Predictors Of Breast Cancer Screening Research Articles

The Role of Social Determinants of Health in Seeking Cancer-Related Information and Influencing Cancer Screening Behaviors Among U.S. Adult Women Aged 40–65 Years [ID 2683457

INTRODUCTION: Social determinants of health (SDOH) influence patients’ breast health and their decision and ability to screen for breast cancer. Our study aims to provide a general overview of SDOH acting as significant predictors of mammogram completion across different timeline categories (1–5 years ago, >5 years ago, and never had a mammogram) compared to having a mammogram a year ago or less. METHODS: The data were obtained from the 2020 Health Information National Trends Survey 5 (HINTS 5) Cycle 4, which was administered from February through June 2020 to a total of 2,204 females. Multinomial logistic regression was carried out to identify SDOH acting as predictors of mammogram completion for three different timeline categories (1–5 years ago, >5 years ago, and never had a mammogram) compared to having a mammogram a year ago or less. RESULTS: The SDOH predictor variables varied as predictors of mammogram completion across the three timeline categories. For the “mammogram 1–5 years ago” category, being Black, not having a full-time job, being single, and not having health insurance were seen as significant predictors of the screening behavior. For the “mammogram >5 years ago” category, identifying as widowed and not having health insurance showed significance as predictors of breast cancer screening. For the “never had a mammogram” category, all age categories >25 years of age, identifying as Black, being single, and not having health insurance were recorded as significant predictors of mammography. Health insurance was consistently seen as a significant predictor of mammogram completion across the different timeline categories. CONCLUSION: Future interventions should consider insurance status as an important factor influencing a woman’s decision to seek breast cancer screening. However, a holistic approach integrating the diverse aspects of the SDOH will be more effective in understanding the different barriers hindering at-risk women from seeking annual mammography.

CO146 Potential Predictors Affecting Access to Breast Cancer Screening Among Women in the United States Using the Health Behavioral Model: A MEPS Panel Analysis

Despite the national campaign and multiple efforts to reduce the mortality associated with Breast Cancer (BC), mammography screening participation rates remain below the goal set by American Cancer Society (ACS) for the early detection of cancer. The access of mammography screening (MS) and clinical breast examination (CBE) could be improved if potential factors that impact nonattendance were better understood. Therefore, the objective of this study is to evaluate the predictors of breast cancer screening (BCS) behaviors within the frame work of Health belief model.

Environmental and psychosocial predictors of breast cancer screening among women in Gwagwalada Area Council, Abuja, North Central, Nigeria

Introduction: Breast cancer (BC) is the leading cause of morbidity and mortality among women. Although screening is a known cost-effective strategy for reducing its burden, uptake remains sub-optimal. This study was designed to determine environmental and psychosocial predictors to uptake of screening services among women in Gwagwalada area council, Federal Capital Territory (FCT).

Determinants of Breast Cancer Screening Among Reverend Sisters in Kampala Archdiocese, Uganda: A Cross-Sectional Study

Background: Breast cancer in Uganda is the second commonest cancer in women coming only next to cancer of the cervix. This is the first cross-sectional study to investigate the determinants of self-breast cancer screening among Reverend Sisters in Kampala, the largest Archdiocese of Roman Catholic Church in Uganda. The prevention strategies in this country are still not optimal and the key to prevention is breast screening.Methods: A cross-sectional analytical study was conducted from September, 2018 to June, 2019. A sample of 310 respondents were interviewed using a semi-structured, self-administered questionnaire. Data was analyzed using logistic regression model.Results: A majority (96.4%) of the respondents did not do a mammography, 54.1% never practiced breast self-examination (BSE) and 34.2% performed it regularly during bedtime. The reasons for performing BSE included: curiosity (61.9%), having a lump (19%) and carrying out screening (9.5%). Significant predictors of breast cancer screening were ordinary level of education (11 years of education), hearing about breast cancer, different screening methods, and symptoms of breast cancer, usefulness of screening for women, a need for sisters to screen, self-breast examination and mammography. Age and other levels of education were not significantly associated with breast cancer screening. Conclusion: The Reverend Sisters had a low level of knowledge and a small fraction practiced breast cancer screening. This demands a sustainable interventional strategy of breast health awareness campaign, establishment of appropriate health infrastructure related to precision oncology in Uganda and similar settings.

