Changing Health Beliefs about Breast Cancer Screening among Women in Multi-Ethnic Malaysia.

Changing Health Beliefs about Breast Cancer Screening among Women in Multi-Ethnic Malaysia.
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DOI:
10.3390/ijerph19031618
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发表时间:
2022-01-30
影响因子:
--
通讯作者:
Su TT
Su TT
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Htay MNN;Dahlui M;Schliemann D;Cardwell CR;Loh SY;Ibrahim Tamin NSB;Somasundaram S;Donnelly M;Su TT

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这项研究评估了“癌症警报”大众媒体乳腺癌运动 (BCAC-BC) 对女性关于 BC 易感性的健康信念的变化以及马来西亚乳腺癌筛查的好处和障碍的影响。活动前后的调查评估了 40 岁及以上女性 (n = 676) 健康信念的变化。随访时对乳腺癌的感知易感性显着较高(平均值±标准差:7.30±2.77 vs. 7.63±2.58,p = 0.008),而基线和随访时对进行筛查的感知益处的平均得分较高(16.34±2.36 vs. 15.95±2.07,p = 0.001)。关于筛查障碍的看法或信念没有显着变化(31.70 ± 8.26 vs. 31.77 ± 7.63,p = 0.841)。回归分析表明,在调整其他人口变量和过去的筛查历史后,与马来女性相比,华裔女性的障碍分量表平均分显着较低(−2.61,95% CI −4.67,−0.55,p = 0.013),而单身女性与已婚女性相比(−2.40,95% CI −4.60,-0.21,p = 0.032)。在 BCAC-BC 大众媒体运动之前,马来西亚女性似乎已经对 BC 筛查的好处有了积极的看法。然而,这项运动似乎与人们对乳腺癌易感性的认识不断提高,以及克服筛查情绪障碍的积极信念有关,特别是在单身女性和华裔马来裔女性中。
This study evaluated the impact of the ‘Be Cancer Alert’ mass media campaign for breast cancer (BCAC-BC) in terms of changes to women’s health beliefs regarding BC susceptibility and the benefits and barriers of breast cancer screening in Malaysia. Pre- and post-campaign surveys evaluated changes in health beliefs among women aged 40 years and above (n = 676). The perceived susceptibility to breast cancer was significantly higher at follow-up (mean ± SD: 7.30 ± 2.77 vs. 7.63 ± 2.58, p = 0.008) whereas the mean score for the perceived benefits of undertaking screening was high at baseline and follow-up (16.34 ± 2.36 vs. 15.95 ± 2.07, p = 0.001). The perceptions or beliefs about barriers to screening did not change significantly (31.70 ± 8.26 vs. 31.77 ± 7.63, p = 0.841). Regression analyses indicated that mean scores for the barriers subscale were significantly lower among Chinese women (−2.61, 95% CI −4.67, −0.55, p = 0.013) compared to Malay, and among single compared to married women (−2.40, 95% CI −4.60, −0.21, p = 0.032) after adjustment for other demographic variables and past screening history. Malaysian women appeared to already have positive perceptions before the BCAC-BC mass media campaign about the benefits of BC screening. However, the campaign appeared to be linked to both an increased awareness of the susceptibility to breast cancer and to positive beliefs that countered emotional barriers to screening, particularly among single women and Chinese-Malay women.
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