Breast and Colorectal Cancer Screening and Associated Correlates among Chinese Older Women

Leung, Denis H. Y.; Leung, Angela Yee Man; Chi, Iris

doi:10.7314/apjcp.2012.13.1.283

Cited by 12 publications

(24 citation statements)

References 21 publications

(23 reference statements)

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“…The association between higher education and increased screening methods was found in other studies (Reyes-Ortiz et al, 2007;Bellizzi et al, 2011). Coupled with higher education, greater wealth and having a health insurance were found in this study to be associated with cancer screening, as also found in some other studies (Coughlin et al, 2007;Reyes-Ortiz et al, 2008;Leung et al, 2012). It is possible that older adults with lower education have less economic resources which can explain the disparities (Reyes-Ortiz et al, 2007).…”

Section: Discussionsupporting

confidence: 85%

“…The study found a low prevalence of cervical and breast cancer screening similar to a study in China (WHO, 2012a) but higher than a study in another African country (Ghana) (WHO, 2012b) and lower than in a national American sample of older adults (Bellizzi et al, 2011) and Chinese older women (Leung et al, 2012). This evidence is disturbing given the fact that cervical and breast cancers are leading cancers among women, especially in low income countries (Gakidou et al, 2008).…”

Section: Discussionsupporting

confidence: 54%

“…The rates of cervical cancer and breast cancer screening were 38% and 50% respectively for individuals aged 80 years or older (Bellizzi et al 2011). Among older Chinese women (60 years or above) 3.7% had undergone breast cancer screening in the past two years (Leung et al, 2012).…”

Section: Introductionmentioning

confidence: 98%

“…Factors associated with breast cancer and/or cervical cancer screening among older adults included older age (Reyes-Ortiz et al, 2006), less older age (Caplan, 2001), higher education (Reyes-Ortiz et al, 2007;Bellizzi et al, 2011;Leung et al, 2012), a higher level of knowledge about the usefulness and benefit of mammography (Constanza, 1994;Farmer et al, 2007;Kissal and Beser, 2011), lower cognitive performance (Leung et al, 2012), higher household income (Coughlin et al, 2007), having a public health insurance (Reyes-Ortiz et al, 2008), and higher number of chronic conditions (Heflin et al, 2002).…”

Section: Introductionmentioning

confidence: 99%

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Breast and Cervical Cancer Screening and Associated Factors among Older Adult Women in South Africa

Peltzer

Phaswana‐Mafuya²

2014

Asian Pacific Journal of Cancer Prevention

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Background: Little is known about the cancer screening prevalence and correlates in older adults from different racial backgrounds. In the context of heightened efforts for prevention and early diagnosis, we collected information on screening for two major types of cancers: cervical and breast cancer in order to establish their prevalence estimates and correlates among older South African women who participated in the Study of Global Ageing and Adults Health (SAGE) in 2008. Materials and Methods: We conducted a national population-based cross-sectional study with a multi-stage stratified cluster sample of 3,840 individuals aged 50 years or older in South Africa in 2008. In this analysis, we only considered the female subsample of (n=2202). The measures used included socio-demographic characteristics, health variables, anthropometric and blood pressure measurements. Multivariable regression analysis was performed to assess the association of socio-demographic factors, health variables and cancer screening. Results: Overall, regarding cervical cancer screening, 24.3% ever had a Papanicolaou (PAP) smear test, and regarding breast cancer screening, 15.5% ever had a mammography. In multivariate logistic regression analysis, younger age, higher education, being from the White or Coloured population group, urban residence, greater wealth, and suffering from two or more chronic conditions were associated with cervical cancer screening, and higher education, being from the White or Indian/Asian population group, greater wealth, having a health insurance, and suffering from two or more chronic condtions were associated with breast cancer screening. Conclusions: Cancer screening coverage remains low among elderly women in South Africa in spite of the national guideline recommendations for regular screening in order to reduce the risk of dying from these cancers if not detected early. There is a need to improve accessibility and affordability of early cervical and breast cancer screening for all women to ensure effective prevention and management of cervical and breast cancer.

