Socioeconomic inequalities in uptake of breast cancer screening among Saudi women: a cross-sectional analysis of a national survey

Al-Hanawi, Mohammed Khaled and Hashmi, Rubayyat ORCID: https://orcid.org/0000-0002-5953-0650 and Almubark, Sarh and Qattan, Ameerah M. N. and Pulok, Mohammad Habibullah (2020) Socioeconomic inequalities in uptake of breast cancer screening among Saudi women: a cross-sectional analysis of a national survey. International Journal of Environmental Research and Public Health, 17 (6):2056. pp. 1-13. ISSN 1661-7827

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Abstract

Timely and adequate screening for breast cancer could improve health outcomes and reduce health costs. However, the utilization of free breast cancer screening services among Saudi women is very low. This study aims to investigate socioeconomic inequalities in breast cancer screening among Saudi women. The data of this study were extracted from the nationally representative Saudi Health Interview Survey, conducted in 2013; the study included 2786 Saudi women. Multivariate logistic regression, the concentration curve, and the concentration index were used to examine, illustrate, and quantify income- and education-related inequalities in three outcomes: Knowledge about self-breast examination (SBE), clinical breast examination (CBE) received in the last year, and mammography, that has ever been previously carried out. Results showed a marked socioeconomic gradient in breast cancer screening services. The concentration index by income was 0.229 (SBE), 0.171 (CBE), and 0.163 (mammography). The concentration index by education was 0.292 (SBE), 0.149 (CBE), and 0.138 (mammography). Therefore, knowledge about breast cancer screening, and the utilization of screening services, were more concentrated among richer and better-educated women. Poorer and less educated women had less knowledge about self-breast examination, and had considerably less adherence to clinical breast examination and mammography. The findings are helpful for policy makers to devise and implement strategies to promote equity in breast cancer screening among Saudi women.


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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
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: 07 May 2021 06:43
Last Modified: 31 May 2021 01:30
Uncontrolled Keywords: breast cancer; inequality; screening; Saudi Arabia; concentration curve; concentration index
Fields of Research (2008): 11 Medical and Health Sciences > 1117 Public Health and Health Services > 111712 Health Promotion
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
Fields of Research (2020): 42 HEALTH SCIENCES > 4206 Public health > 420603 Health promotion
42 HEALTH SCIENCES > 4206 Public health > 420602 Health equity
38 ECONOMICS > 3801 Applied economics > 380108 Health economics
Identification Number or DOI: https://doi.org/10.3390/ijerph17062056
URI: http://eprints.usq.edu.au/id/eprint/41942

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