A Study on Factors Related to Women's Frequency of Breast Self-Examination in the Taipei Area

為瞭解台北地區婦女乳房自我檢查實施情形，本研究於台北縣市以多步驟按人口比例機率抽樣，抽出3,040名30-59歲之婦女，並進行家庭訪親。扣除戶籍登記錯誤，共有2.311人符合訪視條件。經過實地訪視共有1,749人(75.5%)完成訪問。本研究之研究架構係根據Green的PRECEDE模型。研究結果顯示：僅有8.4%的受訪者每月按時做乳房自我檢查。乳房自我檢查頻率得分最重要的相關因素為屬於“促使因素”的“教導來源”，次為同屬“促使因素”的“觀看醫藥保健節目”和“閱讀醫藥保健專欄”。人口學基本變項中只有“家庭結構”呈顯著相關，其餘如“教育程度”，“都市化程度”均為間接相關。根據研究結果吾人建議透過各種可能之管道，如傳播媒體，醫療院所及工作場所之衛生教育，教導並鼓勵婦女每月定期以正確方法實施乳房自我檢查，以期早期發現乳癌，早期接受治療。A questionnaire interview was conducted on a sample of 3,040 women aged 30-59 years in the Taipei area through multistage sampling with probability proportional to size. Excluding mistakes in household registration, there were 2,311 qualified subjects, 1, 749 of whom (75.5%) completed the interview. The study framework was set up according to Green's PRECEDE model. In the result of this study only 8.4% of the subjects performed breast self-examination monthly. The most remarkable associative factor for the score of the frequency of breast self-examination was "source of instruction", a variable of "enabling factors"; other variables with strong associations were "television contact" and "newspaper contact", which also belong to the enabling factors. Only one demographic factor-the family structure was found significantly related to the dependent variable. Other demographic characteristics such as "educational level" and "urbanizational level" were only indirectly related. The authors suggested using all possible routes of health education, such as mass media, hospitals and clinics, as well as workplaces to educate and encourage women to do breast self-examination monthly in correct techniques in order to early detect and treat breast cancer