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http://dx.doi.org/10.7314/APJCP.2014.15.19.8095

Awareness and Prevalence of Mammography Screening and its Predictors - A Cross Sectional Study in a Primary Care Clinic in Malaysia  

Yusof, Azianey (Department of Primary Care Medicine, Faculty of Medicine, University of Malaya)
Chia, Yook Chin (Department of Primary Care Medicine, Faculty of Medicine, University of Malaya)
Hasni, Yasmin Mohd (Research & Development Unit, Maritime Transport Training Institute, Marine Department)
Publication Information
Asian Pacific Journal of Cancer Prevention / v.15, no.19, 2014 , pp. 8095-8099 More about this Journal
Abstract
Background: Worldwide, over half a million women died of breast cancer in 2011 alone. Mammography screening is associated with a reduction of 20 to 35% in breast cancer mortality. The aim of this study was to determine the awareness and practice of mammography screening and predictors of its uptake in Malaysian women attending a primary care clinic. Materials and Methods: A cross-sectional study was carried out among women aged 40 to 74 years attending a primary care clinic in Selangor, Malaysia. An assisted structured questionnaire included questions on socio-demography, source of information and level of knowledge. An adapted version of the revised Champion Health Belief Model Scale plus other associated factors for mammography screening up-take were also included as part of the questionnaire. Predictors for mammography screening uptake were only determined in those who were aware about mammography screening. Significant predictors were determined by logistic regression. Results: 447 women were recruited for this study; 99.1% of them (n: 411) were aware about breast cancer. Only 50.1% (n: 206) had knowledge about mammography screening. Prevalence of clinical breast-examination (CBE) was 23.3% (n: 104) and mammography screening up-take was 13.2% (n: 59). The predictors for the latter were those who have had clinical breast-examination (aOR=17.58, 95%CI: 7.68-39.82) and those aged between 50 to 59 years (aOR=3.94, 95%CI: 1.61-9.66) as well as those aged 60 years and above (aOR=6.91, 95%CI: 2.28-20.94). Good knowledge and positive beliefs about mammography screening were not associated with mammography screening uptake. Conclusions: Half of our Malaysian women were aware about mammography screening. However, the uptake of mammography was low. Previous CBE and older age were significant predictors of mammography screening uptake. Increasing CBE services may increase compliance with guidelines.
Keywords
Breast cancer awareness; mammography; screening; predictors; breast examination; Malaysia;
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1 Al-Naggar RA, Bobryshev YV (2012). Practice and barriers of mammography among Malaysian women in the general population Asian Pac J Cancer Prev, 13, 3595-600.   DOI   ScienceOn
2 Canadian Task Force on Preventive Health Care (2011). CTFPHC recommendation for screening for breast cancer with mammography: 2000-2013. Canadian Task Force on Preventive Health Care: http://canadiantaskforce.ca/wp-content/uploads/2012/2009/clinician_2011_pager_ENG2011.pdf?2019d2017bd2014
3 Kanaga K, Nithiya J, Shatirah N (2011). Awareness of breast cancer and screening procedures among Malaysian women. Asian Pac J Cancer Prev, 12, 1965-7.
4 Kim JH, Menon U, Wang E, et al (2010). Assess the effects of culturally relevant intervention on breast cancer knowledge, beliefs, and mammography use among Korean American women. J Immigrant Minority Health, 12, 586-97.   DOI
5 Leong HSS, Heng R, Emmanuel SC (2007). Survey on mammographic screening among women aged 40 to 65 years old at polyclinics. Singapore Med J, 48, 34-40.
6 Obajimi MO, Ajayi IO, Oluwasola AO, et al (2013). Level of awareness of mammography among women attending outpatient clinics in a teaching hospital in Ibadan, South-West Nigeria. BMC Public Health, 13, 40.   DOI
7 Omar ZA, Tamin NSI (2007). Malaysia cancer stastistics: Data and figure 2007. National Cancer Registry Report Ministry of Health Malaysia, 1-127.
8 Parsa P, Kandiah M (2010). Predictors of adherence to clinical breast examination and mammography screening among Malaysian women. Asian Pac J Cancer Prev, 11, 681-8.
