A Survey of Osteoporosis and Breast Cancer Risk Perception among Menopausal and Postmenopausal Women in Hong Kong
1
조회
0
다운로드
0
인용
0
참고문헌
초록
Objectives: A lack of understanding in menopausal and postmenopausal women’s (PMW) risk perception towards osteoporosis and breast cancer still exists, which is explored in this study. This information might allow health professionals to conduct interventions to improve health behaviors before menopause-related diseases are imminent. Methods: Between 10 December 2015 and 31 January 2016, 573 menopausal or PMW were successfully interviewed on 17 questions, comprising separate sections for osteoporosis and breast cancer. The target respondents were menopausal or PMW aged 45 to 60 years, with no previous diagnosis of osteoporosis or breast cancer, who attended private clinics across Hong Kong for annual physical examination. Results: Regarding menopausal issues, the top three concerns were osteoporosis and fracture (72%), breast cancer (44%), and sleep disorder/insomnia/headache (40%). Among 314 respondents (55%) who tried to prevent osteoporosis, 74% of them began to do it after they were 40 years old. On the other hand, 65% of respondents never had a bone density test. For respondents who said “I’m too young, so I don’t need to check”, their mean age was 52 years old. Ninety percent of respondents mistakenly believed that regular breast examination, regular breast massage, drink soy milk, or vaccine can prevent breast cancer. Conclusions: This survey revealed osteoporosis and breast cancer as the top concerns among menopausal and PMW in Hong Kong. Inadequate health behaviors and misconceptions still exist despite widespread health education in the recent years. (J Menopausal Med 2017;23:102-107)
Abstract
Objectives: A lack of understanding in menopausal and postmenopausal women’s (PMW) risk perception towards osteoporosis and breast cancer still exists, which is explored in this study. This information might allow health professionals to conduct interventions to improve health behaviors before menopause-related diseases are imminent. Methods: Between 10 December 2015 and 31 January 2016, 573 menopausal or PMW were successfully interviewed on 17 questions, comprising separate sections for osteoporosis and breast cancer. The target respondents were menopausal or PMW aged 45 to 60 years, with no previous diagnosis of osteoporosis or breast cancer, who attended private clinics across Hong Kong for annual physical examination. Results: Regarding menopausal issues, the top three concerns were osteoporosis and fracture (72%), breast cancer (44%), and sleep disorder/insomnia/headache (40%). Among 314 respondents (55%) who tried to prevent osteoporosis, 74% of them began to do it after they were 40 years old. On the other hand, 65% of respondents never had a bone density test. For respondents who said “I’m too young, so I don’t need to check”, their mean age was 52 years old. Ninety percent of respondents mistakenly believed that regular breast examination, regular breast massage, drink soy milk, or vaccine can prevent breast cancer. Conclusions: This survey revealed osteoporosis and breast cancer as the top concerns among menopausal and PMW in Hong Kong. Inadequate health behaviors and misconceptions still exist despite widespread health education in the recent years. (J Menopausal Med 2017;23:102-107)
참고문헌 (18)
- Sjöberg L, "Explaining risk perception. An evaluation of the psychometric paradigm in risk perception research" (2004), C Routunde Publikasjoner
- Ballard K, "Understanding risk: women’s perceived risk of menopause-related disease and the value they place on preventive hormone replacement therapy", Fam Pract, 19, pp.591~595 (2002)
- Huang KE, "The Asian Menopause Survey: knowledge, perceptions, hormone treatment and sexual function", Maturitas, 65, pp.276~283 (2010)
- Hsieh C, "Health beliefs and attitudes toward the prevention of osteoporosis in older women", Menopause, 8, pp.372~376 (2001)
- Pan HA, "The perception of menopause among women in Taiwan", Maturitas, 41, pp.269~274 (2002)
- Sayakhot P, "Breast cancer and menopause:perceptions of diagnosis, menopausal therapies and health behaviors", Climacteric, 15, pp.59~67 (2012)
- Puttapitakpong P, "Inter-correlation of knowledge, attitude, and osteoporosis preventive behaviors in women around the age of peak bone mass", BMC Womens Health, 14, pp.35~ (2012)
- You JH, "Public knowledge, attitudes and behavior on antibiotic use:a telephone survey in Hong Kong", Infection, 36, pp.153~157 (2008)
- Koh LK, "A simple tool to identify asian women at increased risk of osteoporosis", Osteoporos Int, 12, pp.699~705 (2001)
- Choi BC, "A catalog of biases in questionnaires", Prev Chronic Dis, 2, pp.A13~ (2005)
- Ip TP, "The osteoporosis society of Hong Kong (OSHK): 2013OSHK guideline for clinical management of postmenopausal osteoporosis in Hong Kong", Hong Kong Med J, 19(Suppl 2), pp.1~40 (2013)
- "Breast cancer early detection and diagnosis" (2015)[URL]
- Khatib OMN, "Guidelines for the early detection and screening of breast cancer", World Health Organization, ~ (2006)
- Haines CJ, "The perception of the menopause and the climacteric among women in Hong Kong and southern China", Prev Med, 24, pp.245~248 (1998)
- Lau EM, "Osteoporosis-is it really preventable?", Hong Kong Med J, 4, pp.395~399 (1998)
- Gammage KL, "Predicting osteoporosis prevention behaviors: health beliefs and knowledge", Am J Health Behav, 35, pp.371~382 (2011)
- Ng KK, "Practice of breast self-examination among high risk Chinese women in Hong Kong", Chin Med J (Engl), 113, pp.1100~1103 (2000)
- Kwok C, "Breast cancer screening practices among Hong Kong Chinese women", Cancer Nurs, 37, pp.59~65 (2014)
