Understanding Breast Cancer Screening Practices in Taiwan: a Country with Universal Health Care

Wu, Tsu-Yin; Chung, Scott; Yeh, Ming Chen; Chang, Shu Chen; Hsieh, Hsing‐Fang; Ha, Soo Ji

doi:10.7314/apjcp.2012.13.9.4289

Cited by 27 publications

(32 citation statements)

References 12 publications

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“…In this study 27.3% of the women who practiced BSE did it correctly, monthly in contrast to 46.7-55.6% in Taiwan, Malaysia and other countries (Feldman;1981;Dahlui et al, 2012;Wu et al, 2012). But,66.3% of the women who reported doing BSE did it only sometimes indicating the need for sustained, high quality educational programmes.…”

Section: Discussioncontrasting

confidence: 71%

“…Knowledge factors seems to stem from an absence of preventative behavior such as 'no symptoms', 'didn't feel it was necessary', 'no one is doing it and never thought of it'. This compares to the Taiwanese study where Universal health care is available and where 70% of respondents mentioned reasons like no need to get screened, no symptoms (Wu et al, 2012). Similarly, in Korea women did not perceive the need for breast cancer screening if they did not have any symptoms (Im et al, 2004).…”

Section: Discussioncontrasting

confidence: 59%

“…There are contrasting results on association with age in the literature. Hospital and community based survey in Malaysia did not find a relationship with age (Dahlui et al, 2012;Subramaniam et al, 2013) whereas in Taiwan (Wu et al, 2012), older women were more likely to undergo screening and another study showed a higher probability of screening among younger women. In this study after multiple logistic regression age was found to be an independent predictor of breast cancer screening (Hackshaw and Paul, 2003).…”

Section: Discussionmentioning

confidence: 88%

“…Resource factors such as no time, no money and lack of facility nearby were also reported. Most women had difficulty remembering to do BSE (Wu et al, 2012) and the more educated subjects said that they were too busy or forgot (Feldman et al, 1981).…”

Section: Discussionmentioning

confidence: 99%

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Screening for Breast Cancer in a Low Middle Income Country: Predictors in a Rural Area of Kerala, India

Sreedevi

Quereshi²,

Kurian³

et al. 2014

Asian Pacific Journal of Cancer Prevention

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Background: In India, breast cancer is the leading malignancy among women in a majority of the cancer registries. Therefore it is important to understand screening practices and its predictors, including in rural areas with high female literacy and good health indices. Materials and Methods: A cross-sectional study with multistage sampling was conducted in Vypin Block, Ernakulam district, Kerala, India. Four Panchayats (self administration units) were randomly chosen and a woman in every second household was invited to participate from the tenth ward of each. Thus a total of 809 women were interviewed. Results: The majority of the repondents (82.1%) were not aware of risk factors and about a third (37.9%) were not aware of symptoms of breast cancer. About half of the population studied (46.6%) had undergone screening. Age (35-50 years), being married, health professionals as source of information and working were significant predictors of screening. Logistic regression showed that older women (35-50 yrs) were more likely to practice screening. Out of the never screened, about a third (35%) were desirous of doing it, but had not for various reasons and 53.5% were not willing to screen. The reasons identified for not screening among those desirous of doing it were grouped into knowledge 66 (43.4%), resources 23 (15.1%) and psychosocial 32(21.1%) factors. Unmarried women were significantly more likely to express factors related to all the three domains. Conclusions: This study showed that in spite of the absence of a population-based screening program, about half of the study population had undergone some type of screening. The older women (35-50 years) in particular were significantly more likely to practice screening. At this critical juncture, a high quality breast cancer awareness and screening initiative can help to consolidate the gains and tackle knowledge, resource and psychosocial barriers.

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Section: Discussioncontrasting

confidence: 71%

Section: Discussioncontrasting

confidence: 59%

Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 99%

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Screening for Breast Cancer in a Low Middle Income Country: Predictors in a Rural Area of Kerala, India

Sreedevi

Quereshi²,

Kurian³

et al. 2014

Asian Pacific Journal of Cancer Prevention

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show abstract

“…In Asian countries, breast cancer is the most diagnosed female cancer and increasing incidence has been observed in several Asian countries (Long et al, 2010;Youlden et al, 2014). This has led to several studies investigating the actual problem by way of studying breast cancer awareness (Khokhar, 2009;Al-Dubai et al, 2011;Kanaga et al, 2011;Gurdal et al, 2012;Wu et al, 2012;Yoo et al, 2012;Donnelly et al, 2013;Norlaili et al, 2013;Radi, 2013;Liu et al, 2014;Sathian et al, 2014;Miyawaki, Shibata et al, 2014;Tazhibi and Feizi, 2014). Most studies have found that the awareness of breast cancer in developing countries was weak compared with developed countries (Jones et al, 2010;Kwok et al, 2012).…”

Section: Introductionmentioning

confidence: 99%

Development of a Breast Cancer Awareness Scale for Thai Women: Moving towards a Validated Measure

Rakkapao¹,

Promthet²,

Moore³

et al. 2016

Asian Pacific Journal of Cancer Prevention

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Background: Breast cancer is a major health problem among women around the world. Recent developments in screening and treatment have greatly improved the prognosis of patients with breast cancer in developed countries. However, in developing countries breast cancer mortality remains high.Breast cancer awareness is a first and important step in reducing breast cancer mortality. The development of a validated instrument to measure breast cancer awareness is crucial for the understanding and implementation of suitable health education programs to facilitate early deletion and minimize mortality. Objective: The objective of this study was to develop an instrument for the assessment of breast cancer awareness in Thai women. Materials and Methods: This methodological study was conducted in two stages: (1) literature searches and semi-structured interviews were conducted to generate items of the breast cancer awareness scale (B-CAS) which were subsequently examined for content and face validity, and (2) an exploration of the factor structure of the resulting instrument and an examination of its reliability. Data were collected using a self-administered questionnaire in Thai women aged 20-64 in August, 2015. Results: A total of 219 women (response rate 97.4 %) participated in this validation study. The B-CAS contains five domains with 53 items on breast cancer awareness: 1) knowledge of risk factors, 2) knowledge of signs and symptoms, 3) attitude to breast cancer prevention, 4) barriers of breast screening, and 5) health behavior related to breast cancer awareness. Items with a content validity index < 0.80 were excluded, and factor structure for the remaining items reflected the hypothesized five factor model. The scales based on all retained items was shown to have strongly internal consistency reliability (Cronbach's α=0.86). Conclusions: The B-CAS provides good psychometric properties to assess breast cancer awareness in women. It can be used to examine breast cancer awareness in Thai women and it could lead to the development and evaluation of suitable educational interventions for raising breast cancer awareness. Future research should focus on further validating the B-CAS including an assessment of construct and criterion-based validity.

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Communication Channels of Breast Cancer Screening Awareness Campaigns Among Women Presenting for Mammography in Ghana

Dzidzornu,

Angmorterh,

Aboagye

et al. 2024

Journal of the American College of Radiology

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Understanding Breast Cancer Screening Practices in Taiwan: a Country with Universal Health Care

Cited by 27 publications

References 12 publications

Screening for Breast Cancer in a Low Middle Income Country: Predictors in a Rural Area of Kerala, India

Screening for Breast Cancer in a Low Middle Income Country: Predictors in a Rural Area of Kerala, India

Development of a Breast Cancer Awareness Scale for Thai Women: Moving towards a Validated Measure

Communication Channels of Breast Cancer Screening Awareness Campaigns Among Women Presenting for Mammography in Ghana

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