The prevalence and factors for cancer screening behavior among people with severe mental illness in Hong Kong

Phoenix Kit Han MO, Wing Sze Winnie MAK, Eddie Siu Kwan CHONG, Hanyang SHEN, Yuen Man Rebecca CHEUNG

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12 Citations (Scopus)

Abstract

Objectives: Screening is useful in reducing cancer incidence and mortality. People with severe mental illness (PSMI) are vulnerable to cancer as they are exposed to higher levels of cancer risks. Little is known about PSMI's cancer screening behavior and associated factors. The present study examined the utilization of breast, cervical, prostate, and colorectal cancer screening among PSMI in Hong Kong and to identify factors associated with their screening behaviors. Method: 591 PSMI from community mental health services completed a cross-sectional survey. Results: The percentage of cancer screening behavior among those who met the criteria for particular screening recommendation was as follows: 20.8% for mammography; 36.5% for clinical breast examination (CBE); 40.5% for pap-smear test; 12.8% for prostate examination; and 21.6% for colorectal cancer screening. Results from logistic regression analyses showed that marital status was a significant factor for mammography, CBE, and pap-smear test; belief that cancer can be healed if found early was a significant factor for pap-smear test and colorectal screening; belief that one can have cancer without having symptoms was a significant factor for CBE and pap-smear test; belief that one will have a higher risk if a family member has had cancer was a significant factor for CBE; and self-efficacy was a significant factor for CBE and papsmear test behavior. Conclusions: Cancer screening utilization among PSMI in Hong Kong is low. Beliefs about cancer and self-efficacy are associated with cancer screening behavior. Health care professionals should improve the knowledge and remove the misconceptions about cancer among PSMI; self-efficacy should also be promoted. Copyright © 2014 Mo et al.
Original languageEnglish
Article numbere107237
JournalPLoS One
Volume9
Issue number9
DOIs
Publication statusPublished - Sep 2014

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Papanicolaou Test
behavior disorders
Hong Kong
Early Detection of Cancer
Screening
screening
neoplasms
China
Breast
Neoplasms
Self Efficacy
breasts
self-efficacy
Mammography
Colorectal Neoplasms
Community Mental Health Services
colorectal neoplasms
testing
Marital Status
Uterine Cervical Neoplasms

Citation

Mo, P. K. H., Mak, W. W. S., Chong, E. S. K., Shen, H., & Cheung, R. Y. M. (2014). The prevalence and factors for cancer screening behavior among people with severe mental illness in Hong Kong. PLoS ONE, 9(9), Article e107237.