Socio-Economic Status and Clinical Breast Examination Screening Uptake: Findings from the First Cohort Study among Iranian Kurdish Women

Farzad Jalilian, Bonnie Jerome-D'Emilia, Farid Najafi, Yahya Pasdar, Behzad Karami Matin, Mahin Amini, Mehdi Kargar, Mehdi Moradinazar, Razieh Pirouzeh, Negar Karimi, Seyyed Nasrollah Hosseini, Mehdi Mirzaei-Alavijeh

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Clinical Breast Examination (CBE) is utilized as a screening modality in many low income countries without widespread mammography capability. The aim of the current study was to evaluate the impact of socio-economic status (SES) on CBE screening rates in Iranian Kurdish women. A cross-sectional study was conducted in the western region of Iran. A sample of 5,289 Iranian Kurdish women aged 35-65 years old was analyzed. Data were collected from July 2014 to September 2018. The Concentration Index-CI and Concentration Curve were used to estimate the socioeconomic inequalities in CBE rate. The analysis of data was done by STATA software (Version 14). 12.3% of the women had received CBE at least once. CBE rates in the 46-50 age group were higher than in other age groups (OR = 2.06; 95% CI = 1.56-2.71). Women with 6-9 years of education had higher odds ratio of receiving CBE (OR = 1.41; 95% CI = 1.02-1.94). Women living in rural areas were less likely to have received CBE compared to those living in urban areas (OR=0.54; 95% CI = 0.42-0.61). The overall concentration index for receipt of CBE was 0.188. In countries without widespread mammography programs, strategies for the promotion of CBE should focus on the lower SES population.

Original languageEnglish (US)
Pages (from-to)1555-1564
Number of pages10
JournalAsian Pacific Journal of Cancer Prevention
Volume23
Issue number5
DOIs
StatePublished - 2022

All Science Journal Classification (ASJC) codes

  • Epidemiology
  • Oncology
  • Public Health, Environmental and Occupational Health
  • Cancer Research

Keywords

  • Breast neoplasms- screening- deprivation- Iran

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