Breast and cervical cancer screening adherence in Jiangsu, China: An ecological perspective
BackgroundHigh screening coverage can effectively reduce the mortality in breast and cervical cancer. Further research on extending the coverage of breast and cervical cancer screening in China is required. This study explored factors influencing women's “two-cancer” screening service utilizati...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2022-08-01
|
| Series: | Frontiers in Public Health |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2022.967495/full |
| _version_ | 1811216779369775104 |
|---|---|
| author | Yanjun Sun Yanjun Sun Yuhao Ma Yuhao Ma Menghan Cao Zhiqing Hu Zhiqing Hu Wei Lin Mingsheng Chen Yuan He Yuan He Yuan He |
| author_facet | Yanjun Sun Yanjun Sun Yuhao Ma Yuhao Ma Menghan Cao Zhiqing Hu Zhiqing Hu Wei Lin Mingsheng Chen Yuan He Yuan He Yuan He |
| author_sort | Yanjun Sun |
| collection | DOAJ |
| description | BackgroundHigh screening coverage can effectively reduce the mortality in breast and cervical cancer. Further research on extending the coverage of breast and cervical cancer screening in China is required. This study explored factors influencing women's “two-cancer” screening service utilization using an ecological approach.MethodsData were obtained from the National Health Services Survey (NHSS) conducted in 2018 in Jiangsu, China. A total of 3,500 women aged 18–64 years were included in the analysis. Chi-squared test, hierarchical multiple logistic regression analysis, and binary logistic regression analysis were performed.ResultsIn total, 44.1% of the women had been screened for breast cancer (BC) and 40.9% for cervical cancer (CC). Breast cancer screening (BCS) and cervical cancer screening (CCS) differed significantly in the following common categories: age, gestational experiences, chronic disease status, body mass index (BMI), exercise, health checkup, marital status, number of children, employment, education, family doctors, and health records. In the results of hierarchical multiple logistic regression analysis, the explanatory power of the final model was 37.5% and the area under the receiver operating characteristic curve was 0.812. The results showed that being in the age group of 35–64 years, having gestational experiences, having chronic diseases, exercising, having a health checkup, being married, having children, and being employed were statistically significant positive predictors of “two-cancer” screening adherence. The household size was a barrier. For BCS, obesity was also a negative factor, and a higher overall self-related health status was a positive factor. Being married and living in households of three or more families were not predictors. For CCS, having health records was also positively significant, while having chronic disease did not influence adherence.ConclusionThe findings provide an ecological explanation for women's BCS and CCS service utilization. Both proximal and distal factors should be considered to achieve a high coverage rate. |
| first_indexed | 2024-04-12T06:44:03Z |
| format | Article |
| id | doaj.art-c33cc0adb8ea45678ccab14b64fcb750 |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-04-12T06:44:03Z |
| publishDate | 2022-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-c33cc0adb8ea45678ccab14b64fcb7502022-12-22T03:43:38ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-08-011010.3389/fpubh.2022.967495967495Breast and cervical cancer screening adherence in Jiangsu, China: An ecological perspectiveYanjun Sun0Yanjun Sun1Yuhao Ma2Yuhao Ma3Menghan Cao4Zhiqing Hu5Zhiqing Hu6Wei Lin7Mingsheng Chen8Yuan He9Yuan He10Yuan He11Institute of Medical Humanities, Nanjing Medical University, Nanjing, ChinaSchool of Marxism, Nanjing Medical University, Nanjing, ChinaInstitute of Medical Humanities, Nanjing Medical University, Nanjing, ChinaSchool of Marxism, Nanjing Medical University, Nanjing, ChinaSchool of Health Policy and Management, Nanjing Medical University, Nanjing, ChinaInstitute of Medical Humanities, Nanjing Medical University, Nanjing, ChinaSchool of Marxism, Nanjing Medical University, Nanjing, ChinaDepartment of Students Affairs, Nanjing Medical University, Nanjing, ChinaSchool of Health Policy and Management, Nanjing Medical University, Nanjing, ChinaInstitute of Medical Humanities, Nanjing Medical University, Nanjing, ChinaSchool of Marxism, Nanjing Medical University, Nanjing, ChinaResearch Center for Social Risk Management of Major Public Health Events (Key Research Base of Philosophy and Social Sciences of Universities in Jiangsu), Nanjing Medical University, Nanjing, ChinaBackgroundHigh screening coverage