scholarly journals Factors associated with breast cancer screening participation among women in mainland China: a systematic review

BMJ Open ◽  
2019 ◽  
Vol 9 (8) ◽  
pp. e028705 ◽  
Author(s):  
Zijing Wu ◽  
Yu Liu ◽  
Xiaohan Li ◽  
Bing Song ◽  
Cuiping Ni ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Systematic Review ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Data Extraction ◽  
Mainland China ◽  
Breast Disease ◽  
Factors Associated ◽  
Screening Participation ◽  
Cancer Screening Participation

ObjectivesAlthough detecting breast cancer at an early stage through screening has been clearly shown to be an effective strategy, the screening participation rate in China remains low. This systematic review sought to synthesise the current evidence to identify factors associated with breast cancer screening participation among women in mainland China.DesignThis study was a systematic review.Data sourcesStudies were collected from PubMed, PsycINFO, CINAHL, EMBASE and three major Chinese databases, specially China National Knowledge Infrastructure, Chongqing VIP and Wanfang Data.Eligibility criteriaAll included papers were original research studies with a longitudinal or cross-sectional study design that considered associated factors of breast cancer screening participation among women in mainland China.Data extraction and synthesisStudy selection, data extraction and quality assessment were conducted independently by two reviewers, involving a third to help reach a consensus when necessary. Primary outcomes of interest included factors associated with breast cancer screening participation.ResultsA total of 19 studies were included in this review. Based on these studies, geographical region, a personal history of breast disease, past screening behaviours for breast disease, physical examination and the availability of medical specialists/equipment for breast examination were consistently associated with participation in breast cancer screening, while residential area, ethnicity and attitude towards breast cancer screening appeared to be associated with participation in breast cancer screening. There were additionally some factors with even more limited evidence with which to ascertain their association with screening participation.ConclusionsThere exists a wide range of factors that influence breast cancer screening participation in mainland China. These findings could help to inform future research and policy efforts.

scholarly journals Relationship of attitudes toward uncertainty and preventive health behaviors with breast cancer screening participation

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Miho Satoh ◽  
Naoko Sato
Keyword(s):  
Breast Cancer ◽  
Cancer Screening ◽  
Alcohol Consumption ◽  
Risk Aversion ◽  
Health Behaviors ◽  
Breast Cancer Screening ◽  
Time Preference ◽  
The Past ◽  
Screening Participation ◽  
Cancer Screening Participation

Abstract Backgroundcxs Early detection of breast cancer is effective for prolonging survival, but the participation rate in breast cancer screening among target Japanese women remains low. This study examined the relationships between tendencies in decision-making under conditions of uncertainty, health behaviors, demographics, and breast cancer screening participation in Japanese women. Methods Secondary analysis was performed using data from the 2017 Keio Household Panel Survey (KHPS). The study population consisted of 2945 households. Data were obtained from the KHPS for women aged 40 years or older. Breast cancer screening participation in the past year, risk aversion, time preference, health behaviors (e.g., smoking, alcohol consumption, and medical treatment received in the past year), and demographic variables were analyzed. Results Data from 708 women were analyzed. Among the respondents, 28.8% had attended breast cancer screening in the past year. Factors found to significantly contribute to breast cancer screening participation included higher risk aversion (odds ratio [OR], 2.34; 95% confidence interval [CI] = 1.03–5.32; p = 0.043), medical treatment received in the past year (OR, 1.56; 95% CI = 1.06–2.30; p = 0.026), higher self-rated health (OR, 1.47; 95% CI = 1.18–1.83; p = 0.001), living above the poverty line (OR, 2.31; 95% CI = 1.13–4.72; p = 0.022), and having children (OR, 1.57; 95% CI = 1.02–2.42; p = 0.042). Factors significantly associated with non-participation in breast cancer screening were smoking (OR, 0.20; 95% CI = 0.10–0.42; p < 0.000), alcohol consumption (OR, 0.56; 95% CI = 0.37–0.86; p = 0.007), being self-employed (OR, 0.22; 95% CI = 0.10–0.46; p < 0.000), and being unemployed (OR, 0.48; 95% CI = 0.26–0.90; p = 0.022). No significant relationship was observed between time preference and screening participation. Conclusions The results indicate that women who recognize the actual risk of developing breast cancer or have high awareness of breast cancer prevention tend to participate in breast cancer screening. Barriers to screening participation are not working for an organization that encourages screening and low income.

scholarly journals Relationship of attitudes toward uncertainty and preventive health behaviors with breast cancer screening participation

2020 ◽  
Author(s):  
Miho Satoh ◽  
Naoko Sato
Keyword(s):  
Breast Cancer ◽  
Cancer Screening ◽  
Health Behaviors ◽  
Medical Treatment ◽  
Breast Cancer Screening ◽  
Time Preference ◽  
Smoking Habit ◽  
Japanese Women ◽  
Screening Participation ◽  
Cancer Screening Participation

