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Socioeconomic status index is an independent determinant of breast cancer screening practices: Evidence from Eastern China

BACKGROUND: Breast cancer is the most prevalent malignancy affecting Chinese women, and early routine screening is incredibly important for its prevention and control. This study aimed to investigate the role of socioeconomic status (SES) in female breast cancer screening practices using the composi...

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Autores principales: Zhang, Shunhua, Wang, Hairuo, Liu, Binhao, Yu, Jianwei, Gao, Yizheng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9749974/
https://www.ncbi.nlm.nih.gov/pubmed/36516181
http://dx.doi.org/10.1371/journal.pone.0279107
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author Zhang, Shunhua
Wang, Hairuo
Liu, Binhao
Yu, Jianwei
Gao, Yizheng
author_facet Zhang, Shunhua
Wang, Hairuo
Liu, Binhao
Yu, Jianwei
Gao, Yizheng
author_sort Zhang, Shunhua
collection PubMed
description BACKGROUND: Breast cancer is the most prevalent malignancy affecting Chinese women, and early routine screening is incredibly important for its prevention and control. This study aimed to investigate the role of socioeconomic status (SES) in female breast cancer screening practices using the composite SES index. METHODS: This cross-sectional study involved 1816 women in Eastern China. Data were collected using an online self-administered questionnaire from January 2020 to May 2021. We used principal component analysis to construct the composite SES index using educational level, annual household income, and occupation. Logistic regression was used to analyze the association between the SES index and breast cancer screening utilization. RESULTS: Of the participants, 19.27% reported having performed breast self-examination, 12.89% reported having undergone clinical breast examination, and 3.52% reported having received mammography. The SES has a significant influence on the patronage of female breast cancer screening in Eastern China. The composite SES index was found to have a positive and significant association with breast cancer screening practices. An interaction was found between the SES index and patient characteristics, such as health awareness, marital status, and location of residence. In addition, the SES index had a positive effect on breast cancer-related knowledge. CONCLUSIONS: Socioeconomic inequalities existed in Eastern China and were related to breast cancer screening patronage. The composite SES index was identified as a significant determinant of breast cancer screening practices. Our results highlighted the negative impacts of socioeconomic inequities on female breast cancer screening utilization. This suggests that reducing socioeconomic inequalities in breast cancer screening requires more focused interventions and concerted outreach activities for groups with lower education levels, lower income, or lower occupational classes.
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spelling pubmed-97499742022-12-15 Socioeconomic status index is an independent determinant of breast cancer screening practices: Evidence from Eastern China Zhang, Shunhua Wang, Hairuo Liu, Binhao Yu, Jianwei Gao, Yizheng PLoS One Research Article BACKGROUND: Breast cancer is the most prevalent malignancy affecting Chinese women, and early routine screening is incredibly important for its prevention and control. This study aimed to investigate the role of socioeconomic status (SES) in female breast cancer screening practices using the composite SES index. METHODS: This cross-sectional study involved 1816 women in Eastern China. Data were collected using an online self-administered questionnaire from January 2020 to May 2021. We used principal component analysis to construct the composite SES index using educational level, annual household income, and occupation. Logistic regression was used to analyze the association between the SES index and breast cancer screening utilization. RESULTS: Of the participants, 19.27% reported having performed breast self-examination, 12.89% reported having undergone clinical breast examination, and 3.52% reported having received mammography. The SES has a significant influence on the patronage of female breast cancer screening in Eastern China. The composite SES index was found to have a positive and significant association with breast cancer screening practices. An interaction was found between the SES index and patient characteristics, such as health awareness, marital status, and location of residence. In addition, the SES index had a positive effect on breast cancer-related knowledge. CONCLUSIONS: Socioeconomic inequalities existed in Eastern China and were related to breast cancer screening patronage. The composite SES index was identified as a significant determinant of breast cancer screening practices. Our results highlighted the negative impacts of socioeconomic inequities on female breast cancer screening utilization. This suggests that reducing socioeconomic inequalities in breast cancer screening requires more focused interventions and concerted outreach activities for groups with lower education levels, lower income, or lower occupational classes. Public Library of Science 2022-12-14 /pmc/articles/PMC9749974/ /pubmed/36516181 http://dx.doi.org/10.1371/journal.pone.0279107 Text en © 2022 Zhang et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Zhang, Shunhua
Wang, Hairuo
Liu, Binhao
Yu, Jianwei
Gao, Yizheng
Socioeconomic status index is an independent determinant of breast cancer screening practices: Evidence from Eastern China
title Socioeconomic status index is an independent determinant of breast cancer screening practices: Evidence from Eastern China
title_full Socioeconomic status index is an independent determinant of breast cancer screening practices: Evidence from Eastern China
title_fullStr Socioeconomic status index is an independent determinant of breast cancer screening practices: Evidence from Eastern China
title_full_unstemmed Socioeconomic status index is an independent determinant of breast cancer screening practices: Evidence from Eastern China
title_short Socioeconomic status index is an independent determinant of breast cancer screening practices: Evidence from Eastern China
title_sort socioeconomic status index is an independent determinant of breast cancer screening practices: evidence from eastern china
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9749974/
https://www.ncbi.nlm.nih.gov/pubmed/36516181
http://dx.doi.org/10.1371/journal.pone.0279107
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