The prevalence and factors for cancer screening behavior among people with severe mental illness in Hong Kong.

OBJECTIVES: Screening is useful in reducing cancer incidence and mortality. People with severe mental illness (PSMI) are vulnerable to cancer as they are exposed to higher levels of cancer risks. Little is known about PSMI's cancer screening behavior and associated factors. The present study ex...

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Main Authors: Phoenix Kit Han Mo, Winnie Wing Sze Mak, Eddie Siu Kwan Chong, Hanyang Shen, Rebecca Yuen Man Cheung
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2014-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC4182090?pdf=render
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author Phoenix Kit Han Mo
Winnie Wing Sze Mak
Eddie Siu Kwan Chong
Hanyang Shen
Rebecca Yuen Man Cheung
author_facet Phoenix Kit Han Mo
Winnie Wing Sze Mak
Eddie Siu Kwan Chong
Hanyang Shen
Rebecca Yuen Man Cheung
author_sort Phoenix Kit Han Mo
collection DOAJ
description OBJECTIVES: Screening is useful in reducing cancer incidence and mortality. People with severe mental illness (PSMI) are vulnerable to cancer as they are exposed to higher levels of cancer risks. Little is known about PSMI's cancer screening behavior and associated factors. The present study examined the utilization of breast, cervical, prostate, and colorectal cancer screening among PSMI in Hong Kong and to identify factors associated with their screening behaviors. METHOD: 591 PSMI from community mental health services completed a cross-sectional survey. RESULTS: The percentage of cancer screening behavior among those who met the criteria for particular screening recommendation was as follows: 20.8% for mammography; 36.5% for clinical breast examination (CBE); 40.5% for pap-smear test; 12.8% for prostate examination; and 21.6% for colorectal cancer screening. Results from logistic regression analyses showed that marital status was a significant factor for mammography, CBE, and pap-smear test; belief that cancer can be healed if found early was a significant factor for pap-smear test and colorectal screening; belief that one can have cancer without having symptoms was a significant factor for CBE and pap-smear test; belief that one will have a higher risk if a family member has had cancer was a significant factor for CBE; and self-efficacy was a significant factor for CBE and pap-smear test behavior. CONCLUSIONS: Cancer screening utilization among PSMI in Hong Kong is low. Beliefs about cancer and self-efficacy are associated with cancer screening behavior. Health care professionals should improve the knowledge and remove the misconceptions about cancer among PSMI; self-efficacy should also be promoted.
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spelling doaj.art-91b9f2cb93614bf0b3c88b46ab0fb8c72022-12-22T00:49:40ZengPublic Library of Science (PLoS)PLoS ONE1932-62032014-01-0199e10723710.1371/journal.pone.0107237The prevalence and factors for cancer screening behavior among people with severe mental illness in Hong Kong.Phoenix Kit Han MoWinnie Wing Sze MakEddie Siu Kwan ChongHanyang ShenRebecca Yuen Man CheungOBJECTIVES: Screening is useful in reducing cancer incidence and mortality. People with severe mental illness (PSMI) are vulnerable to cancer as they are exposed to higher levels of cancer risks. Little is known about PSMI's cancer screening behavior and associated factors. The present study examined the utilization of breast, cervical, prostate, and colorectal cancer screening among PSMI in Hong Kong and to identify factors associated with their screening behaviors. METHOD: 591 PSMI from community mental health services completed a cross-sectional survey. RESULTS: The percentage of cancer screening behavior among those who met the criteria for particular screening recommendation was as follows: 20.8% for mammography; 36.5% for clinical breast examination (CBE); 40.5% for pap-smear test; 12.8% for prostate examination; and 21.6% for colorectal cancer screening. Results from logistic regression analyses showed that marital status was a significant factor for mammography, CBE, and pap-smear test; belief that cancer can be healed if found early was a significant factor for pap-smear test and colorectal screening; belief that one can have cancer without having symptoms was a significant factor for CBE and pap-smear test; belief that one will have a higher risk if a family member has had cancer was a significant factor for CBE; and self-efficacy was a significant factor for CBE and pap-smear test behavior. CONCLUSIONS: Cancer screening utilization among PSMI in Hong Kong is low. Beliefs about cancer and self-efficacy are associated with cancer screening behavior. Health care professionals should improve the knowledge and remove the misconceptions about cancer among PSMI; self-efficacy should also be promoted.http://europepmc.org/articles/PMC4182090?pdf=render
spellingShingle Phoenix Kit Han Mo
Winnie Wing Sze Mak
Eddie Siu Kwan Chong
Hanyang Shen
Rebecca Yuen Man Cheung
The prevalence and factors for cancer screening behavior among people with severe mental illness in Hong Kong.
PLoS ONE
title The prevalence and factors for cancer screening behavior among people with severe mental illness in Hong Kong.
title_full The prevalence and factors for cancer screening behavior among people with severe mental illness in Hong Kong.
title_fullStr The prevalence and factors for cancer screening behavior among people with severe mental illness in Hong Kong.
title_full_unstemmed The prevalence and factors for cancer screening behavior among people with severe mental illness in Hong Kong.
title_short The prevalence and factors for cancer screening behavior among people with severe mental illness in Hong Kong.
title_sort prevalence and factors for cancer screening behavior among people with severe mental illness in hong kong
url http://europepmc.org/articles/PMC4182090?pdf=render
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