{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T22:27:35Z","timestamp":1781130455726,"version":"3.54.1"},"reference-count":23,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T00:00:00Z","timestamp":1755734400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T00:00:00Z","timestamp":1755734400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Asia-Pac J Clncl Oncology"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Sarawak isthe largest state in Malaysia, with a population of 2.9 millionwith 45% living more than 100\u00a0km from urban cities. These communities face the risk of delayed breast cancer diagnosis due to limited access to healthcare services. Sarawak has only four government hospitals with diagnostic mammogram facilities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Sarawak Breast Cancer Support Group (SBCSG) has spearheaded breast cancer education and early screening outreach since 2012, with a special focus on rural communities. This paper describes the results from our 10\u2010year program.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>These programs were organized or co\u2010organized by SBCSG from 2013 to 2023, involving local organizers and the Ministry of Health Malaysia. Women aged 18 years and above were invited to participate in clinical breast examination, and those with abnormal findings were referred to the nearest clinic or hospital for further management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      We screened 2050 women, with 7.1% exhibiting abnormal breast findings. Urban screening sites reported higher abnormal findings in (9% [85\/949] vs. 5% [61\/1101];\n                      <jats:italic>p<\/jats:italic>\n                      = 0.003), Malays demonstrated the highest percentage of abnormal breast findings (9.5%, 28\/296). Women with fewer than three children were more likely to exhibit abnormal findings (8.3% [85\/1021] vs. 5.9% [61\/1029];\n                      <jats:italic>p<\/jats:italic>\n                      = 0.003). Subjects screened at urban sites and between the ages of 30\u201359 were 1.6 and 2.3 times more likely to exhibit abnormal findings, respectively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Screening site was the strongest independent variable for detecting breast abnormality, which could be linked to reproductive health, as women in rural areas tend to have more children, a trend that can be attributed to socioeconomic and cultural norms.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ajco.70004","type":"journal-article","created":{"date-parts":[[2025,8,22]],"date-time":"2025-08-22T03:25:30Z","timestamp":1755833130000},"page":"427-434","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Breast Cancer Screening in Sarawak, Borneo: 10 Years\u2019 Community Outreach Program"],"prefix":"10.1111","volume":"22","author":[{"given":"Lim","family":"Msh","sequence":"first","affiliation":[{"name":"Department of Paraclinical Sciences Faculty of Medicine and Health Sciences Universiti Malaysia Sarawak (UNIMAS) Sarawak Malaysia"},{"name":"Sarawak Breast Cancer Support Group  Sarawak Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1426-5117","authenticated-orcid":false,"given":"Tan","family":"Ssn","sequence":"additional","affiliation":[{"name":"Clinical Research Centre Institute for Clinical Research, National Institutes of Health, Sarawak General Hospital, Ministry of Health Sarawak Malaysia"},{"name":"Department of Pharmacy Sarawak General Hospital Ministry of Health Sarawak Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sulehan","family":"J","sequence":"additional","affiliation":[{"name":"Sarawak Breast Cancer Support Group  Sarawak Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jantan","family":"Z","sequence":"additional","affiliation":[{"name":"Sarawak Breast Cancer Support Group  Sarawak Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharifah Ashrina","family":"Wan Ali","sequence":"additional","affiliation":[{"name":"Sarawak Breast Cancer Support Group  Sarawak Malaysia"},{"name":"Breast and Endocrine Surgery Unit General Surgery Department Sarawak General Hospital Ministry of Health Sarawak Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mat Ali","family":"Na","sequence":"additional","affiliation":[{"name":"School of Health and Medical Sciences, Institute for Infection and Immunity St George's University of London London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6231-4062","authenticated-orcid":false,"given":"Bujang","family":"Ma","sequence":"additional","affiliation":[{"name":"Clinical Research Centre Institute for Clinical Research, National Institutes of Health, Sarawak General Hospital, Ministry of Health Sarawak Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9690-8205","authenticated-orcid":false,"given":"Augustin","family":"Y","sequence":"additional","affiliation":[{"name":"Department of Paraclinical Sciences Faculty of Medicine and Health Sciences Universiti Malaysia Sarawak (UNIMAS) Sarawak Malaysia"},{"name":"Sarawak Breast Cancer Support Group  Sarawak Malaysia"},{"name":"School of Health and Medical Sciences, Institute for Infection and Immunity St George's University of London London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,8,21]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"Cancer Today International Agency for Research on Cancer accessed May 08 2023 https:\/\/gco.iarc.fr\/today\/home."},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21660"},{"key":"e_1_2_8_4_1","unstructured":"Ministry of Health Malaysia \u201cMalaysia National Cancer Registry Report 2012\u20132016. Report No: MOH\/P\/IKN\/05.19(AR) \u201d2019."},{"key":"e_1_2_8_5_1","unstructured":"Department of Statistics Malaysia \u201cStatistics on Causes of Death 2019 \u201d eStatistik 2020 https:\/\/newss.statistics.gov.my\/newss\u2010portalx\/ep\/epLogin.seam."},{"key":"e_1_2_8_6_1","unstructured":"\u201cWhite Paper\u2014Cancer Care Challenges Gaps and Opportunities in Malaysia \u201dGalen Centre for Health and Social Policy accessed December 28 2022 https:\/\/www.phama.org.my\/view_file.cfm?fileid=145."},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0296954"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.31557\/APJCP.2025.26.3.869"},{"key":"e_1_2_8_9_1","volume-title":"Preventing Breast Cancer in LMICs via Screening and\/or Early Detection: The Real and the Surreal","author":"Dey S.","year":"2014"},{"key":"e_1_2_8_10_1","volume-title":"Community\u2010Based Participatory Research for Health: From Process to Outcomes","author":"Minkler M.","year":"2011"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.297.4.407"},{"key":"e_1_2_8_12_1","first-page":"679","article-title":"Lifestyle, Genetic Susceptibility and Future Trends of Breast Cancer in Korea","volume":"7","author":"Yoo K.\u2010Y.","year":"2006","journal-title":"Asian Pacific Journal of Cancer Prevention"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bjc.6602302"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/153.11.1079"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.20561"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1038\/bjc.1994.261"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.2910300408"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1126\/science.1957166"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.2910440506"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.4103\/0019\u2010509X.175345"},{"key":"e_1_2_8_21_1","unstructured":"\u201cNational Comprehensive Cancer Network (NCCN) \u201d Breast Cancer Version 1.2019."},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0191764"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1063\/1.4932510"},{"key":"e_1_2_8_24_1","doi-asserted-by":"crossref","unstructured":"M.Adam Bujang P.Ab Ghani M. 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