Understanding of Breast Cancer Concepts in an Undereducated County Hospital Population

作者:Bouton Marcia E; Nodora Jesse; Hsu Chiu Hsieh; Green Andrew; Martinez Maria Elena; Komenaka Ian K*
来源:Journal of Surgical Oncology, 2010, 102(5): 398-403.
DOI:10.1002/jso.21558

摘要

Background and objectives: The purpose of this study was to determine how well breast cancer patients at a County hospital understood breast cancer concepts and treatment at time of operation
Methods: An 11 question multiple-choice examination was devised at a Flesch-Kincard grade level of 5 8 This was administered to patients prior to It their definitive cancer operation
Results: Forty-one of 42 consecutive women agreed to participate in the study Seventy-eight percent self identified as Hispanic and 64% had less than a High School education For the question "Which surgery gives me a better chance to live?" 51% said mastectomy and lumpectomy are equal and 33% thought mastectomy was superior Interestingly. 88% of respondents understood that screening mammograms arc important Sixty-two percent of the patients. however, did not get screening mammograms Multivariate analysis revealed that highest level of education (P < 0 001) and employment status (P = 0 007) correlated significantly with test score Age, insurance status, household income, and ethnicity did not significantly predict test score
Conclusion: Although the correct answer was the most frequently selected answer, this examination revealed deficits in the understanding of this undereducated population Higher level of education and employment status did correlate with improved score J Surg Oncol 2010.

  • 出版日期2010-10-1