THE EFFECT OF SOCIAL DETERMINANTS OF HEALTH ON BREAST CANCER KNOWLEDGE LEVEL AND SCREENING: A SYSTEMATIC REVIEW

Öz

Breast cancer is a major public health problem due to its incidence and mortality rates. Screening programs help to reduce the impact of the disease on the population with early diagnosis. However, social determinants of health in prevention and early diagnosis may cause inequalities. The aim of this study, to make a systematic review of the current literature on the effect of social determinants of health on breast cancer knowledge level and screening. Between 2019 and 2024, searches were conducted in the PubMed, Google Scholar, and Cochrane databases using the keywords “Social determinants of health” AND “Breast cancer” OR “Social determinants of health” AND “Breast cancer screenings” OR “Social determinants of health” AND “Breast cancer knowledge level” OR “Breast cancer screenings”. The studies reviewed have identified that social determinants of health (SDH) play a significant role in influencing breast cancer knowledge and screenings. In this context, it has been determined that individuals’ high level of knowledge about breast cancer and screenings, which is considered the most influential factor, contributes positively to their participation in screenings. It is observed that social determinants of health, such as socioeconomic and sociodemographic status, living environment, ethnicity, and access to healthcare, have an impact on breast cancer knowledge and screenings, with this effect becoming more pronounced in low-income countries. In order to increase the level of breast cancer knowledge and participation in screening programs, it is recommended to make arrangements by taking into account the social determinants of health.

Anahtar Kelimeler

• Social determinants of health
• breast cancer
• breast cancer knowledge level
• breast cancer screenings

SAĞLIĞIN SOSYAL BELİRLEYİCİLERİNİN MEME KANSERİ BİLGİ DÜZEYİ VE TARAMALARINA ETKİSİ: BİR SİSTEMATİK DERLEME

Öz

Meme kanseri, insidans ve ölüm oranları nedeniyle önemli bir halk sağlığı sorunudur. Tarama programları erken teşhisle hastalığın nüfus üzerindeki etkisini azaltmaya destek olmaktadır. Ancak, korunma ve erken teşhiste sağlığın sosyal belirleyicileri eşitsizliklere sebep olabilmektedir. Bu çalışmanın amacı, sağlığın sosyal belirleyicilerinin meme kanseri bilgi düzeyi ve taramalarına etkisine ilişkin güncel literatürün sistematik derlemesini yapmaktır. 2019-2024 yılları arasında PubMed, Google Scholar ve Cochrane veri tabanlarında “Social determinants of health” AND “Breast cancer” OR “Social determinants of health” AND “Breast cancer screenings” OR “Social determinants of health” AND “Breast cancer knowledge level” OR “Breast cancer screenings” anahtar sözcükleri kullanılarak tarama yapılmıştır. Ulaşılan çalışmalarda sağlığın sosyal belirleyicilerinin (SSB) meme kanseri bilgi düzeyi ve taramalarına etkisi üzerinde önemli bir rol oynadığı belirlenmiştir. Bu kapsamda en çok etki eden faktör olarak görülen meme kanseri ve taramaları hakkında bireylerin bilgi düzeylerinin yüksek olmasının taramalarını yaptırmada olumlu yönde katkı sağladığı saptanmıştır. Sosyoekonomik ve sosyodemografik durum, yaşanılan çevre, etnik köken ve sağlık hizmetlerine erişim gibi sağlığın sosyal belirleyicilerinin meme kanseri bilgi düzeyi ve taramalarına etkisinin olduğu ve bu etkinin düşük gelir düzeyine sahip ülkelerde daha belirgin hale geldiği görülmektedir. Meme kanseri bilgi düzeyi ve tarama programlarına katılımın artırılması için sağlığın sosyal belirleyicileri dikkate alınarak düzenlemelerin yapılması önerilmektedir.

