervical cancer risk factors and screening behaviours among nurses in rural region of Turkey. European Journal of Cancer Care 2008;17(3):278-284. doi: 10.1111/j.1365-2354.2007.00856.x
  • 16. Canbulat N, Uzun O. Health beliefs and breast cancer screening behaviors among female health workers in Turkey. European Journal of Oncology Nursing 2008 Apr;12(2):148-156. doi: 10.1016/j.ejon.2007.12.002
  • 17. Demireloz M, Çeber E, Ozenturk G. Midwives roles in women's improvement of protective behaviour against breast cancer whether they have a family history of cancer or not. Asian Pacific Journal of Cancer Prevention, 2010;11(4):1037-1043
  • 18. Aflakseir A, Abbasi P. Health Beliefs as Predictors of Breast Cancer Screening Behaviour in a Group of Female Employees in Shiraz. Iran J Cancer Prevention 2012;5(3):124-129
  • 19. Gebreegziabher M, Asefa GN, Berhe S. Factors Affecting the Practices of Cervical Cancer Screening among Female Nurses at Public Health Institutions in Mekelle Town, Northern Ethiopia, 2014: A Cross-Sectional Study. Journal of Cancer Research 2016;doi:10.1155/2016/4743075, https://www.hindawi.com/journals/jcr/2016/4743075/ Accessed 26 June 2019
  • 20. Korkut Y. Assessment of knowledge, attitudes, and behaviors regarding breast and cervical cancer among women in western Turkey. J Internal Medicine Research 2019;47(4):1660-1666. doi: 10.1177/0300060519830252
  • 21. Kaya C., Ustu Y., Ozyoruk E., Aydemir O., Simsek Ç., Sahin A.D. Knowledge, Attitudes and Behaviors of Health Workers About Cancer Screenings. Ankara Med J 2017; 17(1):73-83.
  • 22. Kan, Y, Son H. Gender Differences in Factors Associated With Colorectal Cancer Screening: A National Cross-Sectional Study in Korea. Asia Pacific J Public Health 2017;29 (6): 495-505, doi: 10.1177/1010539517718336
  • 23. Patel K, Hargreaves M, Liu J, Bond B, Brown E, Williams E et. al. Factors influencing colorectal screening in low-income African Americans in Tennessee. Journal of Community Health 2012;37:673–679, DOI: 10.1007/s10900-011-9498-8
  • 24. Sozmen K, Unal B, Sakarya S, Dinc G, Yardım N, Keskinkilic B, et. al. Determinants of Breast and Cervical Cancer Screening Uptake Among Women in Turkey. Asia Pacific J Public Health 2016;28(6): 528-538, DOI: 10.1177/1010539516654541
  • 25. Choi KH, Heo J, Kim S, Jeon YJ, Oh M. Factors Associated With Breast and Cervical Cancer Screening in Korea: Data From a National Community Health Survey. Asia Pac J Public Health 2013;25(6): 476-486, DOI: 10.1177/1010539513506601
  • 26. Nicholls R, Perry L, Gallagher R, Duffield C, Sibbritt D, Xu X. The personal cancer screening behaviours of nurses and midwives. J Adv Nursing 2017;73(6):1403-1420. doi: 10.1111/jan.13221
  • 27. Shiryazdi SM, Kholasehzadeh G, Neamatzadeh H, Kargar S. Health beliefs and breast cancer screening behaviors among Iranian female health workers. Asian Pac J Cancer Prevention 2014;15(22):9817-9822, DOI: 10.7314/apjcp.2014.15.22.9817
  • 28. Muliira JK, D'Souza MS, Ahmed SM. Contrasts in Practices and Perceived Barriers to Colorectal Cancer Screening by Nurses and Physicians Working in Primary Care Settings in Oman. J Cancer Education 2016;31(1):15-25. doi: 10.1007/s13187-015-0806-3
  • 29. Garc´ıa AZG. Factors Influencing Colorectal Cancer Screening Participation. Gastroenterology Research and Practice 2012;483417. doi:10.1155/2012/483417
There are 29 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Orijinal Articles
Authors

Oya Dirican 0000-0002-8123-3126

Ünal Hülür This is me 0000-0002-8655-8106

Publication Date January 20, 2020
Submission Date September 6, 2019
Published in Issue Year 2020 Volume: 14 Issue: 2

Cite

Vancouver Dirican O, Hülür Ü. The Mammography Screening Ratios and and Factors Affecting to Get It Among Primary Care Health Providers. TJFMPC. 2020;14(2):216-23.

English or Turkish manuscripts from authors with new knowledge to contribute to understanding and improving health and primary care are welcome.