Abstract Background Early detection of breast cancer is effective for prolonging survival, but the participation rate in breast cancer screening among target Japanese women remains low. This study examined the relationships between tendencies in decision-making under uncertainty conditions, health behaviors, demographics, and breast cancer screening participation in Japanese women. Methods Data for women aged 40 years or older obtained in the 2017 Keio Household Panel Survey were analyzed. Participants answered questions about breast cancer screening attendance in the last year, risk aversion, time preference, health behaviors (e.g., smoking habit, alcohol consumption, and medical treatment received in the last year), and demographic variables. Responses were analyzed using chi-squared tests, t-tests, and logistic regression analysis. Variables were entered into the regression model if they were significantly associated with breast cancer screening participation in univariate analysis. Results A total of 2,729 of 2,945 households responded to the questionnaire. Data from 708 questionnaires were analyzed. Among the respondents, 28.8% had participated in breast cancer screening in the past year. Factors found to significantly contribute to breast cancer screening participation included higher risk aversity (odds ratio [OR], 2.34; 95% confidence interval [CI] = 1.03–5.32; p = 0.043), medical treatment received in the last year (OR, 1.56; 95%CI = 1.06–2.30; p = 0.026), higher self-rated health (OR, 1.47; 95% CI = 1.18–1.83; p = 0.001), living above the poverty line (OR, 2.31; 95% CI = 1.13–4.72; p = 0.022), and having children (OR, 1.57; 95% CI = 1.02–2.42; p = 0.042). Factors not significantly associated with screening participation were smoker (OR, 0.20; 95% CI = 0.10–0.42; p < 0.000), alcohol drinker (OR, 0.56; 95% CI = 0.37–0.86; p = 0.007), self-employed (OR, 0.22; 95% CI = 0.10–0.46; p < 0.000), and unemployed (OR, 0.48; 95% CI = 0.26–0.90; p = 0.022). No significant relationship was observed between time preference and screening participation. Conclusions The results indicate that women who recognize the actual risk of developing breast cancer or have high awareness of breast cancer prevention tend to participate in breast cancer screening. Barriers to screening participation are not working for an enterprise that encourages screening and low income.

scholarly journals Relationship of attitudes toward uncertainty and preventive health behaviors with breast cancer screening participation

2020 ◽  
Author(s):  
Miho Satoh ◽  
Naoko Sato
Keyword(s):  
Breast Cancer ◽  
Cancer Screening ◽  
Alcohol Consumption ◽  
Risk Aversion ◽  
Health Behaviors ◽  
Breast Cancer Screening ◽  
Time Preference ◽  
The Past ◽  
Screening Participation ◽  
Cancer Screening Participation

Abstract Background: Early detection of breast cancer is effective for prolonging survival, but the participation rate in breast cancer screening among target Japanese women remains low. This study examined the relationships between tendencies in decision-making under conditions of uncertainty, health behaviors, demographics, and breast cancer screening participation in Japanese women.Methods: The study population consisted of the 2,945 households that completed the 2017 Keio Household Panel Survey (KHPS). Data were obtained from the KHPS for women aged 40 years or older. Breast cancer screening participation in the past year, risk aversion, time preference, health behaviors (e.g., smoking, alcohol consumption, and medical treatment received in the past year), and demographic variables were analyzed. Results: Data from 708 women were analyzed. Among the respondents, 28.8% had attended breast cancer screening in the past year. Factors found to significantly contribute to breast cancer screening participation included higher risk aversion (odds ratio [OR], 2.34; 95% confidence interval [CI] = 1.03-5.32; p = 0.043), medical treatment received in the past year (OR, 1.56; 95% CI = 1.06-2.30; p = 0.026), higher self-rated health (OR, 1.47; 95% CI = 1.18-1.83; p = 0.001), living above the poverty line (OR, 2.31; 95% CI = 1.13-4.72; p = 0.022), and having children (OR, 1.57; 95% CI = 1.02-2.42; p = 0.042). Factors not significantly associated with screening participation were smoking (OR, 0.20; 95% CI = 0.10-0.42; p < 0.000), alcohol consumption (OR, 0.56; 95% CI = 0.37-0.86; p = 0.007), being self-employed (OR, 0.22; 95% CI = 0.10-0.46; p < 0.000), and being unemployed (OR, 0.48; 95% CI = 0.26-0.90; p = 0.022). No significant relationship was observed between time preference and screening participation.Conclusions: The results indicate that women who recognize the actual risk of developing breast cancer or have high awareness of breast cancer prevention tend to participate in breast cancer screening. Barriers to screening participation are not working for an organization that encourages screening and low income.

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