title: Workplace-based breast cancer screening intervention in china.
abstract: BACKGROUND
  Breast cancer continues to be the primary cause of death among East and Southeast Asian women. Although China, the most populous country in the world, is experiencing unprecedented economic growth, its health care system has yet to benefit from the current economic prosperity. Indeed, studies have shown a consistent increase in breast cancer rates among Chinese women over the past two decades in the absence of breast cancer screening guidelines.
  
  
  METHODS
  The primary objective of this study was to examine the impact of a workplace intervention on increasing breast cancer screening rates. The study was implemented at eight worksites in Nanjing, four of which were assigned to the intervention group (n = 232) and four to the control group (n = 221). The intervention group received breast cancer education and screening navigation. The control group was provided with general cancer education and received a delayed intervention after completion of the study. Study measures were completed at pre- and postprogram and at 6-month follow-up to assess uptake of mammography.
  
  
  RESULTS
  Baseline mammography use was low among both intervention and control groups. However, exposure to the workplace intervention dramatically increased the uptake of mammography from 10.3% at baseline to 72.6% at 6-month follow-up in the intervention group (P < 0.001).
  
  
  CONCLUSIONS
  Findings provide preliminary evidence that the implementation of a comprehensive workplace breast cancer screening intervention program in China can lead to increased uptake of mammography. These data may help facilitate the development of theory-based workplace cancer prevention programs and screening guidelines in China.
  
  
  CONCLUSIONS
  A workplace-based multifaceted intervention could have a strong impact in breast cancer prevention and early detection among women in China.
authors.affiliation: Department of Public Health, Center for Asian Health, College of Health Professions, Temple University, 913 Ritter Annex, Philadelphia, PA 19122, USA. grace.ma@temple.edu
authors.forename: Grace X
authors.initials: GX
authors.lastname: Ma
authors.forename: Lihong
authors.initials: L
authors.lastname: Yin
authors.forename: Wanzhen
authors.initials: W
authors.lastname: Gao
authors.forename: Yin
authors.initials: Y
authors.lastname: Tan
authors.forename: Ran
authors.initials: R
authors.lastname: Liu
authors.forename: Carolyn
authors.initials: C
authors.lastname: Fang
authors.forename: Xiang S
authors.initials: XS
authors.lastname: Ma
mesh_terms: D001943:Breast Neoplasms / Q000000981:diagnostic imaging* / Q000401:mortality / Q000517:prevention & control*; D002681:China / Q000453:epidemiology; D055088:Early Detection of Cancer / Q000706:statistics & numerical data; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D015994:Incidence; D008327:Mammography / Q000706:statistics & numerical data*; D008403:Mass Screening / Q000706:statistics & numerical data; D008875:Middle Aged; D012307:Risk Factors; D017132:Workplace / Q000706:statistics & numerical data