Primary study on the influencing factors of mastalgia in women in Chengdu district: a case-control study with 100 subjects

doi:10.3877/cma.j.issn.1674-0807.2011.05.004

Abstract

Abstract:

Objective

To find out the influencing factors of mastalgia in women in Chengdu district.

Methods

We conducted a questionnaire investigation in 100 females who had visited doctors in Physical Examination Center of People' s Hospital of Sichuan Province, including 50 patients with mastalgia as a mastalgia group and 50 without as a control group.The statistical methods included single factor logistic regression, multiple factor logistic regression and Wilcoxon Rank Sum test.

Results

Single factor analysis showed that taking contraceptives (OR=6.00), history of abortion (OR=2.74), subacute insomnia (OR = 7.03), and chronic insomnia (OR = 30.60) were the risk factors of mastalgia; occasional drinking (＜ 1 time/month, OR=0.36) and eating vegetable oil were protective factors of mastalgia.Multiple factor logistic regression showed that subacute insomnia(OR=6.38), chronic insomnia (OR=65.42) were the risk factors of mastalgia; Appropriate vegetable oil consumption (once a day, OR=0.27;once a week,OR=0.11;once a moth,OR=0.10) was protective factor for mastalgia.Wilcoxon Rank Sum test indicated that the mastalgia group had higher scores in physical symptoms, compulsion, depression, anxiety, mental hostility, paranoid state and psychiatric symptoms than the control group (P ＜0.05).

Conclusions

Insomnia is a risk factor of mastalgia for women in Chengdu.Taking vegetable oil once a day can alleviate the pain of the breast.Female patients with mastalgia have more mental problems.

Key words: mastalgia, case control study, symptom checklist 90, influencing factors

Yi LI, Jing WANG. Primary study on the influencing factors of mastalgia in women in Chengdu district: a case-control study with 100 subjects[J]. Chinese Journal of Breast Disease(Electronic Edition), 2011, 05(05): 534-541.

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Figures/Tables 3

References 22

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影响因素及赋值	P值	OR值(95%CI)	影响因素及赋值	P值	OR值(95%CI)
起居规律	0.82	0.90(0.36～2.22)	胸罩穿戴	0.69	1.17(0.54～2.57)
(是=1　否=0)			(较紧=1　较松=0)
服用避孕药	0.03^a	6.00(1.24～28.99)	吸烟	1.00	1.00(0.24～4.24)
(是=1　否=0)			(是=1　否=0)
流产史	0.02^a	2.74(1.20～6.23)	与同事关系	0.19	0.39(0.10～1.61)
(有=1　无=0)			(融洽=1　一般=0)
失眠			饮酒
急性失眠		1.00	否		1.00
亚急性失眠	0.01^a	7.03(2.75～17.93)	每月＜1次	0.03^a	0.36(0.14～0.90)
慢性失眠	0.01^a	30.60(3.45～271.51)	每月≥2～4次	0.12	3.03(0.76～12.14)
流产次数			腊肉
无		1.00	每天1次		1.00
1～2次	0.81	2.25(0.91～5.61)	每周1次	0.44	0.25(0.01～8.56)
＞2次	0.12	5.83(1.46～23.27)	每月1次	0.97	1.07(0.07～17.57)
初次生产年龄			奶制品
无		1.00	每天≥2次		1.00
＜25岁	0.06	8.471(0.96～75.08)	每天1次	0.21	0.24(0.03～2.22)
25～29岁	0.48	0.73(0.31～1.75)	每周1次	0.09	0.14(0.02～1.33)
≥30岁	0.28	2.65(0.45～15.52)	每月1次	0.15	0.18(0.02～1.82)
累积哺乳时间			植物油
无		1.00	每天≥2次		1.00
＜3月	0.42	2.75(0.24～32.10)	每天1次	0.01^a	0.21(0.07～0.61)
3～6月	0.14	2.48(0.74～8.33)	每周1次	0.04^a	0.21(0.05～0.91)
＞6月	0.19	1.88(0.73～4.80)	每月1次	0.02^a	0.24(0.07～0.82)
个人月收入(元)			蔬菜
500～999		1.00	每天≥2次		1.00
1000～2999	0.54	1.76(0.29～10.56)	每天1次	0.42	0.69(0.29～1.68)
3000～4999	0.46	2.00(0.32～12.51)	每周1次	0.18	0.21(0.02～2.02)
≥5000	0.18	4.00(0.54～29.81)	每月1次	0.67	1.71(0.15～19.79)
咖啡			水果
每天≥2次		1.00	每天≥2次		1.00
每天1次	0.66	0.50(0.02～11.09)	每天1次	0.33	1.57(0.63～3.92)
每周1次	0.42	0.30(0.02～5.55)	每周1次	0.79	0.86(0.27～2.73)
每月1次	0.70	1.74(0.10～29.14)	每月1次	0.60	0.66(0.14～3.12)