Anahtar Kelimeler

• Sağlığın sosyal belirleyicileri
• meme kanseri
• meme kanseri bilgi düzeyi
• meme kanseri taramaları

Kaynakça

1. Giang NH, Oanh TTM, Anh Tuan K, Hong Van P, Jayasuriya R. Is Health Insurance Associated with Health Service Utilization and Economic Burden of Non-Communicable Diseases on Households in Vietnam? Health Syst Reform. 2020;6(1):1-15. doi: 10.1080/23288604.
2. Chirwa GC. Explaining socioeconomic inequality in cervical cancer screening uptake in Malawi. BMC Public Health. 2022;22(1):1376. doi: 10.1186/s12889-022-13750-4.
3. TÜİK Ölüm ve Ölüm Nedeni İstatistikleri 2023 [Çevrimiçi]. Erişim Tarihi: 21.09.2024 https://Data. Tuik.Gov.Tr/Bulten/Index?P=Olum-ve-Olum-Nedeni-Istatistikleri-2023
4. WHO Breast Cancer 2020 [Çevrimiçi] . Erişim Tarihi: 21.09.2024 https://Www.Who.Int/Health-Topics/Cancer
5. McCart Reed AE, Kalinowski L, Simpson PT, Lakhani SR. Invasive lobular carcinoma of the breast: the increasing importance of this special subtype. Breast Cancer Res. 2021;23(1):6. doi: 10.1186/s13058-020-01384-6.
6. Türkı̇ye Kanser İstatı̇stı̇klerı̇ 2018 [Çevrimiçi]. Erişim Tarihi: 21.09.2024 https://hsgm.saglik.gov.tr/depo/birimler/kanser-db/Dokumanlar/Istatistikler/Kanser_Rapor_2018.pdf
7. Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, Bray F.Global Cancer Statistics 2020:GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries.CA Cancer J Clin. 2021;71(3):209-49. doi:10.3322/caac.21660.
8. The International Agency for Research on Cancer (Who) [Çevrimiçi]. 2022 [Cited 2024 Mar 20]. Cancer Today. Available From: https://gco.iarc.fr/today/en

