Factors associated with breast cancer screening participation among women in mainland China: a systematic review

Abstract

ObjectivesAlthough detecting breast cancer at an early stage through screening has been clearly shown to be an effective strategy, the screening participation rate in China remains low. This systematic review sought to synthesise the current evidence to identify factors associated with breast cancer screening participation among women in mainland China.DesignThis study was a systematic review.Data sourcesStudies were collected from PubMed, PsycINFO, CINAHL, EMBASE and three major Chinese databases, specially China National Knowledge Infrastructure, Chongqing VIP and Wanfang Data.Eligibility criteriaAll included papers were original research studies with a longitudinal or cross-sectional study design that considered associated factors of breast cancer screening participation among women in mainland China.Data extraction and synthesisStudy selection, data extraction and quality assessment were conducted independently by two reviewers, involving a third to help reach a consensus when necessary. Primary outcomes of interest included factors associated with breast cancer screening participation.ResultsA total of 19 studies were included in this review. Based on these studies, geographical region, a personal history of breast disease, past screening behaviours for breast disease, physical examination and the availability of medical specialists/equipment for breast examination were consistently associated with participation in breast cancer screening, while residential area, ethnicity and attitude towards breast cancer screening appeared to be associated with participation in breast cancer screening. There were additionally some factors with even more limited evidence with which to ascertain their association with screening participation.ConclusionsThere exists a wide range of factors that influence breast cancer screening participation in mainland China. These findings could help to inform future research and policy efforts.

The prevalence and predictive factors of breast cancer screening among older Ghanaian women

“…This characteristic of the women, however, became statistically nonsignificant after controlling for other predictors. Although we found no relationship between place of residence and breast cancer screening in a multivariate model, a systematic review of 19 papers on breast cancer screening among women in China suggested that living in urban areas positively predict participation in breast cancer screening [15].…”

“…Globally, gender also is a key predisposing factor for all types of cancers, with women having a higher likelihood than men [7]. Studies have also found that a lack of participation in social groups is associated with a lower likelihood of breast cancer screening among women [9,10,11,12,13,14,15].…”

Effects of the COVID-19 pandemic on breast cancer screening in Taiwan

“…Accessibility is one of the important factors associated with breast cancer screening participation [ [10] , [11] , [12] ]. Outreach programs increase accessibility for community residents to receive a mammography.…”

Breast Cancer Screening Behaviors in Women Aged 40 Years and Over in a Semi-Urban Region in Turkey: Relationships with Health Beliefs

“…Several factors may affect the performance of BC screening behaviors [ 16 , 17 , 18 , 19 , 20 ]. In the literature, it states that, in addition to sociodemographic and cultural characteristics, health beliefs related to the disease and its consequences affect health behaviors by increasing the motivation of individuals [ 21 ].…”