scholarly journals Breast cancer and breast screening: perceptions of Chinese migrant women living in New Zealand

2014 ◽  
Vol 6 (2) ◽  
pp. 135 ◽  
Author(s):  
Wei Zhang ◽  
Sally Rose ◽  
Alison Foster ◽  
Sue Pullon ◽  
Beverley Lawton
Keyword(s):  
Breast Cancer ◽  
Primary Care ◽  
New Zealand ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Breast Screening ◽  
Breast Health ◽  
Migrant Women ◽  
Breast Clinic ◽  
National Breast

INTRODUCTION: Migrant Chinese constitute a significant and increasing proportion of New Zealand women. They have lower rates of participation in breast cancer screening than other New Zealanders, but reasons for this are unknown. The aim of this study was to investigate factors affecting Chinese women’s understanding of, and access to, breast health services, to better understand reasons for low participation in screening and their experiences of breast cancer clinic care. METHODS: The participants were 26 Chinese migrant women – 19 recruited in the community and seven recruited from 17 eligible women attending a breast clinic between 2008 and 2010 in Wellington, New Zealand. The design was that of a qualitative study, using semi-structured interviews and thematic content analysis. FINDINGS: There were low levels of awareness about the national breast screening programme and limited engagement with preventive primary care services. Concerns about privacy and a range of communication difficulties were identified that related to oral language, lack of written information in Chinese, and limited understanding about Chinese perceptions of ill health and traditional Chinese medicine by New Zealand health professionals. CONCLUSION: Addressing communication barriers for Chinese migrant women has the potential to raise awareness about breast cancer and breast health, and to increase successful participation in breast cancer screening. Greater efforts are needed to ensure this group has an understanding of, and is engaged with a primary care provider. Such efforts are key to improving health for this growing sector of the New Zealand population. KEYWORDS: Breast cancer; Chinese; mammography; mass screening; New Zealand

scholarly journals Disability as a predictor of breast cancer screening uptake: A population-based study of 57,328 women

2019 ◽  
Vol 27 (4) ◽  
pp. 194-200
Author(s):  
Emma Ross ◽  
Aideen Maguire ◽  
Michael Donnelly ◽  
Adrian Mairs ◽  
Clare Hall ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cancer Screening ◽  
Northern Ireland ◽  
Breast Cancer Screening ◽  
Breast Screening ◽  
The United States ◽  
Ageing Population ◽  
Screening Uptake ◽  
National Breast ◽  
The Impact

Objective Despite a growing body of evidence suggesting inequalities in breast cancer screening uptake in the United States for women with disabilities, few attempts have been made to examine whether this association applies to the United Kingdom. We conducted the first population-wide study investigating the impact of disability on uptake of breast cancer screening in Northern Ireland. Methods Breast screening records extracted from the National Breast Screening System were linked to the Northern Ireland Longitudinal Study. This identified a cohort of 57,328 women who were followed through one complete three-year screening cycle of the National Health Service Breast Screening Programme in Northern Ireland. The presence of disability was identified from responses to the 2011 Census. Results Within this cohort, 35.8% of women reported having at least one chronic disability, and these individuals were 7% less likely to attend compared with those with no disability (odds ratio 0.93; 95% confidence interval 0.89–0.98). Variation in the degree of disparity observed was evident according to the type and number of comorbid disabilities examined. Conclusion This is the first population-wide study in Northern Ireland to identify disparities in breast screening uptake for women with chronic disabilities, in particular, those with multimorbidity. This is of particular concern, given the projected rise in the prevalence of disability associated with the ageing population.

Major failings of trial procedures and quality of screening fatally compromise the results of the Canadian National Breast Screening Studies

2021 ◽  
pp. 096914132098618
Author(s):  
Daniel B Kopans
Keyword(s):  
Breast Cancer ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Breast Screening ◽  
Demographic Factors ◽  
Random Assignment ◽  
National Breast ◽  
Early Results ◽  
Allocation Process ◽  
Clinical Breast Examinations

Despite overwhelming evidence of a major reduction in deaths, the debate about the efficacy of breast cancer screening has continued for over 50 years. The poor results in the Canadian National Breast Screening Studies (CNBSS) have been used to challenge the benefits shown by the other randomized, controlled trials. They continue to be used in assessing the value of breast cancer screening despite their unblinded allocation process, which first identified women with breast abnormalities and then assigned them on open lists allowing for nonrandom assignment, compromising the trials and rendering their results unreliable. There were, statistically significantly, more women with advanced cancers who were assigned to the screening arm in CNBSS1. The early results for CNBSS1 showed an excess of women dying in the screening arm, and an (otherwise inexplicable) greater than 90%, 5-year survival for the control women. The failure of random assignment also explains why the clinically evident cancers were larger in the screening arms than the cancers in the “usual care” arms, despite the fact that the screened women underwent very intense clinical breast examinations each year by highly skilled examiners. The claim that balanced demographic factors prove random assignment is also false. Nonrandom allocation of a hundred or more women with clinically evident abnormalities would have no detectable influence on the distribution of demographic factors. In summary, policy decisions about mammography should not be influenced by the results of the CNBSS.

scholarly journals Cervical and Breast Cancer Screening Among Mexican Migrant Women, 2013

2016 ◽  
Vol 13 ◽  
Author(s):  
Natalie Guerrero ◽  
Xiao Zhang ◽  
Gudelia Rangel ◽  
J. Eduardo Gonzalez-Fagoaga ◽  
Ana Martinez-Donate
Keyword(s):  
Breast Cancer ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Migrant Women ◽  
Mexican Migrant
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