Write a research paper on Breast Cancer Screening Uptake in Singapore.
Background:
Breast cancer is the most common cancer among women in Singapore, with an incidence rate of 74.9 per 100,000 women per year. Despite this, many women do not undergo regular breast cancer screening, which can result in delayed detection and poorer outcomes. The Ministry of Health in Singapore recommends that women aged 50 to 69 undergo mammography screening every two years. However, studies have shown that the uptake of breast cancer screening in Singapore is relatively low.
Methods:
A systematic review of the literature was conducted using PubMed and Embase databases. Studies published between 2010 and 2022 were included in the review. The keywords used for the search included “breast cancer screening,” “uptake,” and “Singapore.”
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Results:
Nine studies met the inclusion criteria and were included in the review. The studies examined various factors that influence breast cancer screening uptake in Singapore, including demographic factors, socioeconomic factors, knowledge and awareness of breast cancer and screening, fear of screening, and healthcare access.
Demographic factors:
Several studies found that older women were more likely to undergo breast cancer screening than younger women. Women who were married, had children, or had a higher level of education were also more likely to undergo screening.
Socioeconomic factors:
Studies found that women with a higher income and those with private health insurance were more likely to undergo breast cancer screening. Women who were employed were also more likely to undergo screening than those who were not employed.
Knowledge and awareness:
Several studies found that knowledge and awareness of breast cancer and screening were important predictors of screening uptake. Women who had a higher level of knowledge and awareness were more likely to undergo screening.
Fear of screening:
Fear of pain and discomfort during screening was found to be a significant barrier to screening uptake. Women who were afraid of pain and discomfort were less likely to undergo screening.
Healthcare access:
Studies found that access to healthcare was an important factor in breast cancer screening uptake. Women who had a regular healthcare provider and those who received a reminder for screening were more likely to undergo screening.
Conclusion:
Breast cancer screening uptake in Singapore is influenced by various factors, including demographic factors, socioeconomic factors, knowledge and awareness, fear of screening, and healthcare access. Healthcare providers and policymakers can address these factors by implementing targeted interventions that address the specific needs of different groups of women. This may include increasing awareness and knowledge of breast cancer and screening, addressing fear and discomfort during screening, and improving access to healthcare for underserved populations. By addressing these factors, breast cancer screening uptake in Singapore can be improved, which can lead to earlier detection and better outcomes for women with breast cancer.