Perceived Barriers to Breast Cancer Screening Utilization among Women in the United Arab Emirates: A Cross-Sectional Study Perceived breast screening barriers
Abstract
Background: Breast cancer remains the leading cause of cancer-related deaths among women worldwide, with incidence rising due to population growth. Despite global efforts, barriers hinder screening utilization, including financial constraints, low awareness, cultural factors, fear, and psychological concerns. This study aimed to identify the perceived barriers to breast cancer screening utilization among women in the United Arab Emirates.
Methods: A cross-sectional study was conducted among women aged 20 years and older in the United Arab Emirates. A self-administered data collection form was used to assess sociodemographic characteristics, breast cancer screening utilization, and perceived barriers. Data were analyzed using χ2 tests and logistic regression.
Results: A total of 959 women participated. Significant associations were observed between perceived barriers—such as lack of knowledge, fear or anxiety, cost or insurance coverage, and lack of physician recommendation—and breast cancer screening utilization. Unemployment was a significant predictor of perceiving lack of physician recommendation as a barrier (adjusted odds ratio [aOR], 4.339; 95% CI, 2.036–9.248). Being younger than 40 years (aOR, 1.585; 95% CI, 1.108–2.267) and married (aOR, 1.588; 95% CI, 1.077–2.341) were significant predictors of perceiving a lack of knowledge as a barrier.
Conclusion: These findings emphasize the interplay between sociodemographic factors and perceived barriers to breast cancer screening. Addressing the lack of physician recommendations, improving awareness, and reducing financial and accessibility constraints are crucial for increasing screening uptake. Community initiatives can enhance early detection and reduce the breast cancer burden.
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