9. Harkness EF, Astley SM, Evans DG. Risk-based breast cancer screening strategies in women. Best Pract Res Clin Obstet Gynaecol. 2020;65:3-17. doi: 10.1016/j.bpobgyn.2019.11.005.
10. Kanser Taramaları [Çevrimiçi]. Erişim Tarihi: 23.11.2024.https://hsgm.saglik.gov.tr/tr/kanser-taramalari
11. Sağlıklı İnsanlar 2030, ABD Sağlık ve İnsan Hizmetleri Bakanlığı, Hastalık Önleme ve Sağlık Geliştirme Ofisi [Çevrimiçi]. Erişim Tarihi: 15.11.2024. https://odphp.health.gov/healthypeople/objectives-and-data/social-determinants-health
12. Ding L, Jidkova S, Greuter MJW, Van Herck K, Goossens M, Martens P, de Bock GH, Van Hal G. 2020, Coverage determinants of breast cancer screening in Flanders: an evaluation of the past decade. Int J Equity Health. 2020;19(1):212. doi: 10.1186/s12939-020-01323-z.
13. Henderson LM, O’Meara ES, Haas JS, Lee CI, Kerlikowske K, Sprague BL, Alford-Teaster J, Onega T. Nov, The Role of Social Determinants of Health in Self-Reported Access to Health Care Among Women Undergoing Screening Mammography. J Womens Health (Larchmt). 2020;29(11):1437-46. doi: 10.1089/jwh.2019.8267.
14. Miller JW, King JA, Trivers KF, Town M, Sabatino SA, Puckett M, Richardson LC. Vital Signs: Mammography Use and Association with Social Determinants of Health and Health-Related Social Needs Among Women - United States, 2022. MMWR Morb Mortal Wkly Rep. 2024;73(15):351-7. doi:10.15585/mmwr.mm7315e1.
15. Rezaeimanesh M, Solhi M, Azar FEF, Sajjadi H, Rafiey H, Nejad FN, Gharehghani MAM, Najafi M, Hosseini SM, Karimi SE. Mar, Determinants of mammography screening in Tehranian women in 2018 based on the health belief model: A cross-sectional study. J Educ Health Promot. 2021;10:119. doi: 10.4103/jehp.jehp_339_20.
16. Karimabadi A, Pourahmadi E, Bafandeh Imandoust S, Nikoukar A, Aryafar M. Knowledge, Practice, Preferences and Willingness-to-Pay for Mammographic Screening Tests among Iranian Women: A Contingent Valuation Method. Asian Pac J Cancer Prev. 2022;23(4):1207-13.doi:10.31557/APJCP.2022.23.4.1207.
17. Bailly L, Jobert T, Petrovic M, Pradier C. Factors influencing participation in breast cancer screening in an urban setting. A study of organized and individual opportunistic screening among potentially active and retired women in the city of Nice. 6, Prev Med Rep. 2022;31:102085. doi:10.1016/j. pmedr.2022.102085.
18. Kasper G, Momen M, Sorice KA, Mayhand KN, Handorf EA, Gonzalez ET, Devlin A, Brownstein K, Esnaola N, Fisher SG, Lynch SM. Jan, Effect of neighborhood and individual-level socioeconomic factors on breast cancer screening adherence in a multi-ethnic study. BMC Public Health. 2024;24(1):63. doi: 10.1186/s12889-023-17252-9.
19. Mohammadnabizadeh S, Farkhani EM, Talkhi N. Predictive factors of breast cancer mammography screening among Iranian women. J Prev Med Hyg. 2024;64(4):E448-56. doi:10.15167/2421-4248/jpmh2023.64.4.3089.
20. Lee, Y. S., Roh, S., Moon, H., Lee, K. H., McKinley, C., & LaPlante, K. (2019).2020, Andersen’s Behavioral Model to Identify Correlates of Breast Cancer Screening Behaviors among Indigenous Women. J Evid Based Soc Work. 17(1):117-35.doi :10.1080/26408066.2019.1650316.
21. Dewi TK, Ruiter RAC, Diering M, Ardi R, Massar K. Breast self-examination as a route to early detection in a lower-middle-income country: assessing psychosocial determinants among women in Surabaya, Indonesia. BMC Womens Health. 2022;22(1):179. doi: 10.1186/s12905-022-01748-4.
22. Panahi R, Namdar P, Siboni FS, Fallah S, Anbari M, Dehghankar L, Yekefallah L, Shafaei M. 2020, Association between health literacy and adopting preventive behaviors of breast cancer in Iran. J Educ Health Promot. 2020;9:241. doi: 10.4103/jehp. jehp_313_20.
23. Tahergorabi Z, Mohammadifard M, Salmani F, Moodi M. Breast cancer screening behavior and its associated factors in female employees in South Khorasan. J Educ Health Promot. 2021;10(1):102. doi: 10.4103/jehp.jehp_750_20.
24. Seyedkanani E, Hosseinzadeh M, Mirghafourvand M, Sheikhnezhad L. Breast cancer screening patterns and associated factors in Iranian women over 40 years. Sci Rep. 2024;14(1):15274. doi: 10.1038/s41598-024-66342-0.
25. Ghanbari A, Rahmatpour P, Hosseini N, Khalili M. Social Determinants of Breast Cancer Screening among Married Women: A Cross-Sectional Study. J Res Health Sci. 2020;20(1):e00467. doi: 10.34172/jrhs.2020.02.
