Aidalina M, Syed Mohamed A S J
Universiti Kebangsaan Malaysia Medical Center, International Center for Casemix and Clinical Coding, Malaysia.
Med J Malaysia. 2018 Aug;73(4):202-211.
This review aimed to summarise the trend of mammogram screening uptake published in local studies between years 2006 and 2015 among the Malaysian women aged 40 years and above, and identify the associated factors and barriers, as well as discuss limitations of the studies and research gaps.
A systematic review was conducted on breast cancer screening studies among Malaysian women, published between January 2006 and December 2015. Online databases were searched using keywords: "mammogram", "mammography", "uptake", "breast cancer screening" and "Malaysia".
Thirteen original articles were reviewed. The rate of mammography uptake ranged between 3.6% and 30.9% among the general population, and 80.3% among personnel of a tertiary hospital. Factors associated with mammogram screening were clinical breast examination, age, income, knowledge on breast cancer and mammogram, perceived susceptibility to breast cancer, ethnicity and education level. Barriers to mammogram screening were lack of knowledge, embarrassment, fear of cancer diagnosis, perception that breast screening was unnecessary, lack of coping skills and pain during procedure. However, almost all of the studies could not be generalised beyond the study sample because of the limited number of sites and respondents; and most data were self-reported with no objective measures of the responses.
Mammogram screening uptake among women in selected communities were generally low. Further studies involving the general population are essential. Future studies should also explore the availability, affordability and accessibility of this service especially in the pursuit of achieving universal health coverage in breast cancer management.
本综述旨在总结2006年至2015年间本地研究中公布的40岁及以上马来西亚女性乳房X光检查筛查的接受趋势，确定相关因素和障碍，并讨论研究的局限性和研究空白。
对2006年1月至2015年12月期间发表的关于马来西亚女性乳腺癌筛查研究进行系统综述。使用关键词“乳房X光检查”、“乳房造影术”、“接受率”、“乳腺癌筛查”和“马来西亚”搜索在线数据库。
审查了13篇原创文章。普通人群中乳房造影术的接受率在3.6%至30.9%之间，三级医院工作人员中的接受率为80.3%。与乳房X光检查筛查相关的因素有临床乳房检查、年龄、收入、乳腺癌和乳房X光检查知识、对乳腺癌的易感性认知、种族和教育水平。乳房X光检查筛查的障碍包括知识缺乏、尴尬、对癌症诊断的恐惧、认为乳房筛查不必要、缺乏应对技巧以及检查过程中的疼痛。然而，由于研究地点和受访者数量有限，几乎所有研究都无法推广到研究样本之外；并且大多数数据是自我报告的，没有对回答进行客观测量。
特定社区女性的乳房X光检查筛查接受率普遍较低。涉及普通人群的进一步研究至关重要。未来的研究还应探讨这项服务的可及性、可承受性和可获得性，特别是在追求实现乳腺癌管理的全民健康覆盖方面。
