Breast cancer screening among adult women in China, 2010.
Breast cancer screening among adult women in China, 2010.
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DOI：
10.5888/pcd10.130136
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发表时间：
2013-11-07
影响因子：
5.5
通讯作者：
Wang L
中科院分区：
文献类型：
--
作者：
Wang B;He M;Wang L;Engelgau MM;Zhao W;Wang L
乳腺癌是中国女性最常诊断的癌症类型。然而，中国没有国家筛查计划或国家筛查指南。关于中国女性参与乳腺癌筛查的信息很少。我们使用了 2010 年中国慢性病及危险因素监测系统的数据，该系统包括 53,513 名 18 岁或以上的女性。女性被问及乳腺癌筛查参与情况（任何类型的筛查方法），我们检查了筛查参与率。我们调整了估计值并进行了多变量逻辑回归以调整潜在的混杂因素。总体而言，21.7%（95% 置信区间 [CI]，19.2%–24.2%）的受访者表示以前曾进行过乳腺癌筛查。 30 至 39 岁女性的参与率最高（30.7%；95% CI，26.9%–34.4%），70 岁或以上女性参与率最低（6.3%；95% CI，5.1%–7.6%）。与西部地区女性相比，东部地区女性接受筛查的可能性高出 1.5 倍（调整优势比 [OR]，1.5；95% CI，1.2-2.0）。与没有保险的女性相比，有城市保险的女性更有可能接受筛查（患病率 = 2.6；95% CI，2.3-3.0）并且在过去 2 年内接受筛查（OR = 1.3；95% CI，1.0-1.7；P = .04）。中国女性乳腺癌筛查参与率较低，且因年龄、地区和保险状况的不同而存在较大差异。需要采取全面和优先的策略来提高老年妇女、没有医疗保险的妇女和生活在西方的妇女的乳腺癌筛查参与度。
Breast cancer is the most frequently diagnosed type of cancer among women in China. However, China does not have a national screening program or national screening guidelines. Little information on participation in breast cancer screening among Chinese women is available. We used data from the 2010 China Chronic Disease and Risk Factor Surveillance System that included 53,513 women aged 18 years or older. Women were asked about breast cancer screening participation (any type of screening method), and we examined screening participation rates. We adjusted estimates and performed multivariable logistic regression to adjust for potential confounders. Overall, 21.7% (95% confidence interval [CI], 19.2%–24.2%) of respondents reported previous breast cancer screening. The participation rates were highest among women aged 30 to 39 years (30.7%; 95% CI, 26.9%–34.4%) and lowest among women 70 years or older (6.3%; 95% CI, 5.1%–7.6%). Compared with women living in the western region, women in the eastern region were 1.5 times more likely to be screened (adjusted odds ratio [OR], 1.5; 95% CI, 1.2–2.0). Compared with women without insurance, women with urban insurance were more likely to be screened (prevalence ratio = 2.6; 95% CI, 2.3–3.0) and be screened within the last 2 years (OR = 1.3; 95% CI, 1.0–1.7; P = .04). Breast cancer screening participation rates among Chinese women were low and varied greatly by age, region, and insurance status. Comprehensive and prioritized strategies are needed to improve breast cancer screening participation among older women, those without medical insurance, and those living in the west.
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影响因子：
2.8
作者：
Yu B;Meng Q;Collins C;Tolhurst R;Tang S;Yan F;Bogg L;Liu X
通讯作者：
Liu X
影响因子：
10.3
作者：
Sankaranarayanan, Rengaswamy;Ramadas, Kunnambath;Mathew, Beela Sara
通讯作者：
Mathew, Beela Sara
DOI：
10.1016/s0140-6736(08)61364-1
发表时间：
2008-10-25
期刊：
Lancet (London, England)
影响因子：
--
作者：
Tang S;Meng Q;Chen L;Bekedam H;Evans T;Whitehead M
通讯作者：
Whitehead M
影响因子：
3.2
作者：
Qian, Dongfu;Pong, Raymond W.;Meng, Qingyue
通讯作者：
Meng, Qingyue
影响因子：
39.2
作者：
Mandelblatt JS;Cronin KA;Bailey S;Berry DA;de Koning HJ;Draisma G;Huang H;Lee SJ;Munsell M;Plevritis SK;Ravdin P;Schechter CB;Sigal B;Stoto MA;Stout NK;van Ravesteyn NT;Venier J;Zelen M;Feuer EJ;Breast Cancer Working Group of the Cancer Intervention and Surveillance Modeling Network
通讯作者：
Breast Cancer Working Group of the Cancer Intervention and Surveillance Modeling Network