9 Taib NA, Yip CH, Ibrahim M, et al (2007). Breast cancer in Malaysia: are our women getting the right message? 10 year-experience in a single institution in Malaysia. Asian Pac J Cancer Prev, 8, 141-5.
10 Ravichandran K, Al-Hamdan NA, Mohamed G (2011). Knowledge, attitude, and behavior among Saudis toward cancer preventive practice. J Family Community Med, 18, 135-142.   DOI   ScienceOn
11 Rosmawati NN (2010). The usage and knowledgeof mammogram among women in sub-urban area in Terengganu, Malaysia. Asian Pac J Cancer Prev, 11, 767-71.
12 Shetty MK (2010). Screening for breast cancer with mammography: Current status and an overview. Indian J Surg Oncol, 1, 218-223.   DOI
13 Ministry of Health Malaysia Management of breast cancer. Clinical Practice Guidelines, Ministry Of Health MOH/P/PAK/212.10(GU)(2): 1-79.
14 Samah AA, Ahmadian M (2012). Socio-demographic correlates of participation in mammography: a survey among women aged between 35-69 in Tehran, Iran. Asian Pac J Cancer Prev, 13, 2717-20   DOI   ScienceOn
15 US Preventive Services Task Force (2009). Screening for Breast Cancer : Recommendation Statement. Summarizes the US Preventive Services Task Force (USPSTF) recommendations on breast cancer screening US Preventive Services Task Force (USPSTF): http://www.uspreventiveservicestaskforce. org/uspstf/uspsbrca.htm.
16 US Preventive Services Task Force (2011). Force, US PST (2011). The guide to clinical preventive services 2010-2011 recommendations of the U.S. Preventive Services Task Force. US Preventive Services Task Force http://www.USPreventiveServicesTaskForce.org.1-292.
17 Wang H, Karesen R, Hervik A, Thoresen SO (2001). Mammography screening in Norway: results from the $^{(R)}$rst screening round in four counties and cost-effectiveness of a modeled nationwide screening. Cancer Causes Control 12, 39-45.   DOI
18 Champion VL (1999). Revised susceptibility, benefits, and barriers scale for mammography screening. Res Nurs Health, 22, 341-8.   DOI   ScienceOn
19 Yip CH, Smith RA, Anderson BO, et al (2008). Guideline Implementation for breast healthcare in low- and middleincome countries. Cancer, 113, 2244-56.   DOI   ScienceOn
20 Yip CH, Taib NAM, Mohamed I (2006). Epidemiology of breast cancer in Malaysia. Asian Pac J Cancer Prev, 7, 369-75.
21 Akinyemiju TF, Soliman AS, Yassine M, et al (2012). Healthcare access and mammography screening in Michigan: a multilevel cross-sectional study. Int J Equity Health, 11, 1-11.   DOI
22 Al-Dubai SAR, Qureshi AM, Saif-Ali R, et al (2011). Awareness and knowledge of breast cancer and mammography among a group of Malaysian women in Shah Alam. Asian Pac J Cancer Prev, 12, 2531-8.
23 Anderson BO, Cazap E, Saghir NSE, et al (2011). Optimisation of breast cancer management in low- resource and middleresource countries: executive summary of the Breast Health Global Initiative consensus, 2010. Lancet Oncol, 12, 387-98.   DOI   ScienceOn
24 Elmore JG, Armstrong K, Lehman CD, et al (2005). Screening for breast cancer. JAMA, 293, 1245-56.   DOI   ScienceOn
25 Globocan (2008). Global cancer: Facts and figure. Globocan 2008 (http://globocan.iarc.fr): 1-60.
26 Dahlui M, Gan DE, Taib NA, Pritam R, Lim J (2012). Predictors of breast cancer screening uptake: a pre intervention community curvey in Malaysia Asian Pac J Cancer Prev, 13, 3443-9.   DOI   ScienceOn
27 Hiatt RA, Klabunde C, Breen N, et al (2002). Cancer screening practices from National Health Interview Surveys: past, present, and future. J Natl Cancer Inst, 94, 1837-1846.   DOI   ScienceOn