Susan G Komen  
I've Been Diagnosed With Breast Cancer Someone I Know Was Diagnosed Share Your Story Join Us And Stay Informed Donate To End Breast Cancer
    Home > Research & Grants > Grants Program > Research Grants > Research Grants Awarded > Abstract
    Awarded Grants
    Factors Influencing Utilization of Early Breast Cancer Detection in China

    Scientific Abstract:
    Over the past two decades there has been a rapid increase in breast cancer incidence in China. Yet despite the huge number of women affected by this life-threatening disease, China has no nationally recognized screening guidelines for breast cancer. The overall goal of this research project is to investigate factors influencing utilization of early breast cancer detection among women with varying resources for cancer detection. The proposed 2-year research project has three specific aims. Specific aim 1 examines the utilization of early breast cancer screening among Chinese women in urban, suburban and rural project sites. The two hypotheses tested are: 1) an innovative health education and promotion intervention increases utilization of breast cancer screening; and 2) residential area differences influence the use of breast cancer screening. Specific aim 2 examines factors influencing utilization of breast cancer screening among Chinese women. The hypothesis is that demographic, structural, and psychosocial variables, cues to action, and women’s health beliefs influence use of breast cancer screening. Specific aim 3 is to develop breast cancer screening guidelines suitable for Chinese women with access to varying resources. Guided by the Health Belief Model, the research will be conducted among 1,200 women age 40 and older randomly selected from urban and suburban areas of Shanghai and urban and rural areas of Tianjin. Women assigned to the intervention groups will experience innovative breast cancer screening education and promotion; but those assigned to the control groups will experience conventional health education only. Descriptive analysis will indicate what percentage of women in the various research sites received early breast cancer screening and will adjust for the effect of the intervention. Regression techniques will be used to analyze which variables are most highly associated with the utilization of breast cancer screening and to investigate the impact of barriers to screening. The desired outcomes are to generate breast cancer screening guidelines that are scientific and systematic, but are also suitable for women with different resources for breast health care, and to recommend effective strategies for promoting early breast cancer screening. Insights gained from the project regarding access to and utilization of breast cancer screening will be applicable to other developing countries.

    Lay Abstract:
    Over the past two decades there has been a rapid increase in breast cancer incidence in China, the country that is home to one-fifth of the world’s women. Yet despite the huge numbers of women affected by this life-threatening disease, China has no nationally recognized screening guidelines for breast cancer. About 40% of Chinese breast cancer patients die within five years because the cancer is already very advanced when it is diagnosed. The objective of this proposed project is to investigate factors influencing utilization of early breast cancer detection among women residing in urban, suburban, and rural areas with varying resources for cancer detection. The proposed 2-year research project has three specific aims that have motivated 5 research questions. Specific aim 1 is to examine the utilization of early breast cancer screening among Chinese women in various residential areas. The two research questions under this specific aim are: Is utilization of breast cancer screening increased by an innovative community-based education intervention? Is utilization of breast cancer screening different in urban, suburban, and rural areas? Specific aim 2 is to examine factors influencing utilization of breast cancer screening among Chinese women. Two research questions will be answered: What demographic and psychosocial variables are associated with utilization of breast cancer screening among women in urban, suburban and rural areas of China? What are barriers to Chinese women’s utilization of breast cancer screening? Specific aim 3 is to develop breast cancer screening guidelines that will be suitable for Chinese women no matter their access to health care resources. The research will be conducted in four project sites in China, including urban and suburban areas of Shanghai and urban and rural areas of Tianjin, among women age 40 and older. The factors influencing utilization of early breast cancer detection will be analyzed and the variations between the intervention and control groups in each area will be compared. The desired outcomes are to recommend scientific, systematic and practicable breast cancer screening guidelines for use in China and to propose effective strategies for promoting early breast cancer detection to Chinese women. The project has implications for fighting breast cancer for women living in other countries with limited resources.