title: Uptake of breast screening and associated factors among Hong Kong women aged ≥50 years: a population-based survey.
abstract: OBJECTIVE
  To examine the uptake of breast screening and its associated factors among Hong Kong Chinese women aged ≥50 years.
  
  
  METHODS
  Cross-sectional population-based survey.
  
  
  METHODS
  A sample of Hong Kong Chinese women was recruited through telephone random-digit dialling. The survey consisted of six sections: perceived health status, use of complementary medicine, uptake of breast screening, perceived susceptibility to cancer, family history of cancer and demographic data. The factors associated with uptake of breast screening were analysed using logistic regression analysis.
  
  
  RESULTS
  In total, 1002 women completed the (anonymous) telephone survey. The mean age was 63.5 (standard deviation 10.6) years. The uptake rate of breast screening among Hong Kong Chinese women aged ≥50 years was 34%. The primary reasons for undertaking breast screening were as part of a regular medical check-up (74%), prompted by local signs and symptoms (11%) and a physician's recommendation (7%). Higher educational level, married or cohabiting, family history of cancer, frequent use of complementary therapies, regular visits to a doctor or Chinese herbalist, and the recommendation of a health professional were all independently and significantly associated with increased odds of having had a mammogram.
  
  
  CONCLUSIONS
  This study provides community-based evidence of the need for public health policy to promote broader use of mammography services among this target population, with emphasis on the active involvement of health care professionals, through the development and implementation of appropriate evidence-based and resource-sensitive strategies.
authors.affiliation: Nethersole School of Nursing, The Chinese University of Hong Kong, New Territories, Hong Kong, China.
authors.forename: S S M
authors.initials: SS
authors.lastname: Ho
authors.affiliation: Nethersole School of Nursing, The Chinese University of Hong Kong, New Territories, Hong Kong, China.
authors.forename: K C
authors.initials: KC
authors.lastname: Choi
authors.affiliation: Nethersole School of Nursing, The Chinese University of Hong Kong, New Territories, Hong Kong, China.
authors.forename: C L
authors.initials: CL
authors.lastname: Wong
authors.affiliation: Nethersole School of Nursing, The Chinese University of Hong Kong, New Territories, Hong Kong, China.
authors.forename: C W H
authors.initials: CW
authors.lastname: Chan
authors.affiliation: Nethersole School of Nursing, The Chinese University of Hong Kong, New Territories, Hong Kong, China.
authors.forename: H Y L
authors.initials: HY
authors.lastname: Chan
authors.affiliation: Nethersole School of Nursing, The Chinese University of Hong Kong, New Territories, Hong Kong, China.
authors.forename: W P Y
authors.initials: WP
authors.lastname: Tang
authors.affiliation: Centre for Psycho-oncology Research and Training, School of Public Health, The University of Hong Kong, Sassoon Road, Hong Kong, China.
authors.forename: W W T
authors.initials: WW
authors.lastname: Lam
authors.affiliation: Nethersole School of Nursing, The Chinese University of Hong Kong, New Territories, Hong Kong, China.
authors.forename: A T Y
authors.initials: AT
authors.lastname: Shiu
authors.affiliation: Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories, Hong Kong, China.
authors.forename: W B
authors.initials: WB
authors.lastname: Goggins
authors.affiliation: Nethersole School of Nursing, The Chinese University of Hong Kong, New Territories, Hong Kong, China. Electronic address: winnieso@cuhk.edu.hk.
authors.forename: W K W
authors.initials: WK
authors.lastname: So
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001943:Breast Neoplasms / Q000235:genetics / Q000517:prevention & control*; D000529:Complementary Therapies / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D005260:Female; D019538:Health Care Surveys; D006723:Hong Kong; D006801:Humans; D008327:Mammography / Q000706:statistics & numerical data*; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D010817:Physician-Patient Relations; D012959:Socioeconomic Factors
keywords: Breast cancer; Mammogram; Mammography; Screening; Uptake