Zhang QN, Lu HX. Knowledge, attitude, practice and factors that influence the awareness of college students with regards to breast cancer . World J Clin Cases 2022; 10(2): 538-546 [PMID: 35097079 DOI: 10.12998/wjcc.v10.i2.538]
Corresponding Author of This Article
Hui-Xia Lu, MD, Senior Researcher, Gynecology and Obstetrics, Clinical Medical College, Dali University, No. 32 Jiashibo Street, Dali 671003, Yunnan Province, China. haohao021021@foxmail.com
Research Domain of This Article
Obstetrics & Gynecology
Article-Type of This Article
Observational Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jan 14, 2022; 10(2): 538-546 Published online Jan 14, 2022. doi: 10.12998/wjcc.v10.i2.538
Table 1 Knowledge, attitude, and practice scores for 1346 female college students with regards to breast cancer (n = 1346, mean ± SD)
Dimension
Score
Lowest score
Highest score
Score
Standard score
Knowledge
0-20
0
20
9.86 ± 2.50
49.28 ± 12.48
Attitude
0-10
0
10
3.19 ± 2.01
31.95 ± 20.08
Practice
3-19
3
19
13.31 ± 2.49
63.36 ± 11.86
Table 2 A comparison of knowledge, attitude, and practice scores for breast cancer among 1346 female college students (n = 1346, mean ± SD)
Project
Knowledge score
t/F
P value
Attitude score
t/F
P value
Practice score
t/F
P value
Age
≤ 20
9.72 ± 2.42
11.548
0.000
3.07 ± 1.93
10.460
0.014
13.14 ± 2.44
16.987
0.000
21-25
10.53 ± 2.72
3.82 ± 2.21
14.17 ± 2.55
≥ 25
12.67 ± 5.13
6.00 ± 4.00
15.33 ± 3.51
Nationality
Han
9.89 ± 2.45
1.131
0.335
3.18 ± 2.02
0.485
0.901
13.31 ± 2.51
0.916
0.522
Yi
9.42 ± 2.61
3.19 ± 2.00
13.48 ± 2.16
Bai
10.20 ± 2.74
3.39 ± 1.73
13.27 ± 1.97
Hui
10.11 ± 2.76
3.00 ± 2.50
13.22 ± 3.51
Zhuang
9.74 ± 3.29
2.80 ± 1.49
12.42 ± 2.38
Ha Ni
9.63 ± 2.11
3.74 ± 1.99
13.26 ± 2.09
Dai
10.82 ± 2.46
3.31 ± 2.06
13.59 ± 2.58
Miao
8.93 ± 2.25
3.47 ± 2.00
13.07 ± 1.62
Li Su
9.83 ± 2.33
2.83 ± 1.19
13.58 ± 2.87
Na Xi
10.36 ± 2.66
3.27 ± 1.62
14.63 ± 2.29
Others
9.67 ± 2.47
3.31 ± 2.19
13.10 ± 2.68
Grade
First
9.32 ± 2.30
45.996
0.000
2.80 ± 1.73
36.480
0.000
12.87 ± 2.29
39.017
0.000
Second
10.35 ± 2.39
3.51 ± 2.22
13.25 ± 2.72
Third
10.69 ± 2.64
3.84 ± 2.22
14.21 ± 2.53
Registered residence
Urban
9.84 ± 2.56
0.169
0.866
3.60 ± 2.23
3.647
0.000
13.79 ± 2.52
3.850
0.000
Rural
9.86 ± 2.48
3.08 ± 1.93
13.17 ± 2.46
Major
Medicine
9.88 ± 2.51
1.657
0.191
3.20 ± 1.98
3.781
0.024
13.44 ± 2.37
6.505
0.002
Nonmedical science
9.53 ± 2.27
2.85 ± 1.79
12.60 ± 2.79
Nonmedical arts
9.98 ± 2.59
3.39 ± 2.20
13.25 ± 2.68
Table 3 Multiple linear regression analysis of the factors that influence knowledge, attitude, and practice scores for breast cancer, age was included directly in this analysis as a form of measurement data
Project
B
SE
β
t
P value
Knowledge
Constant term
7.335
1.228
-
5.976
0.000
Grade
0.635
0.098
0.226
6.494
0.000
Attitude
Constant term
1.627
0.985
-
1.652
0.099
Registered residence
-0.542
0.129
-0.112
-4.212
0.000
Grade
0.448
0.079
0.198
5.713
0.000
Practice
Constant term
11.005
1.218
-
9.038
0.000
Age
0.156
0.068
0.080
2.288
0.022
Registered residence
-0.691
0.159
-0.115
-4.343
0.000
Grade
0.522
0.097
0.186
5.376
0.000
Major
-0.217
0.084
-0.068
-2.569
0.010
