Exploring the Landscape of Breast Cancer Prevention among Chinese Residents in Italy: An In-Depth Analysis of Screening Adherence, Breast Self-Examination (BSE) Practices, the Role of Technological Tools, and Misconceptions Surrounding Risk Factors and Symptoms

Author:

Conte Luana12ORCID,Lupo Roberto3,Sciolti Serena4ORCID,Lezzi Alessia5,Rubbi Ivan6ORCID,Botti Stefano7ORCID,Carvello Maicol8ORCID,Fanizzi Annarita9,Massafra Raffaella9,Vitale Elsa10,De Nunzio Giorgio12ORCID

Affiliation:

1. Laboratory of Biomedical Physics and Environment, Department of Mathematics and Physics “E. De Giorgi”, University of Salento, 73100 Lecce, Italy

2. Laboratory of Advanced Data Analysis for Medicine (ADAM), University of Salento, Local Health Authority, 73100 Lecce, Italy

3. “San Giuseppe da Copertino” Hospital, Local Health Authority, 73043 Lecce, Italy

4. Independent Researcher, 73100 Lecce, Italy

5. National Cancer Association (ANT) Italia ONLUS Foundation, 73100 Lecce, Italy

6. School of Nursing, University of Bologna, 48018 Faenza, Italy

7. Haematology Unit, Azienda USL-IRCCS of Reggio Emilia, 42100 Reggio Emilia, Italy

8. Ravenna Community Hospital, Local Health Authority Romagna, 48100 Ravenna, Italy

9. Laboratorio di Biostatistica e Bioinformatica, IRCCS Istituto Tumori “Giovanni Paolo II”, 70126 Bari, Italy

10. Scientific Directorate, IRCCS Istituto Tumori “Giovanni Paolo II”, 70126 Bari, Italy

Abstract

Background: Breast cancer remains a significant health concern among women globally. Despite advancements in awareness and diagnostic techniques, it persists as a leading cause of death, with profound impacts on affected individuals’ quality of life. Primary and secondary prevention, including regular screenings and practices like breast self-examination (BSE), are pivotal in ensuring early diagnosis. The national health system (NHS) in Italy offers screenings for women aged 50–69 every two years, managed by the local health authority. However, the participation rates, especially among the Chinese female population residing in Italy, are not well understood. Methods: Using a snowball method, we electronically disseminated a survey to investigate how Chinese women living in Italy engage with available NHS screening programs. The survey also explores their practice of BSE and the use and impact of technological tools on prevention. Furthermore, the study aims to understand the subjects’ depth of knowledge and misconceptions about breast cancer. Results: The data reveal a significant gap in breast cancer screening adherence and knowledge among Chinese women in Italy, with a notable discrepancy between the general population and those who have previously encountered cancer. Conclusions: The results highlight the urgent need for interventions that are culturally sensitive, stressing that these actions are not only desirable but essential.

Funder

Università del Salento

Publisher

MDPI AG

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