scholarly journals Analysis of Predictors of Breast Cancer Screening among Japanese Women using Nationally Representative Survey Data, 2001–2013

2021 ◽  
Vol 22 (1) ◽  
pp. 171-178
Author(s):  
Tasuku Okui
Keyword(s):  
Breast Cancer ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Survey Data ◽  
Japanese Women ◽  
Representative Survey ◽  
Nationally Representative

Geographic disparities in cancer screening and fatalism among a nationally representative sample of US adults

2019 ◽  
Vol 73 (12) ◽  
pp. 1128-1135
Author(s):  
Jennifer L Moss ◽  
Rebecca Ehrenkranz ◽  
Lilian G Perez ◽  
Brionna Y Hair ◽  
Anne K Julian
Keyword(s):  
Breast Cancer ◽  
Colorectal Cancer ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Colorectal Cancer Screening ◽  
Rural Areas ◽  
Representative Sample ◽  
Racial Segregation ◽  
Cancer Fatalism ◽  
Nationally Representative

BackgroundCancer screening in the USA is suboptimal, particularly for individuals living in vulnerable communities. This study aimed to understand how rurality and racial segregation are independently and interactively associated with cancer screening and cancer fatalism.MethodsWe used data from a nationally representative sample of adults (n=17 736) from National Cancer Institute’s Health Information National Trends Survey, 2011–2017, including cancer screening (colorectal, breast, cervical, prostate) among eligible participants and cancer fatalism. These data were linked to county-level metropolitan status/rurality (US Department of Agriculture) and racial segregation (US Census). We conducted multivariable analyses of associations of geographic variables with screening and fatalism.ResultsBreast cancer screening was lower in rural (92%, SE=1.5%) than urban counties (96%, SE=0.5%) (adjusted OR (aOR)=0.52, 95% CI 0.31 to 0.87). Colorectal cancer screening was higher in highly segregated (70%, SE=1.0%) than less segregated counties (65%, SE=1.7%) (aOR=1.28, 95% CI 1.04 to 1.58). Remaining outcomes did not vary by rurality or segregation, and these variables did not interact in their associations with screening or fatalism.ConclusionSimilar to previous studies, breast cancer screening was less common in rural areas. Contrary to expectations, colorectal cancer screening was higher in highly segregated counties. More research is needed on the influence of geography on cancer screening and beliefs, and how access to facilities or information may mediate these relationships.

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 ◽  
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 An analysis of health inequalities depending on educational level using nationally representative survey data in Japan, 2019

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Tasuku Okui
Keyword(s):  
Psychological Distress ◽  
Cancer Screening ◽  
Health Behaviors ◽  
Survey Data ◽  
Educational Level ◽  
Age Groups ◽  
Participation Rate ◽  
Representative Survey ◽  
Self Rated Health ◽  
Nationally Representative

Abstract Background In recent years, socioeconomic differences in health statuses and behaviors have not been investigated from the nationally representative survey data in Japan. In this study, we showed differences in representative health behaviors and statuses depending on educational level using a nationally representative survey data in Japan. Methods Aggregated (not individual level) data from the Comprehensive Survey of Living Conditions in 2019 were used to examine the association between educational level and outcome status of psychological distress (K6 scores > = 5), self-rated health, smoking, alcohol drinking, and cancer screening participation (stomach, lung, colorectal, breast, and uterine cancers). Data of 217,179 households in Japan were aggregated by the Ministry of Health, Labour, and Welfare in the survey, and the data of the estimated number of household members and persons corresponding to each response option for the questions in all of Japan were used. Five-year age groups from 20 to 24 to 80–84 years and over 84 years were analyzed, and the prevalence or participation rate by educational level were calculated. In addition, the age-standardized prevalence or participation rate according to educational level were also calculated by sex. Moreover, a Poisson regression model was applied for evaluating an association of educational level with the outcomes. Results As a result, a clear gradient by educational level was observed in almost all the age groups for the prevalence of psychological distress, poor self-rated health, and smoking and participation rates in cancer screening, and high educational level were associated with better health-related behaviors and statuses. Conversely, drinking prevalence was shown to be higher rather in highly educated people. In addition, a statistically significant association of educational level with all the outcomes was observed. Conclusion It was shown that disparities in health behaviors and statuses still persisted in recent years, and the findings suggested that further measures should be taken to tackle this disparity.

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