Socioeconomic Inequalities in Uptake of Breast Cancer Screening among Saudi Women: A Cross-Sectional Analysis of a National Survey

被引:19
作者
Al-Hanawi, Mohammed Khaled [1 ,2 ]
Hashmi, Rubayyat [3 ]
Almubark, Sarh [1 ,2 ]
Qattan, Ameerah M. N. [1 ,2 ]
Pulok, Mohammad Habibullah [4 ]
机构
[1] King Abdulaziz Univ, Dept Hlth Serv, Fac Econ & Adm, Jeddah 80200, Saudi Arabia
[2] King Abdulaziz Univ, Hosp Adm, Fac Econ & Adm, Jeddah 80200, Saudi Arabia
[3] Univ Southern Queensland, Fac Business Educ Law & Arts, Ctr Hlth Informat & Econ Res, Sch Commerce, Toowoomba, Qld 4350, Australia
[4] Nova Scotia Hlth Author, Geriatr Med Res GMR, Halifax, NS B3H 2E1, Canada
关键词
breast cancer; inequality; screening; Saudi Arabia; concentration curve; concentration index; HEALTH-CARE; ARABIA FINDINGS; KNOWLEDGE; BARRIERS; KINGDOM; BURDEN; AWARENESS; MORTALITY; WORLD;
D O I
10.3390/ijerph17062056
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
Timely and adequate screening for breast cancer could improve health outcomes and reduce health costs. However, the utilization of free breast cancer screening services among Saudi women is very low. This study aims to investigate socioeconomic inequalities in breast cancer screening among Saudi women. The data of this study were extracted from the nationally representative Saudi Health Interview Survey, conducted in 2013; the study included 2786 Saudi women. Multivariate logistic regression, the concentration curve, and the concentration index were used to examine, illustrate, and quantify income- and education-related inequalities in three outcomes: Knowledge about self-breast examination (SBE), clinical breast examination (CBE) received in the last year, and mammography, that has ever been previously carried out. Results showed a marked socioeconomic gradient in breast cancer screening services. The concentration index by income was 0.229 (SBE), 0.171 (CBE), and 0.163 (mammography). The concentration index by education was 0.292 (SBE), 0.149 (CBE), and 0.138 (mammography). Therefore, knowledge about breast cancer screening, and the utilization of screening services, were more concentrated among richer and better-educated women. Poorer and less educated women had less knowledge about self-breast examination, and had considerably less adherence to clinical breast examination and mammography. The findings are helpful for policy makers to devise and implement strategies to promote equity in breast cancer screening among Saudi women.
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页数:13
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