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August 14, 2026HealthcareOpen Access

Healthcare Utilization and Inequalities in Breast Cancer Early Detection Behaviors Among Women in Türkiye: A Nationally Representative Cross-Sectional Study

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Authors

BABestegül Çoruh AkyolLYLatife Merve YıldızYÖYasemin Kılıç Öztürk

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Overview

Cross-sectional study finds low mammography and self-exam rates linked to specialist visits and education, indicating care disparities.

Key Points

  • To determine how sociodemographic factors, chronic disease status, and healthcare utilization relate to breast cancer early detection behaviors.
  • Secondary analysis of nationally representative cross-sectional data from the 2022 Turkiye Health Survey involving 5,554 women aged 40–69 years.
  • Calculated fully adjusted modified Poisson regression models to estimate adjusted prevalence ratios for recent mammography and monthly breast self-examination.
  • Conducted Classification and Regression Tree (CART) analysis with five-fold cross-validation (maximum tree depth 3, minimum terminal node size 250) to identify risk profiles.
  • Recent mammography (within the past 2 years) and monthly breast self-examination rates were 23.5% and 25.0%, respectively.
  • Specialist physician contact within the past 12 months and higher education levels were independently associated with higher rates of both screening behaviors, whereas chronic disease was linked only to recent mammography.
  • CART analysis showed an initial split on breast self-examination behavior, revealing an approximately eightfold variation in recent mammography prevalence across terminal nodes (cross-validated AUC = 0.681).

Cite This Study

Akyol et al. (2026) studied this question.

synapsesocial.com/papers/6a7ec79cb70b84ec8b9140behttps://doi.org/10.3390/healthcare14162516
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Determinants of mammography screening uptake among women attending family health centers in Ankara, Türkiye: a cross-sectional study2026
  2. 2Exploring barriers to women’s participation in breast and cervical cancer screening programs: insights from national health surveys in Türkiye2026
  3. 3Early Detection Behaviors of Breast Cancer Among Middle-Aged and Older Women Attending a Hospital2026
  4. 4Determinants of cancer screening participation in Türkiye: a nationwide study of demographic, socioeconomic, and lifestyle factors2025 · 12 citations
  5. 5Identify risk factors affecting participation of Turkish women in mammography screening for breast cancer prevention2024 · 7 citations