Table 2.
Factors and associations (or non-associations) with participation in breast cancer screening among women in mainland China
Category | Factor | Studies displaying a positive association (p<0.05) |
Studies displaying a negative association (p<0.05) |
Studies displaying no association (p≥0.05) |
Sociodemographic factors | Geographical region (Eastern China) | 9,23, 24 | ||
Residential area (living in urban areas) | 9,20,21,33 | 24 | ||
Ethnicity (ethnic majority) | 9,23, 32 | 24, 35 | ||
Older age | 36 | 9, 24, 25 | 20, 22, 23, 28, 29, 30, 37 | |
Being married | 9, 34 | 20, 24-26, 28, 29, 31, 33, 35 | ||
Higher education | 9, 20-24, 26, 31, 32, 35 | 27-30, 33, 34, 37 | ||
Being employed | 9, 20, 35, 36 | 34 | 23, 26, 29, 31, 32, 37 | |
Higher household income | 9, 26, 27, 29, 31, 33 | 22, 25, 28, 34, 35, 37 | ||
Medical insurance | 9, 24 | 27, 28, 30, 33, 37 | ||
Health-related factors | Body mass index | 27 | 32 | |
History of childbearing (none or one child) |
32 | 35 | ||
Personal history of breast disease | 20, 27, 33-35 | |||
Family history of breast cancer | 31 | 20, 27, 35, 36 | ||
Family history of other cancer | 27, 35 | |||
Age ≤12 years at menarche | 32 | 27 | ||
Perceived poor health status | 9, 36 | 32, 34 | ||
History of induced abortion | 27 | |||
Knowledge | High level of knowledge about breast cancer | 20, 27, 28, 36 | 23, 30, 35, 37 | |
Perceptions | Positive attitude towards breast cancer screening | 23, 28, 37 | 35 | |
Perceived less barriers to breast cancer screening | 22, 34 | 30-32 | ||
High perceived benefits of screening | 22, 32 | 30, 31 | ||
High perceived susceptibility to breast cancer | 22, 31, 36 | 27 | ||
High perceived severity of breast cancer | 22 | 31 | ||
High self-efficacy | 30, 31 | |||
High level of social support | 36 | |||
Quality of life | 26 | |||
Cues to action | Access to breast cancer information | 36 | ||
Past screening behaviours for breast disease | 25, 30, 35, 37 | |||
Physical examination | 9, 21, 37 | |||
Opportunity to attend breast examination | 33, 34 | |||
Availability of medical specialists/equipment for breast examination | 26, 34, 36 | |||
Being aware of free screening policy | 28 | |||
Physical recommendation | 37 |