Screening Mammography Behavior and Barriers in Singaporean Asian Women

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Abstract:

Objectives: To determine attitudes of Singaporean women toward screening mammography and its potential barriers. Methods: The study included 208 cancer-free Asian women. Data about mammogram knowledge, motivators, barriers, and adherence to surveillance mammography were obtained. Results: Only 37% underwent regular mammography. Lack of time (56.7%) and cost (54.3%) were the most commonly cited barriers. On multivariate analysis, being Chinese, having higher education, mammography knowledge, positive motivator scores, and receiving reminders were predictors to regular mammography. Participants were only willing to pay ∼US%$24 for mammogram compared to subsidized cost of ∼US%$40. Older Malays were less likely than Chinese and Indians to undergo regular mammography (p = .003). Conclusions: Surveillance adherence may be improved by lowering cost and increasing public education.

Keywords: ADHERENCE; BARRIERS; BREAST CANCER; MAMMOGRAPHY; SCREENING

Document Type: Research Article

DOI: http://dx.doi.org/10.5993/AJHB.37.5.11

Affiliations: 1: Yong Loo Lin School of Medicine, National University of Singapore 2: Senior Family Physician and Head, Choa Chu Kang Polyclinic, National Healthcare Group Polyclinics, Singapore 3: Department of Haematology and Oncology, National University Cancer Institute, National University Health System, and Senior Principal Investigator, Experimental Therapeutics Programme, Cancer Science Institute of Singapore

Publication date: September 1, 2013

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  • The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.

    The Journal aims to provide a comprehensive understanding of the impact of personal attributes, personality characteristics, behavior patterns, social structure, and processes on health maintenance, health restoration, and health improvement; to disseminate knowledge of holistic, multidisciplinary approaches to designing and implementing effective health programs; and to showcase health behavior analysis skills that have been proven to affect health improvement and recovery.
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