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Organized Breast and Cervical Cancer Screening

Attendance and Determinants in Rural China

Bibliographic Data

ID15465983
AuthorsHuinan Han (Huazhong University of Science and Technology), Xiaoyu Wang (0000-0002-6800-1275, Huazhong University of Science and Technology), Yimei Zhu (0000-0003-0557-5236, University of Leicester), Yuan Liang (0000-0001-8410-0815, Huazhong University of Science and Technology, corresponding author)
Year2022
Volume19
Issue14
Pages8237-8237
Publication date2022-07-06
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph19148237
PMID35886089
OpenAlexW4286628522
LanguageEN
References cited37

To evaluate the attendance and determinants of organized cervical and breast cancer (two-cancer) screening, especially higher-level factors, we conducted a cross-sectional survey in central China from June 2018 to November 2019 among 1949 women (age ≥ 35 years). We examined organizer-level factors, provider-level factors, receiver-lever factors and attendance and participation willingness of screening. The results indicate that the attendance and participation willingness of organized two-cancer screening was 61.19% and 77.15%, respectively. After adjustment for potential confounders, women who received screening notification were more likely to have greater participation willingness and higher attendance than those who received no notification (adjusted odds ratio [aOR] = 1.59, 95% confidence interval [CI]: 1.27-1.99; aOR = 98.03, 95% CI: 51.44-186.82, respectively). Compared with being notified about screening by GPs, being notified by community women's leaders and other community leaders were more likely to lead to greater willingness to participate again (aOR = 2.86, 95% CI: 1.13-7.24; aOR = 3.27, 95% CI: 1.26-8.48, respectively) and recommending screening to others (aOR = 2.18, 95% CI: 1.02-4.65; aOR = 4.14, 95% CI: 1.84-9.30, respectively). The results suggest that notification of women about screening by community leaders is an important organizer-level factor. As a part of public health services, the design and implementation of optimal cancer screening strategies may require public-sector involvement at the organizer level instead of a one-man show by the health sector

Attendance · Breast cancer · Cancer · Cancer screening · Cervical cancer · Confidence interval · Cross-sectional study · Environmental health · Family medicine · Odds ratio · Public health · Cervical Cancer and HPV Research · Colorectal Cancer Screening and Detection · Demography · Global Cancer Incidence and Screening · Medicine · Nursing · Internal Medicine

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