Uptake of breast screening and associated factors among Hong Kong women aged ≥50 years: a population-based survey

Ho, Stephen; Choi, Kai Chow; Wong, Cho Lee; Chan, Carman W.H.; Chan, Helen Yue Lai; Tang, Winnie P.Y.; Lam, Wendy Wing Tak; Shiu, Anne; Goggins, William B.; So, Winnie K.W.

doi:10.1016/j.puhe.2014.09.001

Cited by 9 publications

(7 citation statements)

References 23 publications

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“…[11] The Chinese version of the survey was adopted in our previous studies. [12131415] The questionnaire comprised six sections, namely (1) perceived health status, (2) previous utilization of complementary therapies, (3) previous utilization of cancer screening services, (4) perceived susceptibility to cancer, (5) family history of cancer, and (6) demographic information. Two versions of the questionnaire were separately used to collect data from male and female participants, as the survey involved the examination of cancer screening behaviors of different cancer types between the two genders.…”

Section: Methodsmentioning

confidence: 99%

A Mixed-Method Study Examining Cancer Screening Uptake among South Asian Ethnic Minorities in Hong Kong

Law

Choi

et al. 2020

Asia-Pacific Journal of Oncology Nursing

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Objective:Utilization of cancer screening is an effective means of cancer prevention. However, South Asian ethnic minorities in Western countries are reported to face barriers in cancer screening utilization, resulting in a low screening uptake by these individuals. The purpose of this mixed-method study is to assess the uptake rate of cancer screening among South Asian ethnic minorities in the Chinese Society of Hong Kong and to examine the factors affecting their participation in cancer screening.Methods:This study utilized a sequential mixed-method design, involving two phases. Following the implementation of a self-report survey among South Asian participants via an author-developed questionnaire with 1547 participants in Phase 1, a focus group interview was conducted with 34 participants in Phase 2 to assess the barriers to screening utilization. Convenience sampling was adopted to recruit participants at South Asian community centers in Phase 1, whereas purposive sampling was used for recruiting participants in Phase 2.Results:The findings revealed a low (<40%) uptake rate of cancer screening among the participants. Health illiteracy, language barrier, limited access to health information and screening services, and cultural issues were the major barriers to their cancer screening utilization.Conclusions:Our findings provided valuable information for both policymakers and health professionals to better understand the needs of ethnic minorities in Hong Kong. As cancer death rates can be lowered by early detection and primary preventive measures, health professionals should focus on the development of culture-specific interventions. Similarly, training the community health workers can strengthen the primary care system in enhancing knowledge on cancer, its prevention, and access to cancer screening services among local ethnic minorities.

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Section: Methodsmentioning

confidence: 99%

A Mixed-Method Study Examining Cancer Screening Uptake among South Asian Ethnic Minorities in Hong Kong

Law

Choi

et al. 2020

Asia-Pacific Journal of Oncology Nursing

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“…In addition, people who underwent screening by a primary care physician or a gynecologist during the previous 12 months and people who had many health care visits were also likely to participate in cancer screening [35,36,39]. Screening advice by health care providers including physicians also had the effect of increasing the participation rate in cancer screening [39,40]. These benefits can be realized by increasing the numbers of screening units and physicians for cancer screening in a given area.…”

Section: Discussionmentioning

confidence: 99%

Does lack of resources impair access to breast and cervical cancer screening in Japan?

Sano

Goto

Hamashima³

2017

PLoS ONE

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ObjectivesTo assess the impact of the quantity of resources for breast and cervical cancer screening on the participation rates in screening in clinical settings in municipalities, as well as to clarify whether lack of resources impairs access to cancer screening in Japan.MethodsOf the 1,746 municipalities in 2010, 1,443 (82.6%) and 1,469 (84.1%) were included in the analyses for breast and cervical cancer screening, respectively. In order to estimate the effects of the number of mammography units and of gynecologists on the participation rates in breast and cervical cancer screening in clinical settings, multiple regression analyses were performed using the interaction term for urban municipalities.ResultsThe average participation rate in screening in clinical settings was 6.01% for breast cancer, and was 8.93% for cervical cancer. The marginal effect of the number of mammography units per 1,000 women was significantly positive in urban municipalities (8.20 percent point). The marginal effect of the number of gynecologists per 1,000 women was significantly positive in all municipalities (2.54 percent point) and rural municipalities (3.68 percent point).ConclusionsLack of mammography units in urban areas and of gynecologists particularly in rural areas impaired access to breast and cervical cancer screening. Strategies are required that quickly improve access for the residents and increase their participation rates in cancer screening.

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“…Reviewing previous studies, the effect of perceived risk on intention to undergo mammography was still unclear, though it has been studied as a promoter of preventive health behavior [ 28 – 31 ]. For example, one study from Hong Kong reported that perceived susceptibility of breast cancer did not show any meaningful contribution to mammography uptake in a population-based study [ 29 ]; however, in one Iranian female health belief study, women with greater perceived risk were more likely to report an intention to undergo screening [ 30 ]. These differences might be associated with ethnic differences.…”

Section: Discussionmentioning

confidence: 99%

Relationship between Cancer Worry and Stages of Adoption for Breast Cancer Screening among Korean Women

et al. 2015

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BackgroundThe possibility of developing breast cancer is a concern for all women; however, few studies have examined the relationship between cancer worry and the stages of adoption for breast cancer screening in Korea. Here, we investigated the associations between cancer worry, the stages of adopting breast cancer screening, and socio-demographic factors known to influence screening behaviors.MethodsThis study was based on the 2013 Korean National Cancer Screening Survey, an annual cross-sectional survey that utilized nationally representative random sampling to investigate cancer screening rates. Data were analyzed from 1,773 randomly selected women aged 40–74 years. Chi-squared tests and multinomial logistic analyses were conducted to determine the associations between cancer worry and the stages of adoption for breast cancer screening and to outline the factors associated with each stage.ResultsKorean women were classified into the following stages of adoption for breast cancer screening: pre-contemplation (24.7%), contemplation (13.0%), action/maintenance (50.8%), relapse risk (8.9%), and relapse (2.6%). Women in the action/maintenance stages reported more moderate to higher levels of worry about getting cancer than those in the pre-contemplation stage. Further, age of 40–49 years and having private cancer insurance were associated with women in the action/maintenance stages.ConclusionInterventions to address breast cancer worry may play an important role in increasing participation and equity in breast cancer screening.

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Uptake of breast screening and associated factors among Hong Kong women aged ≥50 years: a population-based survey

Cited by 9 publications

References 23 publications

A Mixed-Method Study Examining Cancer Screening Uptake among South Asian Ethnic Minorities in Hong Kong

A Mixed-Method Study Examining Cancer Screening Uptake among South Asian Ethnic Minorities in Hong Kong

Does lack of resources impair access to breast and cervical cancer screening in Japan?

Relationship between Cancer Worry and Stages of Adoption for Breast Cancer Screening among Korean Women

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