Women's health beliefs and uptake of breast cancer screening in Malaysia.

Women's health beliefs and uptake of breast cancer screening in Malaysia.
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马来西亚女性的健康信念和乳腺癌筛查的接受度。

DOI:
10.1111/ecc.13675
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发表时间:
2022
影响因子:
2.1
通讯作者:
Htay MNN
Htay MNN
中科院分区:
医学3区
文献类型:
--
作者:
Htay MNN

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目的本研究调查了女性的健康信念、乳腺癌 (BC) 筛查服务的使用情况以及可能影响筛查接受率的因素。方法对马来西亚雪兰莪州随机抽取的 992 名女性(> 40 岁)社区样本进行面对面访谈。结果约 35% 的女性接受了临床乳房检查 (CBE),27% 在过去 1 至 10 年内接受了乳房 X 光检查。 2年。回归分析表明,与马来族相比,华裔对 BC 的感知易感性较高(平均 7.74,SD:2.75;95% CI 0.09,1.03),而与 70 岁以上的女性相比,70 岁以上的女性对 BC 的感知易感性较低(平均 6.67,SD:3.01;95% CI -1.66,-0.24)。 40-49岁。印度裔马来西亚女性(平均值 16.87,SD:2.59;95% CI 0.12,1.01)和接受 CBE 的女性(平均值 16.10,SD:2.35;95% CI 0.18,0.89)更有可能获得更高的感知效益评分。印度种族、中等教育和高等教育、收入最高的 20% 群体、CBE 既往史和乳房 X 光检查的接受率与较低的障碍评分显着相关。结论 需要针对妇女在收入、教育、就业方面处于不利地位的社区制定 BC 筛查接受率改善计划,特别是制定计划,以考虑种族群体之间在癌症筛查信念方面的差异。
ObjectivesThis study investigated women's health beliefs, the use of breast cancer (BC) screening services, and the factors that potentially influence uptake of screening.MethodsFace‐to‐face interviews were conducted with a randomly selected community sample of 992 women (>40 years old) in Selangor State, Malaysia.ResultsApproximately 35% of women received a clinical breast examination (CBE) and 27% had a mammogram within the last 1 to 2 years. The regression analyses indicated that Chinese ethnicity has higher perceived susceptibility to BC compared to Malay ethnicity (mean 7.74, SD: 2.75; 95% CI 0.09, 1.03) whilst a lower perceived susceptibility was observed in women aged ≥70 years (mean 6.67, SD: 3.01; 95% CI −1.66, −0.24) compared to women aged 40–49 years. Indian Malaysian women (mean 16.87, SD: 2.59; 95% CI 0.12, 1.01) and women who had received a CBE (mean 16.10, SD:2.35; 95% CI 0.18, 0.89) were more likely to have higher perceived benefits scoring. Indian ethnicity, secondary education and tertiary education, top 20% income group, past history of CBE and mammogram uptake were significantly associated with lower barriers scoring.ConclusionsThere is a need to target BC screening uptake improvement programmes towards communities in which women experience disadvantages related to income, education, employment, and, in particular, to tailor programmes to take into consideration differences between ethnic groups regarding their beliefs about cancer screening.
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