Analysis of Predictors of Breast Cancer Screening among Japanese Women using Nationally Representative Survey Data, 2001-2013.

Objective:Predictors of participation in breast cancer screening in recent years or the trend of participation rate by predictors over the years has not been investigated in Japan. In this study, we investigated predictors for participation in breast cancer screening and analyzed the trend of participation rate depending on the predictors using nationally representative survey data in Japan. Methods:The data of “Comprehensive Survey of Living Conditions” in Japan from 2001 to 2013 were used. Participation in breast cancer screening was used as an outcome. Next, as explanatory variables, we used age group, marital status, living arrangements, educational level, household income, employment status, smoking status, regular outpatient visit status, and self-rated health status. Then, the participation rate for breast cancer screening was calculated for each of the factors over the years. In addition, multivariate logistic regression analysis was conducted to analyze the association between each factor and the participation rate using data from 2010 and 2013. Results:We found that non-married women, women with lower educational level, women with low household income, self-employed or unemployed women, smokers, and women with low self-rated health status were significantly less likely to participate in breast cancer screening. Conversely, the participation rate increased for all predictor groups from 2001 to 2013, and the increase in the participation rate for never-married women was particularly evident compared with the other marital statuses. However, significant differences in the participation rate for breast cancer screening existed depending on marital status, household income, employment status, and smoking status throughout the analyzed years. Conclusion:Our findings suggest that further recommendations for breast cancer screening are particularly needed among women of low socioeconomic status and those who are self-employed or unemployed to increase the participation rate in Japan.

The prevalence and predictive factors of breast cancer screening among older Ghanaian women

BackgroundBreast cancer cases are on the rise in Ghana, with older adult women being more at risk of the disease. However, there is a paucity of current studies on factors that predict breast cancer screening among older adult women using nationally representative data. The present study, therefore, addressed this gap by estimating the prevalence of and identifying the factors that predict breast cancer screening among older adult women in Ghana. MethodsWe used the cross-sectional survey dataset of the 2014/2015 (wave II) Study on global AGEing and adult health (SAGE). A complex survey design methodology was employed to estimate the prevalence of breast cancer screening and the descriptive statistics of the demographic characteristics of the respondents. We used the firth logistic regression for the bivariate and multivariate analysis. ResultsThe estimated breast cancer prevalence among older Ghanaian adult women was 4.5%. Older Ghanaian adult women who have screened for cervical cancer [AOR: 13.29; CI: 6.12, 28.84], had attained some primary education [AOR: 3.70; CI: 1.94, 7.07], junior secondary [AOR: 4.02; CI: 1.75, 9.21], senior secondary and higher [AOR: 4.57; CI: 2.15, 9.71], and have ever participated in a club meeting [AOR: 1.85; CI: 1.05, 3.24] were more likely to screen for breast cancer. ConclusionThe significant predictors of breast cancer screening were cervical cancer screening status, formal education, and participation in club meetings. Given that the prevalence of breast cancer screening among the older adult women in Ghana is low, we recommend that policies and programs dedicated to encouraging women to screen for breast cancer should aim at giving women the opportunity to obtain higher formal education, encouraging women to be actively involved in club meetings and to intensify efforts to encourage women to screen for breast cancer.

Knowledge, Attitude, and Practice Regarding Breast Cancer Early Detection Among Women in a Mountainous Area in Northern Vietnam.

Breast cancer is the most common cancer in women all over the world, also in Vietnam. In recent years, the incidence of breast cancer has been increasing in Vietnam, and most cases are diagnosed at late stages, making treatment more difficult. More and better early detection could help more women to survive. The aim of this study was to identify the current knowledge, attitude and practice about early detection of breast cancer as well as potential predictors of breast cancer screening among women aged 20 to 49 year in a mountainous commune in Thanh Hoa Province, Vietnam, in a largely ethnic Muong population. Women aged 20 to 49 years were selected by systematic random sampling to participate in a cross sectional study in October 2017. They were interviewed with a closed questionnaire about their knowledge of breast cancer, its risk factors, and warning signs. A checklist for performance of breast self-examination was also applied. Three hundred six women agreed to participate in the study. More than half had a low level of knowledge, and were weak in attitude and practice about breast self-examination, clinical breast examination, breast ultrasound, and mamography. Among women who had practiced at least 1 screening method, 17.0% mentioned clinical breast examination, and only 13.8% reported practicing breast self-examination. Factors associated with practice included knowledge about breast cancer early detection (BCED), ethnicity, income, the BCED information approach, and the BCED screening programs approach. The finding of a very low proportion of women in the mountainous setting with good awareness and practice on early detection of breast cancer is important evidence to inform the BCED intervention program developers about where and how to target which information, especially to reach more ethnic minority women.

