Changing Health Beliefs about Breast Cancer Screening among Women in Multi-Ethnic Malaysia
This study evaluated the impact of the 'Be Cancer Alert' mass media campaign for breast cancer (BCAC-BC) in terms of changes to women's health beliefs regarding BC susceptibility and the benefits and barriers of breast cancer screening in Malaysia. Pre- and post-campaign surveys evalu...
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| Veröffentlicht in: | International journal of environmental research and public health 2022-01, Vol.19 (3), p.1618 |
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| creator | Htay, Mila Nu Nu Dahlui, Maznah Schliemann, Désirée Cardwell, Christopher R Loh, Siew Yim Ibrahim Tamin, Nor Saleha Binti Somasundaram, Saunthari Donnelly, Michael Su, Tin Tin |
| description | This study evaluated the impact of the 'Be Cancer Alert' mass media campaign for breast cancer (BCAC-BC) in terms of changes to women's health beliefs regarding BC susceptibility and the benefits and barriers of breast cancer screening in Malaysia. Pre- and post-campaign surveys evaluated changes in health beliefs among women aged 40 years and above (
= 676). The perceived susceptibility to breast cancer was significantly higher at follow-up (mean ± SD: 7.30 ± 2.77 vs. 7.63 ± 2.58,
= 0.008) whereas the mean score for the perceived benefits of undertaking screening was high at baseline and follow-up (16.34 ± 2.36 vs. 15.95 ± 2.07,
= 0.001). The perceptions or beliefs about barriers to screening did not change significantly (31.70 ± 8.26 vs. 31.77 ± 7.63,
= 0.841). Regression analyses indicated that mean scores for the barriers subscale were significantly lower among Chinese women (-2.61, 95% CI -4.67, -0.55,
= 0.013) compared to Malay, and among single compared to married women (-2.40, 95% CI -4.60, -0.21,
= 0.032) after adjustment for other demographic variables and past screening history. Malaysian women appeared to already have positive perceptions before the BCAC-BC mass media campaign about the benefits of BC screening. However, the campaign appeared to be linked to both an increased awareness of the susceptibility to breast cancer and to positive beliefs that countered emotional barriers to screening, particularly among single women and Chinese-Malay women. |
| doi_str_mv | 10.3390/ijerph19031618 |
| format | Article |
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= 676). The perceived susceptibility to breast cancer was significantly higher at follow-up (mean ± SD: 7.30 ± 2.77 vs. 7.63 ± 2.58,
= 0.008) whereas the mean score for the perceived benefits of undertaking screening was high at baseline and follow-up (16.34 ± 2.36 vs. 15.95 ± 2.07,
= 0.001). The perceptions or beliefs about barriers to screening did not change significantly (31.70 ± 8.26 vs. 31.77 ± 7.63,
= 0.841). Regression analyses indicated that mean scores for the barriers subscale were significantly lower among Chinese women (-2.61, 95% CI -4.67, -0.55,
= 0.013) compared to Malay, and among single compared to married women (-2.40, 95% CI -4.60, -0.21,
= 0.032) after adjustment for other demographic variables and past screening history. Malaysian women appeared to already have positive perceptions before the BCAC-BC mass media campaign about the benefits of BC screening. However, the campaign appeared to be linked to both an increased awareness of the susceptibility to breast cancer and to positive beliefs that countered emotional barriers to screening, particularly among single women and Chinese-Malay women.