OBJECTIVE: To explore the participation rates for breast and colorectal cancer screening and identify associated correlates among elderly women. METHODS: Logistic regressions were conducted using data collected in 2006 from 1,533 elderly women aged 60 years or above who had completed a screening instrument, the Minimum Data Set-Home Care, while applying for long-term care services at the first time in Hong Kong. RESULTS: The participation rates for breast and colorectal cancer screening among frail older Chinese women were 3.7% and 10.8% respectively. Cognitive status was inversely associated with the likelihood of participation in screening (breast: OR = 0.66, 95%CI = 0.47-0.94; colon: OR = 0.81, 95%CI = 0.66-0.99), as was educational level with the likelihood of participation in breast cancer screening (no formal education: OR = 0.20, 95%CI = 0.06-0.61, some primary education: OR = 0.31, 95%CI = 0.10-1.00). CONCLUSION: The delivery of cancer preventive health services to frail older women is less than ideal. Cognitive status and educational level were important factors in cancer screening behaviour. Tailor-made strategic promotion programmes targeting older women with low cognitive status and educational levels are needed to enhance awareness and acceptance within this vulnerable group.
OBJECTIVE: To explore the participation rates for breast and colorectal cancer screening and identify associated correlates among elderly women. METHODS: Logistic regressions were conducted using data collected in 2006 from 1,533 elderly women aged 60 years or above who had completed a screening instrument, the Minimum Data Set-Home Care, while applying for long-term care services at the first time in Hong Kong. RESULTS: The participation rates for breast and colorectal cancer screening among frail older Chinese women were 3.7% and 10.8% respectively. Cognitive status was inversely associated with the likelihood of participation in screening (breast: OR = 0.66, 95%CI = 0.47-0.94; colon: OR = 0.81, 95%CI = 0.66-0.99), as was educational level with the likelihood of participation in breast cancer screening (no formal education: OR = 0.20, 95%CI = 0.06-0.61, some primary education: OR = 0.31, 95%CI = 0.10-1.00). CONCLUSION: The delivery of cancer preventive health services to frail older women is less than ideal. Cognitive status and educational level were important factors in cancer screening behaviour. Tailor-made strategic promotion programmes targeting older women with low cognitive status and educational levels are needed to enhance awareness and acceptance within this vulnerable group.
Authors: Catharine R Gale; Ian J Deary; Jane Wardle; Paola Zaninotto; G David Batty Journal: J Epidemiol Community Health Date: 2015-02-03 Impact factor: 3.710
Authors: Doris Y P Leung; Ka Ming Chow; Sally W S Lo; Winnie K W So; Carmen W H Chan Journal: Int J Environ Res Public Health Date: 2016-05-17 Impact factor: 3.390
Authors: Ronan E O'Carroll; Ian J Deary; Chloe Fawns-Ritchie; Christopher B Miller; Marjon van der Pol; Elaine Douglas; David Bell Journal: BMJ Open Date: 2022-02-01 Impact factor: 3.006