Breast Cancer Screening in Semi-Rural Malaysia: Utilisation and Barriers.
Breast Cancer Screening in Semi-Rural Malaysia: Utilisation and Barriers.
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DOI：
10.3390/ijerph182312293
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发表时间：
2021-11-23
影响因子：
--
通讯作者：
Allotey P
中科院分区：
文献类型：
--
作者：
Mohan D;Su TT;Donnelly M;Hoe WMK;Schliemann D;Tan MM;Reidpath D;Taib NA;Allotey P
乳腺癌（BC）是马来西亚最常见的癌症。延误诊断是该国BC死亡率的一个重要原因。早期诊断和筛查是降低死亡率的重要战略。这项研究评估了马来西亚半农村人口的乳房自我检查（BSE），临床乳房检查（CBE）和乳房X光检查的利用水平和障碍，并在不同种族群体中进行了比较。这项横断面研究是在马来西亚塞加马特的一个健康和人口统计学监测点（HDSS）内进行的，研究对象为40岁及以上的妇女。经过培训的数据收集人员在家访期间收集了关于筛查和障碍的数据。研究参与者（n = 250）年龄为59.4 ± 10.9岁，代表马来西亚的三个主要种族群体。定期进行BSE、CBE摄片和钼靶检查的比例分别为23.2%、36%和22.4%。经常性的疯牛病实践在马来族中最高，在华人中最低。在所有种族群体中，常规CBE非常低（<5%）。华人接受乳房X光检查最多（34.4%），其次是印度人（30.4%）和马来人（16.6%）。在调整其他社会人口统计学变量后，马来族与常规BSE呈正相关（调整后OR = 5.26，95% CI 2.05，13.50），与乳房X光检查呈负相关（调整后OR = 0.3，95% CI 0.15，0.57）。较低的教育程度与乳房X光检查（曾经）呈负相关（调整OR = 0.36，95%CI 0.17，0.74）。情感和经济障碍是报告最多的障碍类型，具体而言，害怕诊断（74.8%），诊断费用（69.6%）和害怕失去乳房（66.4%）。与其他族裔群体相比，马来妇女更常报告最多的障碍。在马来西亚，半农村妇女的筛查率很低。实施考虑到族裔差异的文化上适当的干预措施，对于增强妇女在这些社区参与BC筛查举措的能力至关重要。
Breast cancer (BC) is the commonest cancer in Malaysia. Delayed diagnosis is a significant cause of BC mortality in the country. Early diagnosis and screening are vital strategies in mortality reduction. This study assessed the level of utilisation and barriers for breast self-examination (BSE), clinical breast examination (CBE) and mammogram in a semi-rural population in Malaysia and compared these across the different ethnic groups. This cross-sectional study was conducted among women aged 40 years and above, embedded within a health and demographic surveillance site (HDSS) in Segamat, Malaysia. Trained data collectors collected data on screening and barriers during home visits. Study participants (n = 250) were aged 59.4 ± 10.9 years and represented Malaysia’s three major ethnic groups. Practice of regular BSE, CBE uptake (ever) and mammogram (ever) was 23.2%, 36% and 22.4%, respectively. Regular BSE practice was highest in the Malay ethnic group and least among the Chinese. Regular CBE was very low in all ethnic groups (<5%). Mammogram uptake was highest among Chinese (34.4%), followed by Indians (30.4%) and Malays (16.6%). After adjusting for other socio-demographic variables, Malay ethnicity was positively associated with regular BSE (adjusted OR = 5.26, 95% CI 2.05, 13.50) and negatively associated with having had a mammogram (adjusted OR = 0.3, 95% CI 0.15, 0.57). Lower education was negatively associated (adjusted OR = 0.36, 95% CI 0.17, 0.74) with mammogram attendance (ever). Emotional and financial barriers were the most reported types of barriers, specifically, fear of diagnosis (74.8%), cost of diagnosis (69.6%) and fear of losing a breast (66.4%). Malay women more commonly reported most barriers compared to other ethnic groups. Screening uptake was low among semi-rural women in Malaysia. Implementing culturally appropriate interventions that consider ethnic differences is crucial to empowering women to engage in BC screening initiatives in these communities.
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影响因子：
3.7
作者：
Mahmud, Aidalina;Aljunid, Syed Mohamed
通讯作者：
Aljunid, Syed Mohamed
影响因子：
3.7
作者：
Bhoo-Pathy, Nirmala;Hartman, Mikael;Verkooijen, Helena M.
通讯作者：
Verkooijen, Helena M.
影响因子：
1.2
作者：
Brustrom, JE;Hunter, DC
通讯作者：
Hunter, DC
影响因子：
6.2
作者：
Anderson, Benjamin O.;Yip, Cheng-Har;Harford, Joe
通讯作者：
Harford, Joe
影响因子：
2.1
作者：
Su, Tin Tin;Azzani, Meram;Majid, Hazreen A.
通讯作者：
Majid, Hazreen A.