Changing Health Beliefs about Breast Cancer Screening among Women in Multi-Ethnic Malaysia

International Journal of Environmental Research and Public Health

Christopher R. Cardwell¹  Désirée Schliemann¹  Michael Donnelly¹  Mila Nu Nu Htay²  Maznah Dahlui²  Tin Tin Su²  Siew Yim Loh³  Nor Saleha Binti Ibrahim Tamin⁴  Saunthari Somasundaram⁵ 

[1]Centre for Public Health and UKCRC, Centre of Excellence for Public Health, Queen’s University Belfast, Belfast BT12 6BA, UK

[2]Centre of Population Health, Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur 50603, Malaysia

[3]Department of Rehabilitation Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur 50603, Malaysia

[4]Ministry of Health, Putrajaya 62590, Malaysia

[5]National Cancer Society, Kuala Lumpur 50300, Malaysia

关键词: breast cancer;    mass media campaign;    mammogram;    screening;    health beliefs;   

DOI  :  10.3390/ijerph19031618

来源: DOAJ

【 摘 要 】

This study evaluated the impact of the ‘Be Cancer Alert’ mass media campaign for breast cancer (BCAC-BC) in terms of changes to women’s health beliefs regarding BC susceptibility and the benefits and barriers of breast cancer screening in Malaysia. Pre- and post-campaign surveys evaluated changes in health beliefs among women aged 40 years and above (n = 676). The perceived susceptibility to breast cancer was significantly higher at follow-up (mean ± SD: 7.30 ± 2.77 vs. 7.63 ± 2.58, p = 0.008) whereas the mean score for the perceived benefits of undertaking screening was high at baseline and follow-up (16.34 ± 2.36 vs. 15.95 ± 2.07, p = 0.001). The perceptions or beliefs about barriers to screening did not change significantly (31.70 ± 8.26 vs. 31.77 ± 7.63, p = 0.841). Regression analyses indicated that mean scores for the barriers subscale were significantly lower among Chinese women (−2.61, 95% CI −4.67, −0.55, p = 0.013) compared to Malay, and among single compared to married women (−2.40, 95% CI −4.60, −0.21, p = 0.032) after adjustment for other demographic variables and past screening history. Malaysian women appeared to already have positive perceptions before the BCAC-BC mass media campaign about the benefits of BC screening. However, the campaign appeared to be linked to both an increased awareness of the susceptibility to breast cancer and to positive beliefs that countered emotional barriers to screening, particularly among single women and Chinese-Malay women.

【 授权许可】

Unknown