Table 4 Multiple linear regression analysis of the factors that influence knowledge, attitude, and practice scores for breast cancer, age was included directly in the analysis as ranked data
Project
B
SE
β
t
P value
Knowledge
Constant term
8.646
0.379
-
22.791
0.000
Grade
0.704
0.087
0.250
8.096
0.000
Attitude
Constant term
2.977
0.304
-
9.788
0.000
Registered residence
-0.537
0.128
-0.111
-4.180
0.000
Grade
0.473
0.070
0.209
6.777
0.000
Practice
Constant term
13.407
0.376
-
35.622
0.000
Registered residence
-0.677
0.159
-0.113
-4.260
0.000
Grade
0.583
0.086
0.208
6.752
0.000
Major
-0.193
0.084
-0.061
-2.292
0.002
Table 5 Statistics related to the knowledge, attitude, and practice questionnaire for the breast cancer
Subject
Number of people (%)
Yes
Uncertain
No
Have a history of breast disease
15 (1.1)
200 (14.4)
1172 (84.5)
Have had a breast mass
57 (4.1)
334 (24.1)
996 (71.8)
Share breast-related issues with friends or family
682 (49.2)
293 (21.1)
412 (29.7)
Have a family history of breast cancer (Female relatives in the family have or have had breast cancer)
53 (3.8)
204 (14.7)
1130 (81.5)
Early menarche and late menopause associated with breast cancer
301 (21.7)
669 (48.2)
417 (30.1)
Fertility or infertility after 30 years old related to breast cancer
279 (20.1)
833 (60.1)
275 (19.8)
Breastfeeding reduce the incidence rate of breast cancer
369 (26.6)
816 (58.8)
202 (14.6)
No mass in the breast but in the armpit be highly vigilant
1053 (75.9)
305 (22.0)
29 (2.1)
Bloody secretions from the breast a bad sign of breast cancer
684 (49.3)
660 (47.6)
43 (3.1)
If breast pain and/or breast skin changes is breast cancer performance
481 (34.7)
819 (59.0)
87 (6.3)
If nipple invagination should remain viligant
992 (71.5)
326 (23.5)
69 (5.0)
Know about breast self-examination
183 (13.2)
448 (32.3)
756 (54.5)
Have done breast self-examination
70 (5.0)
288 (20.8)
1029 (74.2)
Know the common technical examination methods of breast
118 (8.5)
259 (18.7)
1010 (72.8)
Know how often adult women do breast clinical examination at least
70 (5.0)
284 (20.5)
1033 (74.5)
Accept genetic screening if genetic testing can predict breast cancer
1085 (78.2)
208 (15.0)
94 (6.8)
Know mammography can detect early breast cancer but cannot be detected by palpation
187 (13.5)
419 (30.2)
781 (56.3)
Willing to accept breast disease prevention guidance and take the initiative to carry out breast self-examination
1172 (84.5)
151 (10.9)
64 (4.6)
Find breast abnormality or discomfort, take the initiative to seek medical treatment in time
1025 (73.9)
253 (18.2)
109 (7.9)
A way to acquire breast health knowledge
413 (29.8)
281 (20.3)
693 (50.0)
Agree
Understand
Uncertain
Oppose
Women should receive health education on breast cancer
1279 (92.2)
85 (6.1)
19 (1.4)
4 (0.3)
Take the initiative to prevent breast cancer in daily life
1308 (94.3)
46 (3.3)
31 (2.2)
2 (0.1)
Accept breast resection to save life
820 (59.1)
227 (16.4)
288 (20.8)
52 (3.7)
Citation: Zhang QN, Lu HX. Knowledge, attitude, practice and factors that influence the awareness of college students with regards to breast cancer . World J Clin Cases 2022; 10(2): 538-546