26. Bashirian S, Barati M, Mohammadi Y, MoaddabShoar L, Dogonchi M. Feb, Evaluation of an Intervention Program for Promoting Breast Self-Examination Behavior in Employed Women in Iran. Breast Cancer (Auckl). 2021;15:1178223421989657. doi:10.1177/1178223421989657.
27. Namlı SB, Tunç Karaman S, Basat O. Investigation of the Effect of Women’s Breast Cancer Worry Levels on Breast Cancer Prevention Behavior. Eur J Breast Health. 2023;19(4):279-86. doi: 10.4274/ejbh.galenos.2023.2023-4-4.
28. Safizade H, Amirzadeh N, Mangolian Shahrbabaki P. Oct, Motivational Factors for Breast Cancer Screening Behaviors in Iranian Women: A Qualitative Study. Asian Pac J Cancer Prev. 2020;21(10):3109-14. doi: 10.31557/APJCP.2020.21.10.3109.
29. Bea VJ, Jerome-D’Emilia B, Antoine F, Wiggins P, Hyman D, Robles-Rodriguez E. Sister, Give Me Your Hand: a Qualitative Focus Group Study on Beliefs and Barriers to Mammography Screening in Black Women During the COVID-19 Era. J Racial Ethn Health Disparities. 2023;10(3):1466-77.doi:10.1007/s40615-022-01332-4.
30. Jiraniramai S, Pinyopornpanish K, Wongpakaran N, Angkurawaranon C, Champion VL, Chitapanarux I, Jiraporncharoen W, Wongpakaran T. Rep., Association between sociodemographic factors and health beliefs related to breast cancer screening behavior among Northern Thai women: a hospital-based study. Scientific reports. 2024;14(1):7596. doi:10.1038/s41598-024-58155-y.
31. Esna-Ashari F, Saffari N, Parsapour H, Rezapur-Shahkolai F.Factors Associated with Breast Cancer Mammographic Screening Behavior among Iranian Women. Asian Pac J Cancer Prev. 2022;23(12):4073- 8. doi: 10.31557/APJCP.2022.23.12.4073.
32. Salmani F, Moodi M, Yousefi A, Norozi E. Healthy Beliefs regarding Breast Cancer Screening in Iranian Women Health Volunteers: A Path Analysis. Korean J Fam Med. 2021;42(2):132-9. doi: 10.4082/kjfm.20.0001.
33. Chung A, Chen Q, Curry W, Felix T, Tuan WJ. Breast Cancer Screening During the COVID-19 Pandemic in the United States: Results From Real-World Health Records Data. Ann Fam Med. 2024;22(3):208-14. doi: 10.1370/afm.3098.
34. Stephanopoli JP, Bouazzi L, Guerbaz-Sommi M, Graesslin O, Hurtaud A, Ilardo S, Chrusciel J, Barbaret C, Bertrand C, Sanchez S. . Aug, Factors associated with deferral or non-performance of an organized breast cancer screening program during the COVID-19 pandemic in France. Cancer Med. 2024;13(16):e7444. doi:10.1002/cam4.7444.
35. Bakhai S, Ansari M, Sadeghi C, Reynolds JL. Jan, Advancing health equity in improving breast cancer screening with the use of a mobile mammography bus in marginalised population: quality improvement project. BMJ Open Qual. 2024;13(1):e002482. doi: 10.1136/bmjoq-2023-002482.
36. Almohammed HI. Breaking barriers: improving mammography screening accessibility and quality of care for breast cancer women with disabilities in Saudi Arabia. Front Oncol. 2024;15;14:1398061. doi: 10.3389/fonc.2024.1398061.
37. Yalçın Gürsoy M, Uçan Yamaç S. Health literacy and mammography screening behaviors among women living in a rural area of Turkey. Rural Remote Health. 2024;24(2):8602. doi: 10.22605/RRH8602.
38. Jensen B, Khan H, Layeequr Rahman R. Sociodemographic Determinants in Breast Cancer Screening among Uninsured Women of West Texas. Medicina (Kaunas). 2022;58(8):1010. doi: 10.3390/medicina58081010.
39. Jhumkhawala V, Lobaina D, Okwaraji G, Zerrouki Y, Burgoa S, Marciniak A, Densley S, Rao M, Diaz D, Knecht M, Sacca L. Social determinants of health and health inequities in breast cancer screening: a scoping review. 7, Front Public Health. 2024;12:1354717. doi: 10.3389/fpubh.2024.1354717.
40. Afaya A, Seidu AA, Sang S, Yakong VN, Afaya RA, Shin J, Ahinkorah BO. Mapping evidence on knowledge of breast cancer screening and its uptake among women in Ghana: a scoping review. BMC Health Serv Res. 2022; 20;22(1):526. doi: 10.1186/s12913-022-07775.
41. Tavakoli B, Feizi A, Zamani-Alavijeh F, Shahnazi H. Factors influencing breast cancer screening practices among women worldwide: a systematic review of observational and qualitative studies. BMC Womens Health. 2024;24(1):268. doi: 10.1186/s12905-02.
42. Tsapatsaris A, Babagbemi K, Reichman MB. Barriers to breast cancer screening are worsened amidst COVID-19 pandemic: A review. Clin Imaging. 2022;82:224-227. doi: 10.1016/j. clinimag.2021.11.025.