scholarly journals Association of Sociodemographic Factors, Breast Cancer Fear, and Perceived Self-Efficacy With Breast Cancer Screening Behaviors Among Middle-Aged Nigerian Women

2021 ◽  
Vol 15 ◽  
pp. 117822342110436
Author(s):  
Rita Ngozi Ezema ◽  
Charles Chima Igbokwe ◽  
Tochi Emmanuel Iwuagwu ◽  
Olaoluwa Samson Agbaje ◽  
Justina Ifeoma Ofuebe ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Self Efficacy ◽  
Sociodemographic Factors ◽  
Middle Aged ◽  
Nigerian Women ◽  
The Past ◽  
High Level ◽  
Cancer Fear

Introduction: Breast cancer (BC) is a major public health problem among women. However, BC screening uptake is abysmally low among Nigerian women. This study evaluated the association of BC fear and perceived self-efficacy with BC screening (clinical breast exam [CBE] and mammography) among middle-aged Nigerian women. Methods: A community-based cross-sectional study was conducted among middle-aged women in Enugu State, southeast Nigeria. The data were collected between September 2019 and February 2020. The BC screening uptake, fear, and self-efficacy were assessed using the validated Breast Cancer Screening Questionnaire (BCSQ), Champion Breast Cancer Fear Scale (CBCFS), and Champion’s Mammography Self-Efficacy Scale (CMSES). Data were analyzed using frequencies and percentages, chi-square test, and univariate analysis of variance. Bivariate and multivariable logistic regression models were used to examine independent associations between selected sociodemographic factors, cancer fear, perceived self-efficacy, and BC screening. Results: The mean age of the participants was 55.3 years (SD: 5.75). More than half of the women (51%) reported having a BC screening in the past 12 months. However, only 12.5% and 16.9% reported having a CBE or mammogram in the past 12 months. The prevalence of a high, moderate, and low level of fear was 68%, 22.3%, and 9.8%, respectively. The prevalence of a high, moderate, and low self-efficacy level was 50.6%, 37.5%, and 12.0%, respectively. The multivariable logistics regression analysis showed that women aged 50-59 years and 60-64 years were 3.5 times (adjusted odds ratio [AOR] = 3.50, 95% confidence interval [CI]: 2.07-5.89, P < .0001), and 5.92 times (AOR = 5.92 95% CI: 2.63-13.35, P < .0001), respectively, more likely to perform mammogram than those aged 40-49 years. Women with a high level of self-efficacy were 2.68 times (AOR = 2.68, 95% CI: 1.15-6.26, P < .0001) more likely to use mammographic screening than those with low self-efficacy. Although not statistically significant, women with a moderate level of BC fear were 0.56 times less likely to use mammogram than women with a low level of BC fear. Conclusion: A low proportion of women underwent CBE or mammography. Women had a high level of BC fear and a moderate level of self-efficacy for BC screening. The findings emphasize the need for health educational and psychosocial interventions that improve self-efficacy and promote regular BC screening among middle-aged women.

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 Food security status and breast cancer screening among women in the United States: Evidence from Health and Retirement Study and Health Care and Nutrition Study

2021 ◽  
Author(s):  
Asos Mahmood ◽  
Satish Kedia ◽  
Patrick Dillon ◽  
Hyunmin kim ◽  
Hassan Arshad ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Health Care ◽  
Cancer Screening ◽  
Food Insecurity ◽  
Breast Cancer Screening ◽  
The United States ◽  
The Past ◽  
Cancer Screenings ◽  
Nutrition Study ◽  
Retirement Study

Abstract Purpose: To assesses the impact of food insecurity on biennial breast cancer screenings (i.e., mammography or breast x-ray) among older women in the United States (US).Methods: Data from the 2014 and 2016 waves of the Health and Retirement Study and the 2013 Health Care and Nutrition Study were used. The analyses were limited to a nationally representative sample of 2,861 women between 50 to 74 years of age, residing in the US. We employed a propensity score weighting method to balance observed confounders between food-secure and food-insecure women and fitted a binary logistic regression to investigate population-level estimates for the association between food security and breast cancer screening.Results: Food insecurity was significantly associated with failure to obtain a mammogram or breast x-ray within the past two years. Food-insecure women had 54% lower odds of reporting breast cancer screening in the past two years (OR=0.46; 95% CI: 0.30-0.70, P-value <.001) as compared to food-secure women. Additional factors associated with a higher likelihood of receiving breast cancer screenings included greater educational attainment, higher household income, regular access to health care/advice, not smoking, and not being physically disabled or experiencing depressive symptoms.Conclusion: Results demonstrate a socioeconomic gradient existing in regard to the utilization of regular breast cancer screenings among women. Those who tend to have lower education, lower-income and lack of reliable healthcare access are more likely to be food insecure. Thus, more likely to face the financial, logistical, or environmental barriers in obtaining screening services that accompany food insecurity.

scholarly journals Preferences and Attitudes Regarding Adjunct Breast Cancer Screening Among Patients with Dense Breasts

2020 ◽  
Vol 2 (2) ◽  
pp. 119-124 ◽  
Author(s):  
Matthew M Miller ◽  
Kathy Repich ◽  
James T Patrie ◽  
Roger T Anderson ◽  
Jennifer A Harvey
Keyword(s):  
Breast Cancer ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Screening Mammography ◽  
Contrast Administration ◽  
Dense Breasts ◽  
The Past ◽  
Institutional Review ◽  
Level Of Concern ◽  
Prior Mammogram

