Breast cancer accounts for 23% of all cancer cases among women in Kenya. Although breast cancer screening is important, we know little about the factors associated with women’s breast cancer screening utilization in Kenya. Using the Andersen’s behavioural model of health care utilization, we aim to address this void in the literature. We draw data on the Kenya Demographic and Health Survey and employ univariate, bivariate, and multivariate analyses. We find that women’s geographic location, specifically, living in a rural area (OR = 0.89; p < 0.001) and the North Eastern Province is associated with lower odds of women being screened for breast cancer. Moreover, compared to the more educated, richer and insured, women who are less educated, poorer, and uninsured (OR = 0.74; p < 0.001) are less likely to have been screened for breast cancer. Based on these findings, we recommend place and group-specific education and interventions on increasing breast cancer screening in Kenya.

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肯尼亚乳腺癌筛查的利用：决定因素是什么？

在肯尼亚女性中，乳腺癌占所有癌症病例的23％。尽管乳腺癌筛查很重要，但我们对肯尼亚女性乳腺癌筛查利用的相关因素知之甚少。使用安徒生的卫生保健利用行为模型，我们旨在解决文献中的这一空白。我们在肯尼亚人口与健康调查中得出数据，并采用单变量，双变量和多变量分析。我们发现，妇女的地理位置，特别是居住在农村地区（OR = 0.89； p <0.001）和东北省，女性接受乳腺癌筛查的几率较低。此外，与受过高等教育，富裕和有保险的人相比，受教育较少，较贫穷和没有保险的妇女（OR = 0.74； p <0.001）接受乳腺癌筛查的可能性较小。