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Preference for breast cancer screening in Chinese women: Discrete choice experiment
Shuning Wu1, Jianhao Du2, Yifei Wang1
1Thyroid and Breast Surgical Department, Shenzhen Qianhai Shekou Free Trade Zone Hospital, Shenzhen, China.
Background:
Breast cancer is a common tumor in women, which significantly impacts their health and quality of life. The incidence of breast cancer has been increasing globally.
Objective:
This study aimed to investigate the preferences of Chinese women regarding breast cancer screening (BCS) during the COVID-19 pandemic and examine how these preferences influence their screening choices.
Method:
The online DCE (Discrete Choice Experiment) questionnaire was designed through Sawtooth Lighthouse Studio (9.8.1) with the following selected attributes: acceptable hospital distances, acceptable hospital grades, duration of each screening, main screening method, total acceptable length of screening, and total cost of screening. Data were analyzed with a mixed logistic analysis after the data collection was completed. A latent class analysis was also performed to observe the screening preferences of participants, their willingness to pay, and to infer whether the distribution of preferences between the different parties was statistically significant.
Results:
A total of 397 people filled out the questionnaire, and 325 people met the inclusion criteria after being screened by trap questions. Each attribute is important in shaping participants' preferences for BCS provision. People preferred "Ultrasound Screening," "No side effects," higher medical reimbursement rates, and lower costs.
Conclusion:
These findings provide valuable insights into the thoughts and preferences of participants regarding BCS. Healthcare providers should take these preferences into consideration to improve patient compliance and enhance the effectiveness and safety of clinical care.
