The uptake of Mammogram screening in Malaysia and its associated factors: A systematic review.
The uptake of Mammogram screening in Malaysia and its associated factors: A systematic review.
复制标题
马来西亚乳房 X 光检查的采用率及其相关因素：系统评价。
DOI：
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发表时间：
2018
期刊：
影响因子：
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通讯作者：
A. S. J. Syed Mohamed
中科院分区：
文献类型：
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作者：
M. Aidalina;A. S. J. Syed Mohamed
简介
本综述旨在总结 2006 年至 2015 年本地研究中发表的 40 岁及以上马来西亚女性接受乳房 X 光检查的趋势，并找出相关因素和障碍，并讨论研究的局限性和研究差距。
方法
对马来西亚女性乳腺癌筛查研究进行了系统回顾，发表于 2006 年 1 月至 2015 年 12 月。使用以下关键词搜索在线数据库：“乳房 X 光检查”、“乳房 X 光检查”、“摄取”、“乳腺癌筛查”和“马来西亚”。
结果
审阅了十三篇原创文章。普通人群乳腺X线摄影检查率在3.6%至30.9%之间，三级医院工作人员的乳腺X线检查率为80.3%。与乳房X光检查相关的因素包括临床乳房检查、年龄、收入、对乳腺癌和乳房X光检查的了解、对乳腺癌的易感性、种族和教育水平。乳房X光检查的障碍包括缺乏知识、尴尬、对癌症诊断的恐惧、认为乳房检查没有必要、缺乏应对技巧以及手术过程中的疼痛。然而，由于研究地点和受访者数量有限，几乎所有研究都无法推广到研究样本之外；大多数数据都是自我报告的，没有对反应进行客观衡量。
结论
某些社区的女性对乳房 X 光检查的接受率普遍较低。涉及普通人群的进一步研究至关重要。未来的研究还应探讨这项服务的可用性、可负担性和可及性，特别是在乳腺癌管理中追求实现全民健康覆盖的过程中。
INTRODUCTION
This review aimed to summarise the trend of mammogram screening uptake published in local studies between years 2006 and 2015 among the Malaysian women aged 40 years and above, and identify the associated factors and barriers, as well as discuss limitations of the studies and research gaps.
METHODS
A systematic review was conducted on breast cancer screening studies among Malaysian women, published between January 2006 and December 2015. Online databases were searched using keywords: "mammogram", "mammography", "uptake", "breast cancer screening" and "Malaysia".
RESULTS
Thirteen original articles were reviewed. The rate of mammography uptake ranged between 3.6% and 30.9% among the general population, and 80.3% among personnel of a tertiary hospital. Factors associated with mammogram screening were clinical breast examination, age, income, knowledge on breast cancer and mammogram, perceived susceptibility to breast cancer, ethnicity and education level. Barriers to mammogram screening were lack of knowledge, embarrassment, fear of cancer diagnosis, perception that breast screening was unnecessary, lack of coping skills and pain during procedure. However, almost all of the studies could not be generalised beyond the study sample because of the limited number of sites and respondents; and most data were self-reported with no objective measures of the responses.
CONCLUSION
Mammogram screening uptake among women in selected communities were generally low. Further studies involving the general population are essential. Future studies should also explore the availability, affordability and accessibility of this service especially in the pursuit of achieving universal health coverage in breast cancer management.