Distribution and predictors associated with the use of breast cancer screening services among women in 14 low-resource countries
Article
Article Title | Distribution and predictors associated with the use of breast cancer screening services among women in 14 low-resource countries |
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ERA Journal ID | 13449 |
Article Category | Article |
Authors | Mahumud, Rashidul Alam (Author), Gow, Jeff (Author), Keramat, Syed Afroz (Author), March, Sonja (Author), Dunn, Jeff (Author), Alam, Khorshed (Author) and Renzaho, Andre M. N. (Author) |
Journal Title | BMC Public Health |
Journal Citation | 20, pp. 1-15 |
Article Number | 1467 |
Number of Pages | 15 |
Year | 2020 |
Publisher | BioMed Central Ltd. |
Place of Publication | United Kingdom |
ISSN | 1471-2458 |
Digital Object Identifier (DOI) | https://doi.org/10.1186/s12889-020-09557-w |
Web Address (URL) | https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-020-09557-w |
Abstract | Background: Breast 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. Methods: The 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. Results: The 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. Conclusion: The 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. |
Keywords | breast cancer screening services, low-resource countries, reproductive women, determinants |
ANZSRC Field of Research 2020 | 429999. Other health sciences not elsewhere classified |
380108. Health economics | |
321102. Cancer diagnosis | |
Byline Affiliations | School of Commerce |
American International University, Bangladesh | |
School of Psychology and Counselling | |
University of Western Sydney | |
Open access url | https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-020-09557-w |
Institution of Origin | University of Southern Queensland |
https://research.usq.edu.au/item/q5yq9/distribution-and-predictors-associated-with-the-use-of-breast-cancer-screening-services-among-women-in-14-low-resource-countries
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