Evidence map›Paper›PMID 41606534›Full record

SynthesisBMC public health2026

Facilitators and barriers to the decision-making of breast cancer screening in female residents in Mainland China: a systematic literature review.

Jiayu Liu, Hao Hu, Carolina Oi Lam Ung, Menghuan Song

Abstract readSystematic Review
In one paragraph

Synthesis in BMC public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Jiayu LiuState Key Laboratory of Mechanism and Quality of Chinese Medicine, Institute of Chinese Medical Sciences, University of Macau, Macao, SAR, China.
Hao HuState Key Laboratory of Mechanism and Quality of Chinese Medicine, Institute of Chinese Medical Sciences, University of Macau, Macao, SAR, China.
Carolina Oi Lam UngState Key Laboratory of Mechanism and Quality of Chinese Medicine, Institute of Chinese Medical Sciences, University of Macau, Macao, SAR, China. carolinaung@um.edu.mo.
Menghuan SongState Key Laboratory of Mechanism and Quality of Chinese Medicine, Institute of Chinese Medical Sciences, University of Macau, Macao, SAR, China. menghuansong@um.edu.mo.

Funding

the Science and Technology Development Fund, Macau SAR file no. 005/2023/SKLUniversidade de Macau MYRG-GRG2023-00087-ICMS, MYRG-GRG2024-00147-ICMS-UMDF, MYRG-CRG2024-00024-ICMS-IAS
6 · The paper itself

Abstract

backgroundBreast cancer screening (BCS) is underutilized in China, despite evidence demonstrating its effectiveness in reducing breast cancer mortality through early detection. This review aims to identify the facilitators and barriers to BCS intention or participation among female residents in mainland China, in order to inform the interventions promoting BCS decisions.

methodsThis systematic review adhered to the Preferred Reporting Items for Systematic Reviews and Meta Analyses guideline. Qualitative and quantitative studies published from inception to June 2024 were retrieved from PubMed, ScienceDirect, Web of Science, Scopus, and China National Knowledge Infrastructure. Factors with statistically significant associations with BCS decisions, and factors indicated to influence BCS decisions were extracted from included studies. Narrative synthesis was conducted to categorise the factors into 5 constructs: attitudes, subjective norms, perceived behavioural control, socio-demographic factors, and other factors against the guidance of the Theory of Planned Behaviour (TPB).

resultsA total of 82 studies were included, among which 13 and 72 studies reported on BCS intention and participation, respectively. Twenty-one themes were identified from the included studies. Among these, general positive feelings about BCS in the ‘attitudes’ construct, perceived norms from friends and acquaintances in the ‘subjective norms’ construct, knowledge of breast health in the ‘perceived behavioural control’ construct, and breast self-examination in the ‘other factors’ construct were the most commonly reported factors. These factors were positively associated with BCS decisions. Low income level was the most common barrier associated with BCS decisions in the construct of ‘socio-demographic factors’. All the constructs collectively contributed to BCS decision making.

conclusionApproaches that aim to promote BCS should take into account the key factors in TPB constructs and their interactions. Health promotion efforts should focus on BC symptoms, risk factors, and screening methods to enhance public awareness. Women with low-incomes should be prioritised for financial subsidies from government and primary insurance programmes.

Indexed as

Breast NeoplasmsDecision MakingEarly Detection of CancerChinaFemaleHealth Knowledge, Attitudes, PracticeHumansBreast cancerChinaIntentionParticipationScreening

Identifiers

PMID41606534
PMCPMC12922332

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.