Factors contributing to low participation in mammography screening in Papua New Guinea

Pape, Ruth; Spuur, Kelly; Umo, P.

doi:10.1016/j.radi.2016.04.012

Cited by 10 publications

(17 citation statements)

References 11 publications

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“…The reviewed studies presented evidence of factors associated with low participation in cancer screening services and late presentation of cancer among women of nine countries (see table 2). Two studies focus on breast cancer (SenGupta et al, 1990;Pape et al, 2016), five studies focussed on cervical cancer (Fotinatos et al, 2010;Rius et al, 2013;Fong et al, 2014;Kelly-Hanku et al, 2018;Van Dyne et al, 2010) and four studies focused on both (Ou et al, 2004;Tseng et al, 2004;Tsark et al, 2007;Tutti et al, 2017). Most of the papers focused specifically on one geographical location, however, one study explored six US associated regions, three of which were of interest to this study; Republic of the Marshall Islands, Commonwealth of the Northern Mariana Islands, Federated States of Micronesia.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…The included studies focussed on screening participation related to several screening methods. Three studies used a mammogram for breast cancer screening (Tseng et al, 2004;Pape et al, 2016;Tutti et al, 2017), five studies used pap smear (Fotinatos et al, 2010;Rius et al, 2013;Tseng et al, 2004;Tsark et al, 2007;Tutti et al, 2017) and two studies used visual inspection of the cervix with acetic acid for cervical cancer screening (Fong et al, 2014;Tsark et al, 2007), one study used physical breast examination for breast cancer screening (Tsark et al, 2007). Three studies did not mention the type of 45 to 3500 participants, with the age of participants ranging from 10.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Factors reported by the reviewed studies as being associated with low screening participation and/or late presentation of cancer in women are presented in Table 2. Six factors were identified and include; resources and facilities (SenGupta et al, 1990;Ou et al, 2004;Tseng et al, 2004;Fong et al, 2014;Pape et al, 2016;Tsark et al, 2007;Van Dyne et al, 2010;Tutti et al, 2017), trust in the health care system (Tseng et al, 2004), culture and tradition (SenGupta et al, 1990;Fong et al, 2014;Pape et al, 2016;Tsark et al, 2007), modesty (Fotinatos et al, 2010;Tseng et al, 2004;Tutti et al, 2017), awareness (SenGupta et al, 1990;Fotinatos et al, 2010;Rius et al, 2013;Tseng et al, 2004;Pape et al, 2016;Tsark et al, 2007;Tutti et al, 2017), and socioeconomic status (Fong et al, 2014;Pape et al, 2016). A description of each of these factors is presented in the following sections.…”

Section: Factors Associated With Low Screening Participation and Late Presentation Of Cancer In Womenmentioning

confidence: 99%

“…Eight of the included studies identified resources and facilities as a barrier to low screening participation (Ou et al, 2004;Tseng et al, 2004;Fong et al, 2014;Pape et al, 2016;Tsark et al, 2007;Van Dyne et al, 2010;Tutti et al, 2017), one of these studies identified the same barrier for late presentation (SenGupta et al, 1990). A study in Papua New Guinea (PNG), associated a lack of resources and facilities to late presentation of breast cancer, where most patients presented at late stages with fungating masses and ulceration (SenGupta et al, 1990).…”

Section: Resources and Facilitiesmentioning

confidence: 99%

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Factors Associated with Low Screening Participation and Late Presentation of Cancer amongst Women in the Pacific Island Countries and Territories: A Systematic Review

Naidu¹,

Wiseman²,

Harris³

2021

Asian Pac J Cancer Prev

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Background and Objective: In most Pacific Island Countries and Territories (PICTs), cancer patients commonly present at very late stages and by the time the disease is diagnosed, it is often too late for treatment. This review examines the evidence on factors associated with low cancer screening participation and late presentation of cancer among women of the PICTs. Materials and Methods: Medline, PubMed, ProQuest and The Cumulative Index to Nursing and Allied Health Literature were searched to identify relevant studies for this review. Terms of medical subject headings was performed in combination with other key words such as “screening”, “delay”, “determinants”, “awareness”. Results: Eleven studies met the inclusion criteria of this review. Six factors were identified from these studies: resources and facilities, trust in the health care system, culture and tradition, modesty, awareness and socioeconomic status. Conclusion: Due to several barriers and factors, women in the PICTs are hindered from accessing cancer screening practices and often present late with cancer symptoms leading to advanced stage diagnosis. The findings of this study provide a foundation for future studies that could focus more in-depth to explain how these factors contribute to the presentation of cancer in late stages.

