Study on the coverage of cervical and breast cancer screening among women aged 35-69 years and related impact of socioeconomic factors in China, 2013.
10.3760/cma.j.issn.0254-6450.2018.02.014
- Author:
H L BAO
1
;
L H WANG
2
;
L M WANG
3
;
L W FANG
1
;
M ZHANG
3
;
Z P ZHAO
3
;
S CONG
1
Author Information
1. Division of Cancer Prevention and Control, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
2. National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
3. Division of Risk Factor Surveillance, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
- Publication Type:Journal Article
- Keywords:
Breast cancer;
Cervical cancer;
Coverage;
Mass screening
- MeSH:
Adult;
Aged;
Breast Neoplasms/prevention & control*;
China/epidemiology*;
Early Detection of Cancer/statistics & numerical data*;
Female;
Healthcare Disparities;
Humans;
Mammography/statistics & numerical data*;
Mass Screening/statistics & numerical data*;
Middle Aged;
Papanicolaou Test/statistics & numerical data*;
Prevalence;
Risk Factors;
Rural Population;
Socioeconomic Factors;
Uterine Cervical Neoplasms/prevention & control*
- From:
Chinese Journal of Epidemiology
2018;39(2):208-212
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To estimate the cervical and breast cancer screening coverage and related factors among women aged 35-69 years who were in the National Cervical and Breast Screening Program, to provide evidence for improving cervical and breast cancer control and prevention strategy. Methods: Data used in this study were abstracted from the 2013 Chinese Chronic Diseases and Risk Factors Surveillance Program. A total of 66 130 women aged 35-64 years and 72 511 women aged 35-69 years were included for this study. Weighted prevalence, (with 95% confidence interval, CI) was calculated for complex sampling design. Rao-Scott χ(2) method was used to compare the screening coverage among subgroups. A random intercept equation which involved the logit-link function, was fitted under the following five levels: provincial, county, township, village and individual. Fix effects of all explanatory variables were converted into OR with 95%CI. Results: In 2013, 26.7% (95%CI: 24.6%-28.9%) of the 35-64 year-old women reported that they ever had been screened for cervical cancer and 22.5% (95% CI: 20.4%-24.6%) of the 35-69 year-olds had ever undergone breast cancer screening. Lower coverage was observed among women residing in rural and central or western China than those in urban or eastern China (P<0.000 1). The coverage among women aged 50 years or older was substantially lower than those aged 35-49 years. Those who were with low education level, unemployed, low household income and not covered by insurance, appeared fewer number on this cervical or breast cancer screening program (P<0.000 1). Women living in rural and western China were having less chance of receiving the breast cancer screening (P<0.05), but the difference was not statistically significant. Conclusion: It is essential to strengthen the community-based cervical and breast cancer screening programs, in order to increase the coverage. More attention should be paid to women aged 50 years or older, especially those socioeconomically disadvantaged ones.