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph19031618</identifier><identifier>PMID: 35162641</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Adaptation ; Adult ; Age ; Breast cancer ; Breast Neoplasms - psychology ; Brochures ; Cancer screening ; Demographic variables ; Early Detection of Cancer - psychology ; Female ; Health facilities ; Health Knowledge, Attitudes, Practice ; Hormone replacement therapy ; Households ; Humans ; Intervention ; Malaysia - epidemiology ; Mammography ; Mammography - psychology ; Mass media ; Mass Screening - psychology ; Medical screening ; Perceptions ; Public health ; Sample size ; Surveys and Questionnaires ; Urban areas ; Womens health</subject><ispartof>International journal of environmental research and public health, 2022-01, Vol.19 (3), p.1618</ispartof><rights>2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2022 by the authors. 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c418t-6eef258e45c8ec644515f38f8ef2e4d304b085187e5a8d0cf694257551142b8f3</citedby><cites>FETCH-LOGICAL-c418t-6eef258e45c8ec644515f38f8ef2e4d304b085187e5a8d0cf694257551142b8f3</cites><orcidid>0000-0003-4923-9410 ; 0000-0002-6924-8368 ; 0000-0003-0387-6406</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8835215/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8835215/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27922,27923,53789,53791</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35162641$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Htay, Mila Nu Nu</creatorcontrib><creatorcontrib>Dahlui, Maznah</creatorcontrib><creatorcontrib>Schliemann, Désirée</creatorcontrib><creatorcontrib>Cardwell, Christopher R</creatorcontrib><creatorcontrib>Loh, Siew Yim</creatorcontrib><creatorcontrib>Ibrahim Tamin, Nor Saleha Binti</creatorcontrib><creatorcontrib>Somasundaram, Saunthari</creatorcontrib><creatorcontrib>Donnelly, Michael</creatorcontrib><creatorcontrib>Su, Tin Tin</creatorcontrib><title>Changing Health Beliefs about Breast Cancer Screening among Women in Multi-Ethnic Malaysia</title><title>International journal of environmental research and public health</title><addtitle>Int J Environ Res Public Health</addtitle><description>This study evaluated the impact of the 'Be Cancer Alert' mass media campaign for breast cancer (BCAC-BC) in terms of changes to women's health beliefs regarding BC susceptibility and the benefits and barriers of breast cancer screening in Malaysia. Pre- and post-campaign surveys evaluated changes in health beliefs among women aged 40 years and above (
= 676). The perceived susceptibility to breast cancer was significantly higher at follow-up (mean ± SD: 7.30 ± 2.77 vs. 7.63 ± 2.58,
= 0.008) whereas the mean score for the perceived benefits of undertaking screening was high at baseline and follow-up (16.34 ± 2.36 vs. 15.95 ± 2.07,
= 0.001). The perceptions or beliefs about barriers to screening did not change significantly (31.70 ± 8.26 vs. 31.77 ± 7.63,
= 0.841). Regression analyses indicated that mean scores for the barriers subscale were significantly lower among Chinese women (-2.61, 95% CI -4.67, -0.55,
= 0.013) compared to Malay, and among single compared to married women (-2.40, 95% CI -4.60, -0.21,
= 0.032) after adjustment for other demographic variables and past screening history. Malaysian women appeared to already have positive perceptions before the BCAC-BC mass media campaign about the benefits of BC screening. However, the campaign appeared to be linked to both an increased awareness of the susceptibility to breast cancer and to positive beliefs that countered emotional barriers to screening, particularly among single women and Chinese-Malay women.</description><subject>Adaptation</subject><subject>Adult</subject><subject>Age</subject><subject>Breast cancer</subject><subject>Breast Neoplasms - psychology</subject><subject>Brochures</subject><subject>Cancer screening</subject><subject>Demographic variables</subject><subject>Early Detection of Cancer - psychology</subject><subject>Female</subject><subject>Health facilities</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Hormone replacement therapy</subject><subject>Households</subject><subject>Humans</subject><subject>Intervention</subject><subject>Malaysia - epidemiology</subject><subject>Mammography</subject><subject>Mammography - psychology</subject><subject>Mass media</subject><subject>Mass Screening - psychology</subject><subject>Medical screening</subject><subject>Perceptions</subject><subject>Public health</subject><subject>Sample size</subject><subject>Surveys and Questionnaires</subject><subject>Urban areas</subject><subject>Womens health</subject><issn>1660-4601</issn><issn>1661-7827</issn><issn>1660-4601</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpdkctLAzEQxoMoWh9XjxLw4mU12TyavQi21AcoHlQELyFNZ7spu0lNdoX-927xgfUyM8z85mOGD6FjSs4ZK8iFW0BcVrQgjEqqttCASkkyLgnd_lPvof2UFoQwxWWxi_aYoDKXnA7Q27gyfu78HN-CqdsKj6B2UCZspqFr8SiCSS0eG28h4icbAfwaNk3o42towGPn8UNXty6btJV3Fj-Y2qySM4dopzR1gqPvfIBerifP49vs_vHmbnx1n1lOVZtJgDIXCriwCqzkXFBRMlWqvg18xgifEiWoGoIwakZsKQuei6EQlPJ8qkp2gC6_dJfdtIGZBd9GU-tldI2JKx2M05sT7yo9Dx9aKSZyKnqBs2-BGN47SK1uXLJQ18ZD6JLOZV4QySUf9ujpP3QRuuj799bUUDDJmeqp8y_KxpBShPL3GEr02ja9aVu_cPL3hV_8xyf2Cfm3k_U</recordid><startdate>20220130</startdate><enddate>20220130</enddate><creator>Htay, Mila Nu Nu</creator><creator>Dahlui, Maznah</creator><creator>Schliemann, Désirée</creator><creator>Cardwell, Christopher R</creator><creator>Loh, Siew Yim</creator><creator>Ibrahim Tamin, Nor Saleha Binti</creator><creator>Somasundaram, Saunthari</creator><creator>Donnelly, Michael</creator><creator>Su, Tin Tin</creator><general>MDPI AG</general><general>MDPI</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-4923-9410</orcidid><orcidid>https://orcid.org/0000-0002-6924-8368</orcidid><orcidid>https://orcid.org/0000-0003-0387-6406</orcidid></search><sort><creationdate>20220130</creationdate><title>Changing Health Beliefs about Breast Cancer Screening among Women in Multi-Ethnic Malaysia</title><author>Htay, Mila Nu Nu ; 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Pre- and post-campaign surveys evaluated changes in health beliefs among women aged 40 years and above (
= 676). The perceived susceptibility to breast cancer was significantly higher at follow-up (mean ± SD: 7.30 ± 2.77 vs. 7.63 ± 2.58,
= 0.008) whereas the mean score for the perceived benefits of undertaking screening was high at baseline and follow-up (16.34 ± 2.36 vs. 15.95 ± 2.07,
= 0.001). The perceptions or beliefs about barriers to screening did not change significantly (31.70 ± 8.26 vs. 31.77 ± 7.63,
= 0.841). Regression analyses indicated that mean scores for the barriers subscale were significantly lower among Chinese women (-2.61, 95% CI -4.67, -0.55,
= 0.013) compared to Malay, and among single compared to married women (-2.40, 95% CI -4.60, -0.21,
= 0.032) after adjustment for other demographic variables and past screening history. Malaysian women appeared to already have positive perceptions before the BCAC-BC mass media campaign about the benefits of BC screening. However, the campaign appeared to be linked to both an increased awareness of the susceptibility to breast cancer and to positive beliefs that countered emotional barriers to screening, particularly among single women and Chinese-Malay women.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>35162641</pmid><doi>10.3390/ijerph19031618</doi><orcidid>https://orcid.org/0000-0003-4923-9410</orcidid><orcidid>https://orcid.org/0000-0002-6924-8368</orcidid><orcidid>https://orcid.org/0000-0003-0387-6406</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adaptation Adult Age Breast cancer Breast Neoplasms - psychology Brochures Cancer screening Demographic variables Early Detection of Cancer - psychology Female Health facilities Health Knowledge, Attitudes, Practice Hormone replacement therapy Households Humans Intervention Malaysia - epidemiology Mammography Mammography - psychology Mass media Mass Screening - psychology Medical screening Perceptions Public health Sample size Surveys and Questionnaires Urban areas Womens health |
| title | Changing Health Beliefs about Breast Cancer Screening among Women in Multi-Ethnic Malaysia |
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