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目的探讨广东省江门市区妇女乳腺疾病发生的相关风险因素,为乳腺疾病的防治提供参考依据。方法2009年5月至2010年12月对江门市区12 365名妇女进行乳腺疾病筛查。结果江门市区妇女乳腺疾病的患病率达34.51%,乳腺癌检出率为150/10万。高学历、痛经、饮酒、乳腺自检与乳腺疾病呈正相关(OR值分别为1.10、1.15、1.35、1.12),初潮年龄晚、月经周期长、绝经与乳腺疾病呈负相关(OR值分别为0.96、0.99、0.62)。结论育龄妇女是乳腺疾病重点防治对象。乳腺疾病筛查应作为妇女保健工作的重点,妇女应适时婚育、合理膳食、学习乳腺自我检查、提高自我保健意识。
Objective To investigate the risk factors of breast diseases in women in Jiangmen City, Guangdong Province, and to provide reference for the prevention and treatment of breast diseases. Methods From May 2009 to December 2010, 12 365 women in Jiangmen city were screened for breast disease. Results The prevalence rate of breast diseases in Jiangmen urban area was 34.51% and the detection rate of breast cancer was 150 / 100,000. High education, dysmenorrhea, alcohol consumption, breast self-test and breast disease were positively correlated (OR values were 1.10,1.15,1.35,1.12 respectively), late menarche, long menstrual cycle, menopausal and breast disease was negatively correlated (OR = 0.96 , 0.99, 0.62). Conclusion Women of childbearing age are the key prevention and treatment targets of breast diseases. Breast disease screening should be the focus of women’s health care, women should be timely marriage and childbirth, a reasonable diet, breast self-examination, improve self-care awareness.