Barriers, facilitators, and strategies for improving breast cancer screening in Ukraine.

• DOI: 10.1200/jco.2023.41.16_suppl.e18769
• Publication Date: 2023-06-04T16:03:39Z
• Authors: Ali Dzhemiliev; Darya Aleksandrov...; Vadym Vus; Andriy Beznosenko; Viacheslav Kopetskyi; Inesa Guivaniuk; Solomiia Semeniv; Nelya Melnitchouk
• Keywords: Breast Cancer Screening; Christian ministry; Cancer screening

e18769 Background: Because of Russia’s invasion Ukraine, many cancers are diagnosed at later stages, resulting in renewed emphasis on preventive medicine. To this end, we explored barriers and facilitators breast cancer screening Ukraine. Methods: A survey exploring factors that may influence was distributed through the Primary Care Physician Facebook group Chi-Squared Student’s t-tests tested association between discrete continuous variables, respectively. Linear logistic regression were used to test independent association. Results: 150 surveys completed. Respondents’ mean age 36.6 years (SD 11.6); 127 (84%) female. 124 (83%) worked public primary care clinics. Respondents from 25 (92%) 27 regions 110 (73%) familiar with Ministry Health (MOH) Order 504 guidelines for screening. 103 (64%) had a clinical exam (CBE) 34 (21%) mammography. Breast done via mammography by 134 (84%), CBE 93 (58%), referral 86 (57%). Fifty-six (36%) referred 1-3 patients per month mammography, 46 (30%) 4-10, (16%) 11-20. 1-10 (56%), 11-20 (18%), 21-40 18 (12%). Factors independently associated patient number having included daily volume, CBE, availability; awareness MOH pathways, United States/Europe recommendations (latter three p < 0.1). In addition above, performing also participation seminars about comfort CBE. undergone availability. family history. (All 0.05) Barriers insufficient knowledge among (81, 54%), fear treatment (71, 47%), lack money (50, 33%), training physicians (84, 56%), equipment (39, 26%), recommendation (38, 25%). could be expanded collaboration oncologists (64, 42%), (60, 40%), educational materials (56, 37%), automating referrals electronic health records 33%). Conclusions: knowledge, personally undergoing screening, resource Results limited online convenience sampling.