Abstract
Mammography screening is a method for reducing breast cancer mortality in women over 40 years old . A participation rate of at least 70% is a prerequisite for screening programs. This study aimed at determining the participation rate of women in breast cancer screening in Iran. The study population in this prospective research consisted of 35 to 69 years old women in the villages and towns Kerman District, in 2013. The data were collected by a well-validated risk assessment questionnaire. The questionnaires were completed with the help of health workers and technicians in the health centers, who were trained on breast cancer screening program. As a whole, 19,651 women were invited to complete the questionnaire, of whom 15,794 women (80.37%) completed it. In the urban region, of 3150 eligible women 2728 women (86.60%) participated in the study. The acceptance rates for mammography in rural and urban regions were 34.95% and 8.75%, respectively. Finally, 3.8% and 16.34% of 35 to 69 years old women in the urban regions were mammographed, respectively. The low participation of eligible women in breast cancer screening program alerts us against including the program in the health insurance package.
Highlights
Breast cancer is the most common cancer among women worldwide (Alsanabani et al, 2015)
Screening programs for breast cancer can be performed in two ways: A) general screening in which, based on the summary of international recommendations and national epidemiological conditions, the best protocol is to perform mammography in all women age 40 to 75 years every two years (Lebovic et al, 2010), and B) selective screening for women with suspected BRCA1 and BRCA2 genes mutation according to their familial history
Participation of Women Covered by Family Physicians in a Breast Cancer Screening Program in Kerman, Iran
Summary
Breast cancer is the most common cancer among women worldwide (Alsanabani et al, 2015). The annual rate of new cases in Iran is 5692 (22% of all cancer cases among women), and the mortality rate is estimated 2614 cases per year (Kalili et al, 2014). Mammographic screening is a method of reducing deaths from breast cancer for women aged 40 and above (Greif, 2010). The strongest risk factor is the familial history This method of screening is already being performed in the form of surveillance (Kösters et al, 2003; Independent UK Panel on Breast Cancer Screening, 2012). Mammography screening is a method for reducing breast cancer mortality in women over 40 years old. This study aimed at determining the participation rate of women in breast cancer screening in Iran. Conclusions: 3.8% and 16.34% of 35 to 69 years old women in the urban regions were mammographed, respectively. Conclusion: The low participation of eligible women in breast cancer screening program alerts us against including the program in the health insurance package
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