Participation of the Women Covered by Family Physicians in Breast Cancer Screening Program in Kerman, Iran

Abstract

Background: Mammography screening is a method for reducing breast cancer mortality in women over 40 years old . A participation rate of at least 70% is a prerequisite for screening programs. This study aimed at determining the participation rate of women in breast cancer screening in Iran. Materials and Methods: The study population in this prospective research consisted of 35 to 69 years old women in the villages and towns Kerman District, in 2013. The data were collected by a well-validated risk assessment questionnaire. The questionnaires were completed with the help of health workers and technicians in the health centers, who were trained on breast cancer screening program. Results: As a whole, 19,651 women were invited to complete the questionnaire, of whom 15,794 women (80.37%) completed it. In the urban region, of 3150 eligible women 2728 women (86.60%) participated in the study. The acceptance rates for mammography in rural and urban regions were 34.95% and 8.75%, respectively. Conclusions: Finally, 3.8% and 16.34% of 35 to 69 years old women in the urban regions were mammographed, respectively. Conclusion: The low participation of eligible women in breast cancer screening program alerts us against including the program in the health insurance package.

Breast Cancer Screening Strategies and Indicators in Iran, A Systematic Review

“…In two studies, the response rate to BSE and CBE ranged 81-100% (104,109). Participation rate in the screening program was reported from 3.8% to 16.8% in two studies (53,110). BC detection rate has been reported in some studies with different designs.…”

“…It was demonstrated that a higher 5-year risk perception had more predictive power for performing Mammo, while it did not predict achieving BSE or CBE. (53,110). BC detection rate has been reported in some studies with different designs.…”

Cost-Effectiveness Analysis of Breast Cancer Screening in Rural Iran

“…Screening was conducted in three phases, the first phase: risk assessment with the questionnaire, the second phase: identification of the persons eligible for mammography, and the third phase: selective screening with mammography which details and mode of screening was mentioned by Jafari et al (Jafari et al, 2015). Costeffectiveness analysis and sensitivity analysis of both interventions was performed using the decision tree model and TreeAge 2011.…”

Quality assurance and average glandular dose measurement in mammography units

“…Breast cancer is the most common disease among middle-aged women worldwide. [ 1 ] In India, breast cancer is the second most common malignancy after cervical cancer. GLOBOCAN project report (2011–2014) shows that there are 145 incidence rates per 100,000 female population and 70 mortality rates per 100,000 female population in India.…”