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http://dx.doi.org/10.7314/APJCP.2012.13.1.283

Breast and Colorectal Cancer Screening and Associated Correlates among Chinese Older Women  

Leung, Doris Y.P. (The Nethersole School of Nursing, The Chinese University of Hong Kong)
Leung, Angela Y.M. (School of Nursing, The University of Hong Kong)
Chi, Iris (School of Social Work, University of Southern California)
Publication Information
Asian Pacific Journal of Cancer Prevention / v.13, no.1, 2012 , pp. 283-287 More about this Journal
Abstract
Objective: To explore the participation rates for breast and colorectal cancer screening and identify associated correlates among elderly women. Methods: Logistic regressions were conducted using data collected in 2006 from 1,533 elderly women aged 60 years or above who had completed a screening instrument, the Minimum Data Set-Home Care, while applying for long-term care services at the first time in Hong Kong. Results: The participation rates for breast and colorectal cancer screening among frail older Chinese women were 3.7% and 10.8% respectively. Cognitive status was inversely associated with the likelihood of participation in screening (breast: OR = 0.66, 95%CI = 0.47-0.94; colon: OR = 0.81, 95%CI = 0.66-0.99), as was educational level with the likelihood of participation in breast cancer screening (no formal education: OR = 0.20, 95%CI = 0.06-0.61, some primary education: OR = 0.31, 95%CI = 0.10-1.00). Conclusion: The delivery of cancer preventive health services to frail older women is less than ideal. Cognitive status and educational level were important factors in cancer screening behaviour. Tailor-made strategic promotion programmes targeting older women with low cognitive status and educational levels are needed to enhance awareness and acceptance within this vulnerable group.
Keywords
Breast cancer screening; colorectal cancer screening; older Chinese women; cognitive status;
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1 So WKW, Choi KC, Chan DNS, et al (2011). Colorectal cancer screening and associated factors among Chinese aged 50 and above in Hong Kong-A population-based survey. Eur J Oncol Nurs. doi:10.1016/j.ejon.2011.09.006.   DOI
2 Sung JJY, Choi SYP, Chan FKL, et al (2008). Obstacles to colorectal cancer screening in Chinese: a study based on the Health Belief Model. Am J Gastroenterol, 103, 974-81.   DOI
3 Sung JJY, Lau JYW, Young GP, et al (2008). Asia Pacific consensus recommendations for colorectal cancer screening. Gut, 57, 1166-76.   DOI
4 United Nations Population Division (2007). World population prospects: The 2006 revision. Population Division, New York.
5 United Nations Population Division (2009). World population prospects: The 2008 revision. Population Division, New York.
6 Walter LC, Covinsky KE (2001). Cancer screening in elderly patients: A framework for individualized decision making. J Am Med Assoc, 285, 2750-6.   DOI
7 World Health Organization (2003). Ageing and health: a health promotion approach for developing countries. Regional Office for the Western Pacific, Manila.
8 World Health Organization (2008). The global burden of disease: 2004 update. World Health Organization, Geneva.
9 World Health Organization (2009). Women and health: Today's evidence, tomorrow's agenda. World Health Organization, Geneva.
10 Leung DYP, Leung AYM, Chi I (2011). An evaluation of the factor structure of the (IADL) Involvement and Capacity Scales of the Minimum Data Set for Home Care (MDS-HC) for elderly Chinese community dwellers in Hong Kong. Home Health Care Serv Q, 30, 147-59.   DOI
11 Liang W, Yuan E, Mandelblatt JS, et al (2004). How do older Chinese women view health and cancer screening? Results from focus groups and implications for interventions. Ethn Health, 9, 283-304.   DOI
12 Liu SY, Clark MA (2008). Breast and cervical cancer screening practices among disabled women aged 40-75: Does quality of the experience matter? J Womens Health, 17, 1321-9.   DOI
13 Messecar DC (2000). Mammography screening for older women with and without cognitive impairment. J Gerontol Nurs, 26, 14-24.
14 Smith RA, Cokkinides V, Brooks D, et al (2010). Cancer screening in the Unites States, 2010: a review of current American Cancer Society guidelines and issues in cancer screening. CA Cancer J Clin, 60, 99-119.   DOI
15 Morris JN, Fries BE, Mehr DR, et al (1994). MDS Cognitive Performance Scale. J Gerontol Med Sci, 49, M174-82.   DOI
16 Morris JN, Fries BE, Morris SA, et al (1995). ADL functional hierarchies within HCFS's Minimum Data Set (MDS). Poster session at Gerontological Society of America annual meeting, Los Angeles.
17 Resnick B (2003). Health promotion practices of older adults: Model testing. Public Health Nurs, 20, 2-12.   DOI
18 Schonberg MA, Leveille SG, Marcantonio ER (2008). Preventive health care among older women: missed opportunities and poor targeting. Am J Med, 121, 974-81.   DOI
19 Schonberg MA, York M, Basu N, et al (2008). Preventive health care among older women in an academic primary care practice. Womens Health Issues, 18, 249-56.   DOI
20 Bolen J, Adams M, Shenson D (2007). Ro utine preventive services for older women: a composite measure highlights gaps in delivery. J Women's Health, 16, 582-93.
21 Bynum JPW, Braunstein JB, Sharkey P, et al (2005). The influence of health status, age, and race on screening mammography in elderly women. Arch Intern Med, 165, 2083-8.   DOI
22 Chor JSY, Leung JCS, Chan DCC, et al (2008). Breast cancer screening practice of Chinese elderly worth re-evaluation of health promotion policy. J Public Health, 30, 110-1.
23 Hong Kong Planning Department (2009). Projections of population distribution: 2009-2018. The Government of Hong Kong Special Administrative Region, Hong Kong.
24 Hartmaier SL, Sloane PD, Guess HA, et al (1995). Validation of the minimum data set cognitive performance scale: agreement with the mini-mental state examination. J Gerontol Med Sci, 50A, M128-33.
25 Heflin MT, Oddone EZ, Pieper CF, et al (2002). The effect of comorbid illness on receipt of cancer screening by older people. J Am Geriatr Soc, 50,1651-8.   DOI
26 Hirdes JP (1996). Commentary on the proposed common assessment instrument (CAI) for long term care services. Research Department & Canadian Collaborating Centre, Canada.
27 Kosiak B, Sangl J, Correa-de-Araujo R (2006). Quality of health care for older women: What do we know? Womens Health Issues, 16, 89-99.
28 Lai CKY, Tse MMY, Lau LKP (2008). Placement appropriateness for seniors into long-term care-A neglected area of research. Asian J Gerontol Geriat, 3, 34-9.