影响因素及赋值	P值	OR值(95%CI)	影响因素及赋值	P值	OR值(95%CI)
起居规律	0.82	0.90(0.36～2.22)	胸罩穿戴	0.69	1.17(0.54～2.57)
(是=1　否=0)			(较紧=1　较松=0)
服用避孕药	0.03^a	6.00(1.24～28.99)	吸烟	1.00	1.00(0.24～4.24)
(是=1　否=0)			(是=1　否=0)
流产史	0.02^a	2.74(1.20～6.23)	与同事关系	0.19	0.39(0.10～1.61)
(有=1　无=0)			(融洽=1　一般=0)
失眠			饮酒
急性失眠		1.00	否		1.00
亚急性失眠	0.01^a	7.03(2.75～17.93)	每月＜1次	0.03^a	0.36(0.14～0.90)
慢性失眠	0.01^a	30.60(3.45～271.51)	每月≥2～4次	0.12	3.03(0.76～12.14)
流产次数			腊肉
无		1.00	每天1次		1.00
1～2次	0.81	2.25(0.91～5.61)	每周1次	0.44	0.25(0.01～8.56)
＞2次	0.12	5.83(1.46～23.27)	每月1次	0.97	1.07(0.07～17.57)
初次生产年龄			奶制品
无		1.00	每天≥2次		1.00
＜25岁	0.06	8.471(0.96～75.08)	每天1次	0.21	0.24(0.03～2.22)
25～29岁	0.48	0.73(0.31～1.75)	每周1次	0.09	0.14(0.02～1.33)
≥30岁	0.28	2.65(0.45～15.52)	每月1次	0.15	0.18(0.02～1.82)
累积哺乳时间			植物油
无		1.00	每天≥2次		1.00
＜3月	0.42	2.75(0.24～32.10)	每天1次	0.01^a	0.21(0.07～0.61)
3～6月	0.14	2.48(0.74～8.33)	每周1次	0.04^a	0.21(0.05～0.91)
＞6月	0.19	1.88(0.73～4.80)	每月1次	0.02^a	0.24(0.07～0.82)
个人月收入(元)			蔬菜
500～999		1.00	每天≥2次		1.00
1000～2999	0.54	1.76(0.29～10.56)	每天1次	0.42	0.69(0.29～1.68)
3000～4999	0.46	2.00(0.32～12.51)	每周1次	0.18	0.21(0.02～2.02)
≥5000	0.18	4.00(0.54～29.81)	每月1次	0.67	1.71(0.15～19.79)
咖啡			水果
每天≥2次		1.00	每天≥2次		1.00
每天1次	0.66	0.50(0.02～11.09)	每天1次	0.33	1.57(0.63～3.92)
每周1次	0.42	0.30(0.02～5.55)	每周1次	0.79	0.86(0.27～2.73)
每月1次	0.70	1.74(0.10～29.14)	每月1次	0.60	0.66(0.14～3.12)

影响因素	P值	OR值(95%CI)
服用避孕药	0.40
(是=1　否=0)

流产史	0.22
(有=1　无=0)
失眠
急性失眠		1.00
亚急性失眠	0.01^a	6.38(2.12～19.78)
慢性失眠	0.01^a	65.42(5.67～754.29)
饮酒
否	0.30
每月＜1次	0.25
每月≥2～4次	0.32
植物油
每天≥2次		1.00
每天1次	0.04^a	0.27(0.07～0.98)
每周1次	0.03^a	0.11(0.02～0.77)
每月1次	0.01^a	0.10(0.02～0.53)

影响因素	P值	OR值(95%CI)
服用避孕药	0.40
(是=1　否=0)

流产史	0.22
(有=1　无=0)
失眠
急性失眠		1.00
亚急性失眠	0.01^a	6.38(2.12～19.78)
慢性失眠	0.01^a	65.42(5.67～754.29)
饮酒
否	0.30
每月＜1次	0.25
每月≥2～4次	0.32
植物油
每天≥2次		1.00
每天1次	0.04^a	0.27(0.07～0.98)
每周1次	0.03^a	0.11(0.02～0.77)
每月1次	0.01^a	0.10(0.02～0.53)

项目	病例组[M(Q_R)]	对照组[M(Q_R)]	Z值	P值
躯体症状	1.33(0.50)	1.17(0.25)	-4.36	0.01^a
强迫感	1.50(0.60)	1.20(0.43)	-3.27	0.01^a
人际关系	1.22(0.56)	1.11(0.33)	-1.96	0.05
抑郁症状	1.27(0.71)	1.08(0.23)	-2.77	0.01^a
焦虑状态	1.20(0.50)	1.10(0.23)	-2.25	0.02^a
敌对心理	1.33(0.50)	1.00(0.37)	-2.93	0.01^a
恐惧感	1.00(0.29)	1.00(0.18)	-1.48	0.14
偏执状态	1.17(0.67)	1.00(0.17)	-2.46	0.01^a
精神症状	1.10(0.40)	1.00(0.03)	-2.66	0.01^a

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