Abstract Objective New breast screening modalities are being investigated to address the need for more sensitive breast cancer screening in women with dense breasts. We investigated the preferences and attitudes of these patients regarding adjunct screening modalities to help evaluate the acceptability of these exams. Methods In this institutional review board–approved prospective study, patients with dense breasts on their prior mammogram were invited to complete a survey. Patients were asked to estimate their personal breast cancer risk compared with peers, indicate their level of concern related to screening callbacks, radiation exposure, and intravenous (IV) contrast allergies, and identify which factors might deter them from getting adjunct screening exams. Results Five hundred eight patients with dense breasts presenting for screening mammography completed surveys. While most patients (304/508, 59.9%) felt it was likely or very likely that cancer could be missed on their mammogram, only 8.9% (45/508) had undergone adjunct screening exams in the past 3 years. The most commonly cited deterrents to adjunct screening were cost (340/508, 66.9%), pain (173/508, 34.1%), and concern that adjunct screening could lead to additional procedures (158/508, 31.1%). When asked to select among three hypothetical breast cancer screening modalities, patients strongly preferred the more sensitive examination, even if this involved greater cost (162/508, 31.9%) or IV-contrast administration (315/508, 62.0%). Conclusion Our data suggest that patients with dense breasts prefer adjunct screening exams that are both sensitive and inexpensive, although an increase in sensitivity could outweigh additional cost or even IV-line placement.

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.

An analysis of the sociodemographic factors contributing to patient nonadherence to recommendations for screening mammograms.

2019 ◽  
Vol 37 (15_suppl) ◽  
pp. e13077-e13077
Author(s):  
Ahmer Mohammad Ansari ◽  
Irene Mohammad Pericot-Valverde ◽  
Krupa Mohammad Merchant
Keyword(s):  
Breast Cancer ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Early Recognition ◽  
Smoking Status ◽  
The United States ◽  
Sociodemographic Factors ◽  
Cancer Surveillance ◽  
Screening Mammogram ◽  
The Us

e13077 Background: There were 2 million newly diagnosed cases of breast cancer in the United States during 2018 with 40,920 associated deaths1. The number of deaths has been decreasing over time due to effective breast cancer screening by mammogram. Routine mammograms lead to early recognition and treatment of breast cancer leading to an overall improvement in breast cancer outcomes. However, not all patients are adherent to screening mammogram schedules. The main aim of this study is to explore the current prevalence of breast cancer screening among women in the US. A secondary aim is to determine whether cancer screening is associated with identifiable sociodemographic determinants and cigarette smoking. Methods: Data were drawn from the Health Information National Trends Survey- (HINTS), a cross-sectional, nationally representative survey (N = 3,527) conducted in 2018. Responses from women aged 18-74 were used in this study. Descriptive analyses and chi-squared tests were conducted to estimate the prevalence of breast cancer screening by mammogram, as well as its association with certain sociodemographic characteristics and smoking status. Results: The survey sample included 1,722 women. The majority of the respondents were aged 45 years or older. A total of 5% of women had previously been diagnosed with breast cancer, most of them being between 65 and 74 years old. Overall, 22.1% of respondents reported that they had never had a mammogram. Breast cancer screening was significantly lower among young women aged 18 to 34 (76.0%), Hispanic (28.2%) and Asian (39.7%), and current smokers (24.6%). Conclusions: This study shows that there is a significant percentage of women in the US that do not adhere to screening recommendations for breast cancer. This study provides new and continuing evidence, regarding the profiles of women with poor adherence to these screening mammogram schedules. Overall, the findings from this study emphasize the importance of addressing racial and sociodemographic factors in an effort to improve screening mammogram adherence. References: 1. Cancer stat facts: Female breast cancer. Surveillance, Epidemiology, and End Results (SEER) Web site. https://seer.cancer.gov/statfacts/html/breast.html . Updated 2019. Accessed 02/10, 2019.

The effect of women’s breast cancer fear and social support perceptions on the process of participating in screening

2017 ◽  
Vol 25 (3) ◽  
pp. 52-59 ◽  
Author(s):  
Aygul Kissal ◽  
Birgül Vural ◽  
Fatma Ersin ◽  
Tuğba Solmaz
Keyword(s):  
Breast Cancer ◽  
Social Support ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Health Workers ◽  
Perceived Social Support ◽  
Demographic Data ◽  
Screening Process ◽  
Significant Difference ◽  
Cancer Fear

Introduction: Social support and fear have been shown to be important factors affecting women’s participation in breast cancer screening. This study aimed to determine the effect of women’s perceived breast cancer fear and social support on participating in the breast cancer screening process, and to investigate the relationship between the perception of breast cancer fear and social support. Methods: This is a descriptive study, carried out in a state hospital on 198 women. The data were collected through a Socio-Demographic Data Form, Multidimensional Scale of Perceived Social Support (MSPSS), and Breast Cancer Fear Scale (BCFS) by the researchers by means of face-to-face interview. Results: There was no statistically significant difference between the women’s perceptions of social support and breast cancer fear and screening behaviors ( p > 0.05). It was found that the mean BCFS score of those who had a family history of breast cancer was high, and the MSPSS score was lower ( p < 0.05). There was a quite weak and statistically insignificant positive relationship between the women’s BCFS scores and perceived social support ( r = 0.08, p > 0.05), friend support ( r = 0.04, p > 0.05) and support from a special person ( r = 0.14, p > 0.05). Conclusion: We found no statistically significant difference between breast cancer fear, social support and the women’s screening behavior. However, breast cancer fear and the effect of social support on screening attitude may be important. Nurses and other health workers should particularly focus on social support and breast cancer fear in their health education programs. Formative research into the use of social support to promote positive empowering messages should be carried out and incorporated in future health promotion campaigns to improve the breast cancer screening process.

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