Predictors of Breast Cancer Screening Among Korean American Women: Is Having an Annual Checkup Critical?

Objective:Korean American (KA) immigrant women underutilize breast cancer screening. This study examined factors predicting breast cancer screening behavior among KA women in the United States.Methods:233 KA women aged 19 to 85 were recruited in the metro area of Atlanta, Georgia. Andersen’s behavioral model theoretically guided the study.Result:Of the predisposing factors, age (OR=1.043, p<.01, 95% CI [1.017, 1.069]) and marital status (OR=2.154, p<.05, 95% CI [1.022, 4.539]) were significantly associated with clinical breast exam (CBE), while income (OR=2.289, p<.05, 95% CI [1.060, 4.945]) and annual checkup (OR=2.725, p<.01, 95% CI [1.342, 5.533]) were linked to CBE as enabling factors. For the receipt of mammographic screening, annual checkup was only significantly associated among enabling factors (OR=4.509, p<.05, 95% CI [1.263, 16.102]), while family cancer history was identified as the only significant need factor (OR=.112, p<.01, 95% CI [.023, .552]).Conclusion:Differing factors explained the receipt of CBEs and mammographic use among KA women. Specifically, the findings shed light on the importance of having an annual checkup for the uptake of both CBEs and mammographic use. Intervention strategies should focus on promoting health accessibility for KA women to adhere to recommended breast cancer screening.

Abstract B113: Regional differences in barriers to breast cancer screening among low-income African American women in Nashville, Chattanooga, and Memphis Tennessee

Abstract Background: African American women are more likely to have advanced breast cancer at the time of diagnosis and experience worse outcomes than Caucasian women. National surveys have shown that African American women obtain less breast cancer screening than Caucasian women. However, the degree to which psychosocial and economic barriers contribute to racial differences in breast cancer screening remains unclear. Objectives: The purpose of this study was to examine regional predictors of breast cancer screening among African American women residing in Nashville, Chattanooga, and Memphis. In addition to regional predictors of breast cancer screening, obstacles to screening were also examined. The aim of this study was to incorporate this information into programs aimed at improving breast cancer screening rates at the three Tennessee cities. Methods: As part of the Meharry Community Networks Program (CNP) needs assessment, a community survey was administered to assess demographic characteristics, breast cancer screening practices, health care access and utilization, and lifestyle behaviors of low-income African American women. Participants were recruited from predominantly African American communities in Nashville, Chattanooga, and Memphis. Only women 40 years and older were included in this study. The final sample size was 286. Results: The screening rates for mammograms within the past two years among African American women, 40 years and older in Nashville, Chattanooga, and Memphis were 65%, 67% and 62% respectively. There were no regional differences in the screening rates. The predictors of mammograms in the three regions included having made at least one medical visit in the past year, annual household income, employment status, and health insurance status. Although geographically, there were similar predictors of breast cancer screening, there were differences in barriers to screening among the three cities. For example, Memphis participants were more likely to report transportation issues and child/elderly care as obstacles to screening compared to participants in Nashville and Chattanooga (p&amp;lt;.05). In addition, Nashville and Memphis were more likely to report fear of a positive cancer diagnosis than Chattanooga (p&amp;lt;.05). Discussion: Understanding regional similarities and differences in breast cancer screening behaviors among African American women is important for addressing psychosocial and economic barriers that may contribute to low screening rates. Citation Information: Cancer Epidemiol Biomarkers Prev 2010;19(10 Suppl):B113.

