Alkhaifi Sarah A
From the Department of Maternity and Childhood, School of Nursing, King Abdulaziz University, Jeddah, Saudi Arabia.
Saudi Med J. 2025 Sep;46(9):965-975. doi: 10.15537/smj.2025.46.9.20241021.
To evaluate current mammogram screening rates and identify barriers and facilitators for mammogram uptake among Saudi women.
This systematic review was conducted in accordance with the PRISMA framework, beginning with a database search performed by 2 researchers using PubMed, PsycINFO, CINAHL Plus, and Google Scholar for pertinent studies published between 2000 and 2024. Qualitative and quantitative studies were included if they: a) were conducted in Saudi Arabia among Saudi women, b) explored factors associated with mammogram uptake among Saudi women, and c) were peer-reviewed. The socioecological model was used to thematically synthesize the results.
A total of 39 studies were included in this review. Nine studies revealed low adherence to annual or biannual mammogram screenings among Saudi women. The socioecological model was utilized to categorize the factors that influenced Saudi women's uptake of mammograms, divided into: a) individual factors, including breast cancer and mammogram knowledge, demographic characteristics, health beliefs, fear, pain, and embarrassment; b) interpersonal factors, including male family members, health care providers, and competing priorities; and c) social factors, including health behaviors related to secondary health screenings, and the health care system.
To improve adherence to mammogram screening among Saudi women, it is recommended to design interventions that target factors at each level of the socioecological model. Understanding how each factor functions as a barrier or facilitator will enable more effective and tailored strategies that address these factors within their respective socioecological levels..
评估当前沙特女性的乳房X光检查筛查率，并确定影响沙特女性接受乳房X光检查的障碍和促进因素。
本系统评价按照PRISMA框架进行，首先由两名研究人员使用PubMed、PsycINFO、CINAHL Plus和谷歌学术搜索2000年至2024年发表的相关研究。纳入的定性和定量研究需满足以下条件：a）在沙特阿拉伯针对沙特女性进行；b）探讨与沙特女性接受乳房X光检查相关的因素；c）经过同行评审。采用社会生态模型对结果进行主题综合分析。
本评价共纳入39项研究。9项研究表明沙特女性对年度或半年一次的乳房X光检查筛查依从性较低。利用社会生态模型对影响沙特女性接受乳房X光检查的因素进行分类，分为：a）个体因素，包括乳腺癌和乳房X光检查知识、人口统计学特征、健康信念、恐惧、疼痛和尴尬；b）人际因素，包括男性家庭成员、医疗保健提供者和相互竞争的优先事项；c）社会因素，包括与二级健康筛查相关的健康行为以及医疗保健系统。
为提高沙特女性对乳房X光检查筛查的依从性，建议设计针对社会生态模型各层面因素的干预措施。了解每个因素如何成为障碍或促进因素，将有助于制定更有效、更具针对性的策略，在各自的社会生态层面解决这些因素。
