TY - JOUR
T1 - Socio-Economic Status and Clinical Breast Examination Screening Uptake
T2 - Findings from the First Cohort Study among Iranian Kurdish Women
AU - Jalilian, Farzad
AU - Jerome-D'Emilia, Bonnie
AU - Najafi, Farid
AU - Pasdar, Yahya
AU - Matin, Behzad Karami
AU - Amini, Mahin
AU - Kargar, Mehdi
AU - Moradinazar, Mehdi
AU - Pirouzeh, Razieh
AU - Karimi, Negar
AU - Hosseini, Seyyed Nasrollah
AU - Mirzaei-Alavijeh, Mehdi
N1 - Funding Information:
We would like to thank all women who participants in this study. In addition, we would like to thank the Deputy of Research of Kermanshah University of Medical Sciences in the west of Iran. RaNCD cohort study is a part of PERSIAN national cohort and we would like to thank professor Reza Malekzadeh Deputy of Research and Technology at the Ministry of health and Medical Education of Iran and Director of the PERSIAN cohort and also Dr. Hossein Poustchi Executive Director of PERSIAN cohort for all their support during design and running of RaNCD cohort study.
Funding Information:
This study was funded by the Iranian Ministry of Health and Medical Education and Kermanshah University of medical sciences in the west of Iran. The funding organizations have no role in the design of the study, collection, analysis, and interpretation of data and in writing the manuscript this was the role of authors.
Publisher Copyright:
© 2022. All Rights Reserved.
PY - 2022
Y1 - 2022
N2 - 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.
AB - 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.
KW - Breast neoplasms- screening- deprivation- Iran
UR - http://www.scopus.com/inward/record.url?scp=85131108714&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85131108714&partnerID=8YFLogxK
U2 - 10.31557/APJCP.2022.23.5.1555
DO - 10.31557/APJCP.2022.23.5.1555
M3 - Article
C2 - 35633538
AN - SCOPUS:85131108714
SN - 1513-7368
VL - 23
SP - 1555
EP - 1564
JO - Asian Pacific Journal of Cancer Prevention
JF - Asian Pacific Journal of Cancer Prevention
IS - 5
ER -