can effectively reduce the mortality in breast and cervical cancer. Further research on extending the coverage of breast and cervical cancer screening in China is required. This study explored factors influencing women's “two-cancer” screening service utilization using an ecological approach.MethodsData were obtained from the National Health Services Survey (NHSS) conducted in 2018 in Jiangsu, China. A total of 3,500 women aged 18–64 years were included in the analysis. Chi-squared test, hierarchical multiple logistic regression analysis, and binary logistic regression analysis were performed.ResultsIn total, 44.1% of the women had been screened for breast cancer (BC) and 40.9% for cervical cancer (CC). Breast cancer screening (BCS) and cervical cancer screening (CCS) differed significantly in the following common categories: age, gestational experiences, chronic disease status, body mass index (BMI), exercise, health checkup, marital status, number of children, employment, education, family doctors, and health records. In the results of hierarchical multiple logistic regression analysis, the explanatory power of the final model was 37.5% and the area under the receiver operating characteristic curve was 0.812. The results showed that being in the age group of 35–64 years, having gestational experiences, having chronic diseases, exercising, having a health checkup, being married, having children, and being employed were statistically significant positive predictors of “two-cancer” screening adherence. The household size was a barrier. For BCS, obesity was also a negative factor, and a higher overall self-related health status was a positive factor. Being married and living in households of three or more families were not predictors. For CCS, having health records was also positively significant, while having chronic disease did not influence adherence.ConclusionThe findings provide an ecological explanation for women's BCS and CCS service utilization. Both proximal and distal factors should be considered to achieve a high coverage rate.https://www.frontiersin.org/articles/10.3389/fpubh.2022.967495/fullbreast cancer screening (BCS)cervical cancer screening (CCS)ecological perspectivecancer preventionhierarchical multiple logistic regression |
| spellingShingle | Yanjun Sun Yanjun Sun Yuhao Ma Yuhao Ma Menghan Cao Zhiqing Hu Zhiqing Hu Wei Lin Mingsheng Chen Yuan He Yuan He Yuan He Breast and cervical cancer screening adherence in Jiangsu, China: An ecological perspective Frontiers in Public Health breast cancer screening (BCS) cervical cancer screening (CCS) ecological perspective cancer prevention hierarchical multiple logistic regression |
| title | Breast and cervical cancer screening adherence in Jiangsu, China: An ecological perspective |
| title_full | Breast and cervical cancer screening adherence in Jiangsu, China: An ecological perspective |
| title_fullStr | Breast and cervical cancer screening adherence in Jiangsu, China: An ecological perspective |
| title_full_unstemmed | Breast and cervical cancer screening adherence in Jiangsu, China: An ecological perspective |
| title_short | Breast and cervical cancer screening adherence in Jiangsu, China: An ecological perspective |
| title_sort | breast and cervical cancer screening adherence in jiangsu china an ecological perspective |
| topic | breast cancer screening (BCS) cervical cancer screening (CCS) ecological perspective cancer prevention hierarchical multiple logistic regression |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2022.967495/full |
| work_keys_str_mv | AT yanjunsun breastandcervicalcancerscreeningadherenceinjiangsuchinaanecologicalperspective AT yanjunsun breastandcervicalcancerscreeningadherenceinjiangsuchinaanecologicalperspective AT yuhaoma breastandcervicalcancerscreeningadherenceinjiangsuchinaanecologicalperspective AT yuhaoma breastandcervicalcancerscreeningadherenceinjiangsuchinaanecologicalperspective AT menghancao breastandcervicalcancerscreeningadherenceinjiangsuchinaanecologicalperspective AT zhiqinghu breastandcervicalcancerscreeningadherenceinjiangsuchinaanecologicalperspective AT zhiqinghu breastandcervicalcancerscreeningadherenceinjiangsuchinaanecologicalperspective AT weilin breastandcervicalcancerscreeningadherenceinjiangsuchinaanecologicalperspective AT mingshengchen breastandcervicalcancerscreeningadherenceinjiangsuchinaanecologicalperspective AT yuanhe breastandcervicalcancerscreeningadherenceinjiangsuchinaanecologicalperspective AT yuanhe breastandcervicalcancerscreeningadherenceinjiangsuchinaanecologicalperspective AT yuanhe breastandcervicalcancerscreeningadherenceinjiangsuchinaanecologicalperspective |