Breast and cervical cancer screening and associated factors among older adult women in South Africa
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2014
TITLE AUTHOR(S): K.Peltzer, N.Phaswana-Mafuya
KEYWORDS: ADULTS, BREAST CANCER, CERVICAL CANCER, WOMEN
DEPARTMENT: Public Health, Societies and Belonging (HSC)
Print: HSRC Library: shelf number 8208
HANDLE: 20.500.11910/2446
URI: http://hdl.handle.net/20.500.11910/2446
If you would like to obtain a copy of this Research Output, please contact Hanlie Baudin at researchoutputs@hsrc.ac.za.
Abstract
Little is known about the cancer screening prevalence and correlates in older adults from different racial backgrounds. In the context of heightened efforts for prevention and early diagnosis, we collected information on screening for two major types of cancers: cervical and breast cancer in order to establish their prevalence estimates and correlates among older South African women who participated in the Study of Global Ageing and Adults Health (SAGE) in 2008. We conducted a national population-based cross-sectional study with a multi-stage stratified cluster sample of 3,840 individuals aged 50 years or older in South Africa in 2008. In this analysis, we only considered the female subsample of (n=2202). The measures used included socio-demographic characteristics, health variables, anthropometric and blood pressure measurements. Multivariable regression analysis was performed to assess the association of socio-demographic factors, health variables and cancer screening. Results: Overall, regarding cervical cancer screening, 24.3% ever had a Papanicolaou (PAP) smear test, and regarding breast cancer screening, 15.5% ever had a mammography. In multivariate logistic regression analysis, younger age, higher education, being from the White or Coloured population group, urban residence, greater wealth, and suffering from two or more chronic conditions were associated with cervical cancer screening, and higher education, being from the White or Indian/Asian population group, greater wealth, having a health insurance, and suffering from two or more chronic conditions were associated with breast cancer screening. Cancer screening coverage remains low among elderly women in South Africa in spite of the national guideline recommendations for regular screening in order to reduce the risk of dying from these cancers if not detected early. There is a need to improve accessibility and affordability of early cervical and breast cancer screening for all women to ensure effective prevention and management of cervical and breast cancer.-
Related Research Outputs:
- Breast and cervical cancer screening prevalence and associated factors among women in the South African general population
- Knowledge attitude and practice of breast cancer examination among women attending a health facility in Gaborone, Botswana
- Predictors of overweight and obesity in adult women in Nairobi province, Kenya
- Hand grip strength and associated factors in non-institutionalised men and women 50 years and older in South Africa
- Knowledge, attitude and practice of breast self-examination among female university students from 24 low, middle income and emerging economy countries
- Attitudes and practice of cervical cancer screening among female university students from 25 low, middle income and emerging economy countries
- Awareness of breast cancer risk among female university students from 24 low, middle income and emerging economy countries
- Victimization and perpetration of intimate partner violence among female and male youth and adults in South Africa
- Intimate partner violence victimization and perpetration among female adolescents and adults in Timor-Leste
- Women are weak when they are amongst men: participation in rural water committees in South Africa
- Book review: Goetz, A.M., Hassim, S. (eds.) (2003). No shortcuts to power: African women in politics and policy making. Cape Town: Zed Books. 246 p. ISBN 1842771477
- Baseline survey of adult literacy programmes in presidential nodal areas
- Women marching into the 21st century: wathint' abafazi, wathint' imbokodo
- Summary of LATAG lifeskills workshop: Gabarone, Botswana 19-22 June 1999
- Gender inequality persists in artisan employment in South Africa
- Book review: Bradby, H. & Hundt, G.L. (eds). 2010. Global perspectives on war, gender and health: the sociology and anthropology of suffering. Surrey: Ashgate Publishing. 157 p. ISBN 9780754675235
- Women graduates with selected engineering qualifications on the HSRC register of graduates as at December 1999
- Women graduates of UCT with engineering and related qualifications on the HSRC register of graduates as at November 1999
- Research visit to Namibia, Zambia and Botswana
- Research visit to Swaziland, Lesotho and Mauritius