BMC Public Health | |
Distribution and predictors associated with the use of breast cancer screening services among women in 14 low-resource countries | |
Syed Afroz Keramat1  Khorshed Alam2  Jeff Dunn3  Jeff Gow4  Sonja March5  Andre M. N. Renzaho6  Rashidul Alam Mahumud*7  | |
[1] Department of Economics, American International University-Bangladesh, 1212, Dhaka, Bangladesh;Health Economics and Policy Research, School of Commerce, Centre for Health Research, University of Southern Queensland, 4350, Toowoomba, Queensland, Australia;Health Economics and Policy Research, School of Commerce, Centre for Health Research, University of Southern Queensland, 4350, Toowoomba, Queensland, Australia;Cancer Research Centre, Cancer Council Queensland, Fortitude Valley, Brisbane, QLD 4006, Australia;Prostate Cancer Research Foundation of Australia, 2065, 40, St Leonards, New South Wales, Australia;Health Economics and Policy Research, School of Commerce, Centre for Health Research, University of Southern Queensland, 4350, Toowoomba, Queensland, Australia;School of Accounting, Economics and Finance, University of KwaZulu-Natal, 4000, Durban, South Africa;School of Psychology and Counselling, University of Southern Queensland, 4300, Toowoomba, Queensland, Australia;School of Social Sciences, Western Sydney University, 2751, Penrith, New South Wales, Australia;Translational Health Research Institute (THRI), Western Sydney University, Sydney, New South Wales, Australia;School of Social Sciences, Western Sydney University, 2751, Penrith, New South Wales, Australia;Translational Health Research Institute (THRI), Western Sydney University, Sydney, New South Wales, Australia;Health Economics and Policy Research, School of Commerce, Centre for Health Research, University of Southern Queensland, 4350, Toowoomba, Queensland, Australia; | |
关键词: Breast cancer screening services; Low-resource countries; Reproductive women; Determinants; | |
DOI : 10.1186/s12889-020-09557-w | |
来源: Springer | |
【 摘 要 】
BackgroundBreast cancer is one of the leading public health problem globally, especially in low-resource countries (LRCs). Breast cancer screening (BCS) services are an effective strategy for early determining of breast cancer. Hence, it is imperative to understand the utilisation of BCS services and their correlated predictors in LRCs. This study aims to determine the distribution of predictors that significantly influence the utilisation of BCS services among women in LRCs.MethodsThe present study used data on 140,974 women aged 40 years or over from 14 LRCs. The data came from country Demographic and Health Surveys (DHS) between 2008 and 2016. Multivariate logistic regression analysis was employed to investigate the significant predictors that influence the use of BCS services.ResultsThe utilisation of BCS services was 15.41%, varying from 81.10% (95% CI: 76.85–84.73%) in one European country, to 18.61% (95% CI: 18.16 to 19.06%) in Asian countries, 14.30% (95% CI: 13.67–14.96%) in American countries, and 14.29% (95% CI: 13.87–14.74%). Factors that were significantly associated to increase the use of BCS services include a higher level of education (OR = 2.48), advanced age at first birth (> 25 years) (OR = 1.65), female-headed households (OR = 1.65), access to mass media communication (OR = 1.84), health insurance coverage (OR = 1.09), urban residence (OR = 1.20) and highest socio-economic status (OR = 2.01). However, obese women shown a significantly 11% (OR = 0.89) lower use of BSC services compared to health weight women.ConclusionThe utilisation of BCS services is low in many LRCs. The findings of this study will assist policymakers in identifying the factors that influence the use of BCS services. To increase the national BCS rate, more attention should be essential to under-represented clusters; in particular women who have a poor socioeconomic clusters, live in a rural community, have limited access to mass media communication, and are have a low level educational background. These factors highlight the necessity for a new country-specific emphasis of promotional campaigns, health education, and policy targeting these underrepresented groups in LRCs.
【 授权许可】
CC BY
【 预 览 】
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