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Published on: April 18, 2025
Breast Cancer Screening Coverage - China, 2018-2019
Mei Zhang1, Heling Bao2, Xiao Zhang1
1Division of NCD and Risk Factor Surveillance, National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
Breast cancer screening in China increased slightly to 22.3% by 2018-2019. Lower socioeconomic status and regional disparities were linked to lower screening rates, highlighting a need for improved public health strategies.
Area of Science:
- Public Health
- Oncology
- Health Services Research
Background:
- In 2015, breast cancer screening coverage among adult women in China was low at 18.9%.
- Socioeconomic disparities and regional variations in screening coverage have been previously observed.
Purpose of the Study:
- To report updated national breast cancer screening coverage in China for women aged 20 years and above.
- To identify demographic and socioeconomic factors associated with screening uptake.
- To analyze geographic variations in screening coverage across China.
Main Methods:
- Analysis of national survey data from 2018-2019.
- Stratification of screening coverage by age, socioeconomic status, and geographic region.
Main Results:
- Breast cancer screening coverage for women aged 20 and above reached 22.3% in 2018-2019.
- Women with lower socioeconomic status exhibited significantly lower screening coverage.
- Substantial provincial-level variations in screening coverage were identified.
Conclusions:
- Despite a modest increase, breast cancer screening coverage in China remains suboptimal.
- Addressing socioeconomic disparities and regional inequalities is crucial for improving screening rates.
- Public health interventions should focus on policy, financial support, health education, and service accessibility to enhance breast cancer screening nationwide.
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