scholarly journals Associations Between Cancer Screening Behavior and Complementary Medicine Use: Results of a National Cross-Sectional Survey of 9151 Australian Women

2018 ◽  
Vol 17 (3) ◽  
pp. 979-985 ◽  
Author(s):  
Jane Elizabeth Frawley ◽  
Erica McIntyre ◽  
David Sibbritt ◽  
Jon Wardle ◽  
Janet Schloss ◽  
...  

Introduction: Complementary medicine (CM) use has been found to influence the uptake of conventional cancer treatment. This study examines associations between CM use and cancer screening rates. Methods: Women aged 62 to 67 years from the Australian Longitudinal Study on Women’s Health were surveyed regarding their use of cancer screening initiatives. Associations between cancer screening behavior and visits to CM practitioners were analyzed. Results: Of the 9151 women, 9049 (98.9%) completed questions about cancer screening. A total of 65.1% of women had received a clinical skin examination, 54.3% colorectal cancer screening, 56.2% Pap test (within past 2 years), 83.3% mammogram (within past 2 years), 55.8% clinical breast examination, and 55.8% had conducted breast self-examination. Women who had consulted a massage therapist were more likely to undergo clinical skin examination ( P = .002), clinical breast examination ( P = .018), and mammogram ( P = .001). Women who had consulted a chiropractor were more likely to undergo a clinical skin examination ( P = .001), colorectal cancer screening ( P = .020), and mammogram ( P = .011). Women who had consulted an acupuncturist were more likely to undergo colorectal cancer screening ( P = .019), and those who consulted with an osteopath were more liable to have a Pap test ( P = .049). Conclusion: Women who visit CM practitioners are more likely to participate in cancer screening initiatives. Research is required to understand the current and potential role that CM practitioners (can) have as public health advocates, recommending preventative health measures such as cancer screening. Such an examination will help ensure optimal screening utilization and effective, timely care for all cancer patients.

Author(s):  
Salene M W Jones ◽  
Tammy A Schuler ◽  
Tasleem J Padamsee ◽  
M Robyn Andersen

Abstract Background Previous studies have examined the impact of material financial hardship on cancer screening but without focusing on the psychological aspects of financial hardship. Purpose This study examined the effects of different types of financial anxiety on adherence to breast cancer screening in women at high risk of breast cancer. Adherence to cervical cancer screening was also examined to determine whether associations between financial anxiety and screening adherence were unique to breast cancer screening or more general. Methods Women (n = 324) aged 30–50 and at high risk for inherited breast cancer completed a survey on general financial anxiety, worry about affording healthcare, financial stigma due to cancer risk, and adherence to cancer screening. Multivariate analyses controlled for poverty, age, and race. Results More financial anxiety was associated with lower odds of mammogram adherence (odds ratio [OR] = 0.97, confidence interval [CI] = 0.94, 0.99), Pap smear adherence (OR = 0.98, CI = 0.96, 0.996), and clinical breast examination adherence (OR = 0.98, CI = 0.96, 0.995). More worry about affording healthcare was associated with lower odds of clinical breast examination adherence (OR = 0.95, CI = 0.91, 0.9992) but not mammogram or Pap smear adherence (p > .05). Financial stigma due to cancer risk was associated with lower odds of Pap smear adherence (OR = 0.87, CI = 0.77, 0.97) but no other cancer screenings (p > .07). Conclusions Financial anxiety may impede cancer screening, even for high-risk women aware of their risk status. Clinical interventions focused on social determinants of health may also need to address financial anxiety for women at high risk of breast cancer.


2006 ◽  
Vol 99 (2) ◽  
pp. 418-420 ◽  
Author(s):  
Ramani S. Durvasula ◽  
Pamela C. Regan ◽  
Oscar Ureño ◽  
Lisa Howell

This exploratory study examined frequency of self-reported cervical and breast cancer screening rates in a multiethnic sample of 331 female university students. In general, rates of lifetime screening were fairly low, with only 41% reporting having ever had a PAP examination and 44% reporting having undergone at least one clinical breast examination. Screening rates differed by ethnicity. Non-Hispanic White and African-American women had higher screening rates than Asian/Pacific Islander and Latina women. The significantly lower rate of screening among the latter groups is of particular concern given the higher cancer mortality rates typically observed in those groups.


2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 50s-50s ◽  
Author(s):  
E. Temucin ◽  
N.O. Nahcivan

Background: Colorectal cancer (CRC) is the third leading cause of cancer mortality in the world. In Turkey, it is the third most commonly diagnosed cancer and fourth leading cause of cancer death. Cancer screening activities are mostly initiated and implemented at primary health care services. Despite it is known that benefits of screening in reducing CRC incidence and mortality rates CRC screening rates are significantly lower among men and women in Turkey. However there are several interventions have been proposed to identify and remove barriers for increasing CRCS in the literature, navigation programs, also known as individualized counseling, have begun to used as a promising method recently. Aim: The aim of this study is to evaluate effects of Nurse Navigation Program that is administered to individuals aged 50-70 on their screening behavior concerning colorectal cancer (fecal occult blood test and colonoscopy) and their beliefs about this process. Methods: The study was designed experimental pretest-posttest control group design. In the study it is used random assignment to intervention and control groups, with blocking stratified. The participants of the study were 110 individuals aged between 50 and 70 registered to a family health center in İstanbul. The 'Nurse Navigation Program' was administered to the participants. The data were collected through the use of the following three tools: the Demographical Information Form, The Harvard Colorectal Cancer Risk Assessment Tool, Instruments to Measure Colorectal Cancer Screening Benefits and Barriers. The data obtained were analyzed by the descriptive and significance analyses. Results: Following the Nurse Navigation Program the experimental groups FOBT (82% and 84%) and colonoscopy completion rate (15% and 22%) were significantly higher in the control group at 3 and 6 months follow-up. Following the program when compared with the control group it is found that the mean score of the barriers perception of the experimental group was significantly lower and the mean score of the benefits perception of the experimental group was significantly higher. Conclusion: The results show that the Nurse Navigation Program had significant effects on the CRC screening behavior and health-related beliefs concerning the CRC screening. It can be suggested that the Nurse Navigation Program can be further tested on different groups to observe its effects.


Author(s):  
Mohammed Khaled Al-Hanawi ◽  
Rubayyat Hashmi ◽  
Sarh Almubark ◽  
Ameerah M. N. Qattan ◽  
Mohammad Habibullah Pulok

Timely and adequate screening for breast cancer could improve health outcomes and reduce health costs. However, the utilization of free breast cancer screening services among Saudi women is very low. This study aims to investigate socioeconomic inequalities in breast cancer screening among Saudi women. The data of this study were extracted from the nationally representative Saudi Health Interview Survey, conducted in 2013; the study included 2786 Saudi women. Multivariate logistic regression, the concentration curve, and the concentration index were used to examine, illustrate, and quantify income- and education-related inequalities in three outcomes: Knowledge about self-breast examination (SBE), clinical breast examination (CBE) received in the last year, and mammography, that has ever been previously carried out. Results showed a marked socioeconomic gradient in breast cancer screening services. The concentration index by income was 0.229 (SBE), 0.171 (CBE), and 0.163 (mammography). The concentration index by education was 0.292 (SBE), 0.149 (CBE), and 0.138 (mammography). Therefore, knowledge about breast cancer screening, and the utilization of screening services, were more concentrated among richer and better-educated women. Poorer and less educated women had less knowledge about self-breast examination, and had considerably less adherence to clinical breast examination and mammography. The findings are helpful for policy makers to devise and implement strategies to promote equity in breast cancer screening among Saudi women.


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