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Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Factors Associated With Low Screening Participation and Late Presentation Of Cancer In Womenmentioning

confidence: 99%

Section: Resources and Facilitiesmentioning

confidence: 99%

See 2 more Smart Citations

Factors Associated with Low Screening Participation and Late Presentation of Cancer amongst Women in the Pacific Island Countries and Territories: A Systematic Review

Naidu¹,

Wiseman²,

Harris³

2021

Asian Pac J Cancer Prev

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“…27,28 Despite the plethora of published information on mammography, breast density and breast cancer, there is very little written about breast cancer in PNG with the few available papers concerning breast cancer dated between 1963 and 2004 2,4-6,27-29 and more recently by the current authors between 2017 and 2019. 12,21,30 This research aims to evidence the mammographic breast findings of the women of PNG and explore for the first time, relationships between BI-RADS assessment, MPPs and age.…”

Section: Agementioning

confidence: 99%

Correlation of the BI‐RADS assessment categories of Papua New Guinean women with mammographic parenchymal patterns, age and diagnosis

Pape

Spuur

Wilkinson

et al. 2020

J of Medical Radiation Sci

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Introduction: Women with increased breast density are at increased risk of breast cancer. The aim of this research is to evidence for the first time the mammographic breast findings of Papua New Guinean (PNG) women and the relationship between Breast Imaging-Reporting and Data System (BI-RADS) assessment, mammographic parenchymal patterns (MPPs) and age. Methods: A retrospective analysis of 1357 mammograms of women imaged at the Pacific International Hospital (PIH) from August 2006 to July 2010 was undertaken. Mammographic findings were categorised using the BI-RADS Atlasâ 5th Edition. MPPs were recorded for each woman using the Tab ar Pattern I-V classification system. Age was recorded in years. Statistical analysis was by descriptive analysis and Kruskal-Wallis with Dunn's post-test and Spearman's rho correlation for inferential analysis. Results: True pathological findings (benign and malignant); BI-RADS 2-5 were noted in 111 women (8.2%); 1242 (91.5%) were negative. BI-RADS categories for malignancy were reported in 16 (88.9%) of women aged 30 to 60 years. The lower risk Tab ar Type I, II and III MPPs were associated with 94.4% (n = 17) of malignancies. Linear correlations between variables were weak and not statistically significant: age and Tab ar pattern r = 0.031, P = 0.0261; age and BI-RADS r = 0.018, P = 0.517; Tab ar pattern and BI-RADS r = 0.020, P = 0.459 (n = 1357). Conclusion: There was no correlation demonstrated between BI-RADS category, age and MPP. Importantly, there was no correlation demonstrated between BI-RADS categories 4 and 5 for breast malignancy and high-risk Tab ar Type IV and V MPPs. The results of this study again reflect that the incidence of breast cancer in PNG cannot be explained by breast density and suggest that any formalised screening program in PNG has a target age group aimed at women younger than that of Western screening programs.

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A review of mammographic image quality in Papua New Guinea

Pape

Spuur

Wilkinson

et al. 2021

J of Medical Radiation Sci

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Introduction To report for the first time the image quality of mammograms performed in Papua New Guinea (PNG) using the Perfect, Good, Moderate, Inadequate (PGMI) image evaluation system (IES); and to benchmark the image quality against BreastScreen Australia (BSA) National Accreditation Standards (NAS). Methods A retrospective image quality analysis of the de‐identified mammograms of 102 women imaged at the Port Moresby General Hospital (PMGH) was undertaken using the PGMI IES. Each craniocaudal (CC) and mediolateral oblique (MLO) image was assigned a grade and the reasons for the grade recorded. Age was recorded in years. Simple frequency analysis was undertaken and comparison with BSA NAS 2.4 was made. Results Women were aged between 25 and 74 years. There were 111 CC views and 109 MLO views. The most frequent individual grade for the CC view was G (83.8%) and for the MLO view M (72.48%); and for a routine series (four images), P and G combined (14.8%). Non‐visualisation of the IMA (28%), nipple not in profile (26%) and short length of pectoral muscle (12%) were the most cited reasons for assigning an M grade. Conclusion The reported image quality is not commensurate with that required by BSA (P and G > 50%) and while common positioning errors can be rectified through education and training, it is also important to recognise the complex challenges faced by PNG radiographers in obtaining mammographic images that extend beyond education and training and reflect the emerging nature of the modality as well as wider health, economic and other issues. This work raises the need for national standards, dedicated equipment, and radiographer education to best serve the women of PNG.

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Factors contributing to low participation in mammography screening in Papua New Guinea

Cited by 10 publications

References 11 publications

Factors Associated with Low Screening Participation and Late Presentation of Cancer amongst Women in the Pacific Island Countries and Territories: A Systematic Review

Factors Associated with Low Screening Participation and Late Presentation of Cancer amongst Women in the Pacific Island Countries and Territories: A Systematic Review

Correlation of the BI‐RADS assessment categories of Papua New Guinean women with mammographic parenchymal patterns, age and diagnosis

A review of mammographic image quality in Papua New Guinea

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