Distribution and predictors associated with the use of breast cancer screening services among women in 14 low-resource countries

Mahumud, Rashidul Alam ORCID: https://orcid.org/0000-0001-9788-1868 and Gow, Jeff and Keramat, Syed Afroz and March, Sonja ORCID: https://orcid.org/0000-0001-8425-7126 and Dunn, Jeff and Alam, Khorshed ORCID: https://orcid.org/0000-0003-2232-0745 and Renzaho, Andre M. N. (2020) Distribution and predictors associated with the use of breast cancer screening services among women in 14 low-resource countries. BMC Public Health, 20:1467. pp. 1-15.

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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.


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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Faculty/School / Institute/Centre: Historic - Faculty of Business, Education, Law and Arts - School of Commerce (1 Jul 2013 - 17 Jan 2021)
Faculty/School / Institute/Centre: Current - Institute for Resilient Regions - Centre for Health Research (1 Apr 2020 -)
Date Deposited: 06 Oct 2020 06:02
Last Modified: 18 Feb 2021 23:46
Uncontrolled Keywords: breast cancer screening services, low-resource countries, reproductive women, determinants
Fields of Research (2008): 11 Medical and Health Sciences > 1117 Public Health and Health Services > 111799 Public Health and Health Services not elsewhere classified
14 Economics > 1402 Applied Economics > 140208 Health Economics
11 Medical and Health Sciences > 1112 Oncology and Carcinogenesis > 111202 Cancer Diagnosis
Socio-Economic Objectives (2008): C Society > 92 Health > 9202 Health and Support Services > 920206 Health Inequalities
C Society > 92 Health > 9205 Specific Population Health (excl. Indigenous Health) > 920507 Women's Health
Identification Number or DOI: https://doi.org/10.1186/s12889-020-09557-w
URI: http://eprints.usq.edu.au/id/eprint/39842

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