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Section: Discussionsupporting

confidence: 85%

Section: Discussionsupporting

confidence: 54%

Section: Introductionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

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Breast and Cervical Cancer Screening and Associated Factors among Older Adult Women in South Africa

Peltzer

Phaswana‐Mafuya²

2014

Asian Pacific Journal of Cancer Prevention

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“…According to the WHO data, approximately 502,000 women world-wide die from breast cancer every year (Brenner et al, 2007;Leung et al, 2012). In recent years, the incidence of breast cancer has increased in China, and has been observed even in younger generations (Jing et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

Elastography for Breast Cancer Diagnosis: a Useful Tool for Small and BI-RADS 4 Lesions

Liu¹,

Zhu²,

Liu³

et al. 2015

Asian Pacific Journal of Cancer Prevention

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The present study aimed at evaluating and comparing the diagnostic performance of B-mode ultrasound (US), elastography score (ES), and strain ratio (SR) for the differentiation of breast lesions. This retrospective study enrolled 431 lesions from 417 in-hospital patients. All patients were examined with both conventional ultrasound and elastography. Two experienced radiologists reviewed ultrasound and elasticity images. The histopathologic result obtained from ultrasound-guided core biopsy or operation excisions were used as the reference standard. Pathologic examination revealed 276 malignant lesions (64%) and 155 benign lesions (36%). A cut-off point of 4.15 (area under the curve, 0.891) allowed significant differentiation of malignant and benign lesions. ROC (receiver-operating characteristic) curves showed a higher value for combination of B-mode ultrasound and elastography for the diagnosis of breast lesions. Conventional ultrasound combined elastography showed high sensitivity, specificity, and accuracy for group II lesions (10mm

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Interventions to Reduce Healthcare Disparities in Cancer Screening Among Minority Adults: a Systematic Review

Liu

Schuchard

Burston

et al. 2020

J. Racial and Ethnic Health Disparities

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BackgroundRacial minority populations face an increased burden relative to cancer interventions. Compared to Caucasians, the cancer screening rate is substantially lower among African American, Asian American, Latinx American, and American Indian/Alaska Native populations. Barriers such as low health literacy, lack of health insurance, and miscommunication between patients and providers have been identified as important factors that result in low screening rates among minority adults. This study was to identify interventions targeting racial minority adults 40 years of age or older that were effective in increasing cancer screening uptake rates. MethodsA systematic review of articles published in and after January 2009 was conducted using PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Twenty-six published studies of cancer screening intervention tested with minority adults were identified through the searches of CINAHL, Global Health, PsycINFO, PubMed, and Scopus databases. ResultsThirteen (50%) of the studies utilized lay community health workers to increase cancer awareness and knowledge and to encourage screening. These methods took place over the telephone, at community education sessions, or within the context of personalized patient navigation support. The intervention programs utilized culturally relevant materials as well as spoken and written information in the targeted population's native language. Various intervention designs resulted in statistically significant increases in cancer screening adherence. However, we found no intervention that consistently elevated cancer screening rates across all racial/ethnic minority adults. ConclusionsThe finding suggests that highly segmented interventions are needed in order to improve cancer screening among various racial/ethnic minority adults.

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Breast and Colorectal Cancer Screening and Associated Correlates among Chinese Older Women

Cited by 12 publications

References 21 publications

Breast and Cervical Cancer Screening and Associated Factors among Older Adult Women in South Africa

Breast and Cervical Cancer Screening and Associated Factors among Older Adult Women in South Africa

Elastography for Breast Cancer Diagnosis: a Useful Tool for Small and BI-RADS 4 Lesions

Interventions to Reduce Healthcare Disparities in Cancer Screening Among Minority Adults: a Systematic Review

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