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. 2024 May 24:12:1309797.
doi: 10.3389/fpubh.2024.1309797. eCollection 2024.

Knowledge, attitude, and practice toward ultrasound screening for breast cancer among women

Shaozhong Liu  1 , Shukai Zheng  2 , Mengzhen Qin  1 , Yifeng Xie  1 , Kun Yang  1 , Xiaozhen Liu  1
Affiliations

Knowledge, attitude, and practice toward ultrasound screening for breast cancer among women

Shaozhong Liu et al. Front Public Health. .

Abstract

Background: Several obstacles can hinder breast cancer screening. This study aimed to investigate the knowledge, attitude, and practice (KAP) toward ultrasound screening for breast cancer in women.

Methods: This cross-sectional study recruited women who visited the breast specialist clinic of Zhongshan City People's Hospital (a tertiary hospital) between August 2022 and April 2023 through convenience sampling. KAP scores ≥70% were considered adequate.

Results: This study enrolled 501 participants. The mean knowledge, attitude, and practice levels were 8.56 ± 1.81/12 (possible range 0-12, 71.33%), 29.80 ± 2.71 (possible range 8-40, 74.50%), and 32.04 ± 3.09 (possible range 8-40, 80.10%). Senior high school education (vs. junior high school and below, coefficient = 1.531, 95%CI: 1.013-2.312, p = 0.044), bachelor's education and above (vs. junior high school and below, coefficient = 5.315, 95%CI: 3.546-7.966, p < 0.001), housewife or unemployed (vs. employed, coefficient = 0.671, 95%CI: 0.466-0.966, p = 0.032), and a history of breast ultrasound (vs. no, coefficient = 1.466, 95%CI: 1.121-1.917, p = 0.005) were independently and positively associated with knowledge. Knowledge (coefficient = 1.303, 95%CI: 1.100-1.544, p = 0.002) and monthly income >10,000 (vs. <5,000, coefficient = 4.364, 95%CI: 1.738-10.956, p = 0.002) were independently and positively associated with attitude. Only attitude (coefficient = 1.212, 95%CI: 1.096-1.340, p < 0.001) was independently and positively associated with the practice. A structural equation modeling (SEM) analysis was used to estimate causality among KAP dimensions, showing that knowledge directly influenced attitude (β = -1.090, p = 0.015), knowledge did not directly influence practice (β = -0.117, p = 0.681) but had an indirect influence (β = 0.826, p = 0.028), and attitude directly influenced practice (β = -0.757, p = 0.016).

Conclusion: Women in Zhongshan City had good knowledge, favorable attitudes, and active practice toward breast ultrasound screening for breast cancer. Women's characteristics associated with a poorer KAP were identified, allowing for more targeted interventions.

Keywords: attitude; breast cancer; cross-sectional study; knowledge; practice; screening; ultrasound.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Schematic representation of the structural equation modeling analysis.
See this image and copyright information in PMC

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References

    1. Harbeck N, Gnant M. Breast cancer. Lancet. (2017) 389:1134–50. doi: 10.1016/S0140-6736(16)31891-8 - DOI - PubMed
    1. NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines) . Breast Cancer. Version 4.2023. Fort Washington: National Comprehensive Cancer Network; (2023).
    1. Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, et al. . Global Cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. (2021) 71:209–49. doi: 10.3322/caac.21660, PMID: - DOI - PubMed
    1. NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines) . Breast Cancer risk reduction. Version 1.2023. Fort Washington: National Comprehensive Cancer Network; (2022).
    1. NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines) . Breast Cancer screening and diagnosis. Version 1.2022. Fort Washington: National Comprehensive Cancer Network; (2022).