Predictors of Breast Cancer Screening among Immigrant Iranian Women in California

This study examined the predictors of age-specific breast cancer screening participation among immigrant Iranian women aged 30 years and older. Logistic regression was used to identify predictors of women's breast cancer screening. The logistic regression results appear as odds ratios (ORs) and 95% confidence intervals (CIs). In general, screening rates for clinical breast examinations (CBE) and mammography among the participants in the current study were higher than levels set in the year 2010 Health Objectives and those reported for women nationally. These findings are inconsistent with previous studies on immigrant women living in the United States. However, the low rate of breast self-examinations (BSE) is consistent with previous findings of other immigrant women breast cancer screening studies. This study is the first of its kind to explore predictors of Iranian immigrant women's breast cancer screening behaviors. This study provides valuable information to healthcare providers as well as researchers and public health educators. The findings can make a significant difference in designing guidelines for culturally sensitive interventions and educational material to improve breast cancer screening behaviors.

Breast Cancer Screening Practices among Low-Income Vietnamese Women

Cancer is the leading cause of death among Asian-American women in the United States and breast cancer is the most commonly diagnosed cancer among Asian-American women. Early detection through breast cancer screening has been found to improve the rate of survival for breast cancer. This study examined factors associated with breast cancer screening among 345 Vietnamese women ≥40 years old residing in a low-income Houston area. Data were collected through a self-administered questionnaire assessing socio-demographic characteristics, access to care factors, acculturation, and perceived susceptibility and severity of risks. Results showed 38 percent, 49 percent, and 33 percent of the respondents reporting having had a breast self-exam, a clinical breast exam, and a mammogram, respectively. Predictors of breast cancer screening include education, employment, ability to speak English, having lived in the United States for more than five years, and having a regular place of care. Implications of this study include the need for a culturally-relevant educational program for this understudied population.

Predictors of Breast Cancer Screening in a Panel Study of African American Women

ABSTRACT Purpose: This study examines the predictors of breast cancer screening participation in a panel study of African American women over age 40. We examine the effect of depression, age, beliefs and concerns about breast cancer and its risk, communication with social networks regarding screening, marital status, participation in religious organizations, breast cancer family history, and participation in a breast cancer education program. Methods: Participants were recruited from 30 African American churches, two low-income housing projects, and from a health fair at a historically African American University (N = 364). Participants were interviewed upon recruitment, and three months later. Multinomial logistic regression models are estimated to assess the relative impact of covariates on the odds of getting a mammogram while controlling for other factors. We also assess predicted probabilities of screening at specific levels of covariates. Results: We find that age, marriage, an educational intervention, talking with friends, and believing that early detection can lead to cure had a positive impact on getting a mammogram between T1 and T2. In contrast, depression significantly reduces the odds of getting a mammogram. Family histories of breast cancer and church participation have no effect on rates of mammography net of other factors.

Psychosocial factors associated with the use of breast cancer screening by women age 60 years or over.

This study examined psychosocial factors related to breast cancer screening among older women. Data for the study were obtained from interviews with 719 women age 60 years or over attending rural and urban primary care clinics in North Carolina. The results indicated that 50% of the women had mammograms in the past year, 65% reported clinical breast examinations in the past year, and 31% said they practiced breast self-examinations once a month. Several psychosocial factors were significant predictors of a lower likelihood of being screened. Multivariate analysis confirmed the importance of psychosocial factors as predictors of breast cancer screening. Educational intervention to increase screening for breast cancer in this population is needed, and the results provide specific suggestions regarding the content of effective educational materials and approaches for older women.

Breast Cancer Screening among Southwest American Indian Women Living On-Reservation

Background.One- and five-year breast cancer survival rates are significantly lower among Southwest American Indian (AI) women compared with non-Hispanic whites, primarily due to late stage at diagnosis. By detecting cancers at an earlier stage, screening mammography can reduce breast cancer mortality by 30% among women ages 50–69 years.Methods.To determine rate of and predictors of participation in breast cancer screening services among Southwest AI women, randomly selected AI women living on the Arizona Hopi reservation were interviewed. Independent predictors of breast cancer screening were determined using logistic regression analyses among respondents ages ≥40 years (n= 314).Results.Of respondents ≥40 years, 26.4% had had a mammogram in the past 2 years, and 23.2% of women ≥50 years had had both a mammogram and a clinical breast examination. Mammography screening in the past 2 years was independently associated with an age between 50 and 59 years, knowledge of the procedure, belief that mammography can detect breast cancer, having yearly Pap smears, and use of the Hopi-language.Conclusion.Self-reported breast cancer screening rates among this population of AI women are far below objectives set for the Year 2000. This study confirms the importance of breast cancer screening knowledge and participation in routine medical services to rates of breast cancer screening.