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Predictors in breast cancer screening behaviors of S outh A sian women
Author(s) -
Perera Jananie C,
Peiris Vimukthini,
Wickramasinghe Dakshitha P,
De Zoysa Ishan
Publication year - 2016
Publication title -
asia‐pacific journal of clinical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.73
H-Index - 29
eISSN - 1743-7563
pISSN - 1743-7555
DOI - 10.1111/ajco.12168
Subject(s) - medicine , family history , referral , breast cancer , mammography , breast cancer screening , logistic regression , gynecology , obstetrics , family medicine , cancer , affect (linguistics) , demography , psychology , communication , sociology
Aim Screening is important in minimizing breast cancer‐related morbidity. It is prudent to identify the factors that affect women's choice in participation in mammographic screening. Our objective was to identify the factors that influence the breast screening behaviors in S ri L ankan women. Methods Data on referral, sociodemographic factors and relevant personal history of all the women visiting a single mammography center were prospectively collected during a 4‐year period. Results Of the 2695 participants, 1580 had sought mammographic services for screening purposes while 1115 were due to symptoms. A majority had Advanced Level ( AL ) or higher education ( n = 1570, 58.3%) and were parous. Only a minority had past history ( n = 221, 8.2%) or family history ( n = 357, 13.3%) of breast cancer. Majority has normal mammographic findings with detection of 289 (10.7%) benign lesions. The mean age was 50.2 years in screening participants, 45.9 years in symptomatic women. Use of hormone replacement therapy, age >50 years, AL or higher education, having had undergone hysterectomy, past history of breast cancer, family history of breast cancer, family history of other cancer and self‐referral were statistically significant contributors to mammography participation. In the logistic regression analysis age >50 years, AL or higher education, premenopausal status, having undergone hysterectomy and self‐referral were significantly associated with screening participation and the model predicted 72.1% of the cases accurately. Conclusion Five statistically significant predictors of mammographic screening among S ri L ankan women were identified. These suggest that higher health awareness and exposure to health care providers are important predictors.