Knowledge, attitude, and practice among non-breast cancer women towards breast cancer screening with a focus on economic factors
Abstract Although breast cancer incidence and mortality are rising globally and China has a screening programme, participation remains low due to poor awareness and financial barriers. This cross-sectional study aimed to assess the knowledge, attitude, and practice (KAP) of breast cancer screening a...
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Nature Portfolio
2025-08-01
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| Online Access: | https://doi.org/10.1038/s41598-025-15478-8 |
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| author | Yan Zhou |
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| description | Abstract Although breast cancer incidence and mortality are rising globally and China has a screening programme, participation remains low due to poor awareness and financial barriers. This cross-sectional study aimed to assess the knowledge, attitude, and practice (KAP) of breast cancer screening among 964 non-breast cancer women, averaging 29.79 years old, through web-based questionnaires and face-to-face interviews. The knowledge, attitude and practice scores were 7.04 ± 4.19 (possible range: 0–20), 25.37 ± 6.09 (possible range: 10–50), and 15.07 ± 2.84 (possible range: 0–20), respectively. Key barriers included embarrassment (65.45%), fear of radiation (49.48%), and treatment costs (70.34%). Structural equation modeling indicated that income had a direct effect on both knowledge (β = 0.36, P = 0.010) and attitude (β = 1.34, P < 0.001). The logistic regression analysis found that identifying as “housewife” (OR = 2.87, 95%CI: 1.11–7.37, P = 0.029) and having no medical insurance (OR = 3.19, 95%CI: 1.13–9.04, P = 0.028) were significantly associated with unwillingness to undergo breast cancer screening. In conclusion, this study shows that there is a significant gap in KAP regarding breast cancer screening among women in China, particularly among low-income groups. To improve screening rates, it is crucial to address these barriers, enhance knowledge, and provide better risk assessment resources. |
| format | Article |
| id | doaj-art-a3cf08a980954b1ea7ab6a4e24af9210 |
| institution | DOAJ |
| issn | 2045-2322 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Nature Portfolio |
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| spelling | doaj-art-a3cf08a980954b1ea7ab6a4e24af92102025-08-20T03:05:18ZengNature PortfolioScientific Reports2045-23222025-08-0115111010.1038/s41598-025-15478-8Knowledge, attitude, and practice among non-breast cancer women towards breast cancer screening with a focus on economic factorsYan Zhou0School of Economics, North Minzu UniversityAbstract Although breast cancer incidence and mortality are rising globally and China has a screening programme, participation remains low due to poor awareness and financial barriers. This cross-sectional study aimed to assess the knowledge, attitude, and practice (KAP) of breast cancer screening among 964 non-breast cancer women, averaging 29.79 years old, through web-based questionnaires and face-to-face interviews. The knowledge, attitude and practice scores were 7.04 ± 4.19 (possible range: 0–20), 25.37 ± 6.09 (possible range: 10–50), and 15.07 ± 2.84 (possible range: 0–20), respectively. Key barriers included embarrassment (65.45%), fear of radiation (49.48%), and treatment costs (70.34%). Structural equation modeling indicated that income had a direct effect on both knowledge (β = 0.36, P = 0.010) and attitude (β = 1.34, P < 0.001). The logistic regression analysis found that identifying as “housewife” (OR = 2.87, 95%CI: 1.11–7.37, P = 0.029) and having no medical insurance (OR = 3.19, 95%CI: 1.13–9.04, P = 0.028) were significantly associated with unwillingness to undergo breast cancer screening. In conclusion, this study shows that there is a significant gap in KAP regarding breast cancer screening among women in China, particularly among low-income groups. To improve screening rates, it is crucial to address these barriers, enhance knowledge, and provide better risk assessment resources.https://doi.org/10.1038/s41598-025-15478-8Breast cancerScreeningKnowledge, attitude, practiceCross-Sectional study |
| spellingShingle | Yan Zhou Knowledge, attitude, and practice among non-breast cancer women towards breast cancer screening with a focus on economic factors Scientific Reports Breast cancer Screening Knowledge, attitude, practice Cross-Sectional study |
| title | Knowledge, attitude, and practice among non-breast cancer women towards breast cancer screening with a focus on economic factors |
| title_full | Knowledge, attitude, and practice among non-breast cancer women towards breast cancer screening with a focus on economic factors |
| title_fullStr | Knowledge, attitude, and practice among non-breast cancer women towards breast cancer screening with a focus on economic factors |
| title_full_unstemmed | Knowledge, attitude, and practice among non-breast cancer women towards breast cancer screening with a focus on economic factors |
| title_short | Knowledge, attitude, and practice among non-breast cancer women towards breast cancer screening with a focus on economic factors |
| title_sort | knowledge attitude and practice among non breast cancer women towards breast cancer screening with a focus on economic factors |
| topic | Breast cancer Screening Knowledge, attitude, practice Cross-Sectional study |
| url | https://doi.org/10.1038/s41598-025-15478-8 |
| work_keys_str_mv | AT yanzhou knowledgeattitudeandpracticeamongnonbreastcancerwomentowardsbreastcancerscreeningwithafocusoneconomicfactors |