Momenimovahed Zohre, Tiznobaik Azita, Taheri Safoura, Hassanipour Soheil, Salehiniya Hamid
Qom University of Medical Sciences, Qom, Iran.
Hamedan University of Medical Sciences, Hamedan, Iran.
Ecancermedicalscience. 2020 Nov 23;14:1146. doi: 10.3332/ecancer.2020.1146. eCollection 2020.
Breast cancer is the most common cancer among women in Asia and one of the major health problems in most countries in the region. Despite extensive advances in treatment, early diagnosis is one of the main methods for increasing the survival rate. It is necessary to evaluate the barriers and facilitators of screening in different societies. This study was conducted to identify the barriers and facilitators of mammography in Asia.
To identify the barriers and facilitators of mammography in Asia, a comprehensive search was carried out in databases such as Medline, Web of Science Core Collection and Scopus using keywords, including breast cancer, screening, mammography, barriers, facilitators and the names of each Asian country, as well as a combination of these keywords were used to help the search. Full-text, English language and original articles were included in this study.
In total, 71 articles were entered into the study. The findings of this study revealed various barriers to mammography in Asian women, including knowledge, sociodemographic factors, cost and insurance, cultural factors, belief, attitude and feeling, fear, pain and embarrassment, self-efficacy, religious, psychological factors, time constraint, fatalism, professional recommendations, communication, social support and access. Also, knowledge, attitude and belief, perceived risk, professional and social factors were found to be facilitators of mammography.
Knowing the barriers and facilitators to access mammography is the first step in the development of a successful screening program. Awareness and various personal, professional and social factors have emerged as the major barriers to access to mammography in most Asian countries.
乳腺癌是亚洲女性中最常见的癌症，也是该地区大多数国家的主要健康问题之一。尽管治疗方面取得了广泛进展，但早期诊断仍是提高生存率的主要方法之一。有必要评估不同社会中筛查的障碍和促进因素。本研究旨在确定亚洲地区乳腺钼靶检查的障碍和促进因素。
为确定亚洲地区乳腺钼靶检查的障碍和促进因素，我们在Medline、科学引文索引核心合集和Scopus等数据库中进行了全面检索，使用的关键词包括乳腺癌、筛查、乳腺钼靶检查、障碍、促进因素以及每个亚洲国家的名称，并且使用这些关键词的组合来辅助检索。本研究纳入了全文、英文撰写的原创文章。
共有71篇文章纳入本研究。本研究结果揭示了亚洲女性进行乳腺钼靶检查存在的各种障碍，包括知识、社会人口学因素、成本和保险、文化因素、信念、态度和感受、恐惧、疼痛和尴尬、自我效能感、宗教、心理因素、时间限制、宿命论、专业建议、沟通、社会支持和可及性。此外，知识、态度和信念、感知风险、专业和社会因素被发现是乳腺钼靶检查的促进因素。
了解乳腺钼靶检查的障碍和促进因素是制定成功筛查计划的第一步。意识以及各种个人、专业和社会因素已成为大多数亚洲国家进行乳腺钼靶检查的主要障碍。
