National Health and Morbidity Survey 2019 Technical Report − Volume I 138 Table 8.3: Prevalence of Mammogram Examination (In The Past 3 Years and Ever Done) Among Females Aged 40 Years and Above in Malaysia by Socio- Demographic Characteristics (n=3,411) Sociodemographic Characteristics Mammogram Examination in Past 3 years Ever Done Mammogram Examination Count Estimated Population Prevalence (%) 95% CI Count Estimated Population Prevalence (%) 95% CI Lower Upper Lower Upper MALAYSIA 731 979,942 21.0 18.00 23.00 862 1,187,374 25.0 22.61 27.46 State Johor 51 93,463 16.5 11.47 23.15 71 131,302 23.2 17.24 30.41 Kedah 51 94,027 28.8 17.79 43.04 56 102,318 31.3 20.40 44.83 Kelantan 12 14,087 5.3 2.96 9.43 16 18,623 7.0 4.60 10.64 Melaka 49 31,431 21.4 15.37 28.89 58 38,888 26.4 20.49 33.36 Negeri Sembilan 65 51,086 28.4 17.78 42.00 75 70,026 38.9 27.59 51.47 Pahang 20 22,174 10.0 6.34 15.31 21 23,702 10.6 7.08 15.72 Pulau Pinang 56 90,288 28.4 18.47 40.92 73 121,835 38.3 25.81 52.52 Perak 40 60,809 14.6 8.50 23.77 46 71,296 17.1 10.09 27.37 Perlis 70 13,660 33.6 23.27 45.71 76 15,180 37.3 27.08 48.80 Selangor 78 192,553 20.6 14.86 27.90 91 242,992 26.0 20.27 32.75 Terengganu 34 26,394 16.2 10.75 23.71 42 30,838 18.9 12.95 26.85 Sabah 40 84,176 20.6 14.83 27.86 43 89,306 21.9 15.45 29.96 Sarawak 58 90,373 20.6 15.70 26.58 69 107,922 24.6 18.54 31.90 WP Kuala Lumpur 61 110,061 35.8 26.71 45.99 65 116,434 37.9 28.70 47.97 WP Labuan 25 2,859 24.5* 12.78 41.78 33 3,585 30.7 18.86 45.78 WP Putrajaya 21 2,503 23.8 15.39 35.00 27 3,128 29.8 21.30 39.96 Location Urban 437 795,806 21.4 18.73 24.43 521 971,056 26.2 23.28 29.28 Rural 294 184,136 17.6 15.07 20.45 341 216,318 20.7 17.92 23.72 Age Group (Years) 40-44 71 116,646 13.5 9.09 19.47 83 143,895 16.6 11.57 23.23 45-49 118 173,387 20.7 16.68 25.33 143 228,000 27.2 22.77 32.11 50-54 133 212,290 27.3 22.07 33.32 154 235,849 30.4 24.75 36.64 55-59 158 209,895 31.5 25.41 38.37 180 246,082 37.0 30.67 43.74 60-64 98 105,916 19.0 14.75 24.18 119 129,644 23.3 18.53 28.84 65-69 79 80,530 19.6 13.87 26.97 97 107,250 26.1 19.38 34.17 70-74 46 54,433 18.7 12.58 26.77 53 64,722 22.2 15.56 30.60 75 & above 28 26,844 7.7 4.43 12.95 33 31,932 9.1 5.56 14.61 Ethnicity Malaya 441 452,075 18.4 15.85 21.14 77 93,843 3.8 2.76 5.24 Chinese 129 312,895 24.2 18.82 30.46 35 91,485 7.1 4.40 11.15 Indian 76 104,429 32.0 23.57 41.73 4 4,500 1.4* 0.43 4.30 Bumiputera Sabah 33 48,236 18.3 11.89 27.10 6 4,449 1.7* 0.45 6.14 Bumiputera Sarawak 35 44,319 19.5 13.90 26.74 6 9,905 4.4* 1.82 10.13 Others 17 17,988 9.9 5.73 16.57 3 3,250 1.8* 0.46 6.63 Marital Status Single 21 43,382 21.5 12.75 33.80 23 48,738 24.1 14.71 36.89 Married 547 766,496 21.9 19.25 24.68 645 941,653 26.8 23.96 29.92 Widow(er)/Divorcee 163 170,064 16.3 12.65 20.63 194 196,984 18.8 15.05 23.27
Non-Communicable Diseases: Risk Factors and other Health Problems 139 Table 8.3: Prevalence of Mammogram Examination (In The Past 3 Years and Ever Done) Among Females Aged 40 Years and Above in Malaysia by Socio- Demographic Characteristics (n=3,411) (cont’d) Sociodemographic Characteristics Mammogram Examination in Past 3 years Ever Done Mammogram Examination Count Estimated Population Prevalence (%) 95% CI Count Estimated Population Prevalence (%) 95% CI Lower Upper Lower Upper Education Level No Formal Education 58 55,854 10.5 7.51 14.41 68 68,065 12.8 9.19 17.44 Primary Education 203 223,030 16.7 13.81 19.96 241 266,538 19.9 16.89 23.32 Secondary Education 361 525,006 23.4 20.16 26.87 421 642,753 28.6 25.38 32.01 Tertiary Education 108 173,102 27.9 22.35 34.20 129 206,151 33.2 27.17 39.87 Occupation Government Employee 49 63,148 23.3 15.94 32.70 58 77,781 28.7 20.89 37.99 Private Employee 121 227,509 27.3 21.67 33.71 137 269,089 32.3 26.01 39.23 Self Employed 78 110,032 17.9 13.31 23.70 97 139,351 22.7 17.72 28.60 Unpaid Worker/ Homemaker 308 349,350 20.0 16.98 23.40 358 418,464 24.0 20.72 27.52 Retiree 39 53,241 24.7 15.90 36.36 49 75,459 35.1 24.91 46.77 Not Workingb 135 176,595 16.4 12.98 20.58 162 207,164 19.3 15.63 23.54 Household Income Group Less than RM 1,000 89 114,205 16.8 12.29 22.50 100 125,442 18.4 13.75 24.26 RM 1,000 - RM 1,999 125 131,069 15.5 12.22 19.33 146 160,842 19.0 15.41 23.09 RM 2,000 - RM 3,999 206 248,214 20.2 16.57 24.27 240 309,877 25.2 21.18 29.59 RM 4,000 - RM 5,999 98 131,881 23.1 17.65 29.63 119 160,672 28.1 22.26 34.89 RM 6,000 - RM 7,999 51 94,271 24.6 17.19 33.79 65 120,807 31.5 23.41 40.82 RM 8,000 - RM 9,999 22 44,615 24.4* 12.59 42.09 28 53,898 29.5 16.80 46.51 RM 10,000 and above 64 100,840 28.9 21.24 37.99 71 114,330 32.8 24.84 41.81 Household Income Quintile Quintile 1 157 189,415 16.2 12.93 20.10 181 217,023 18.6 15.10 22.60 Quintile 2 131 151,198 19.5 15.40 24.32 150 180,475 23.2 18.74 28.45 Quintile 3 119 140,616 18.5 13.80 24.39 139 185,655 24.4 19.01 30.83 Quintile 4 111 144,140 23.0 17.77 29.24 135 173,681 27.7 22.10 34.14 Quintile 5 137 239,726 26.2 20.79 32.42 164 289,036 31.6 25.97 37.77 Household Income Category Bottom 40% 458 547,978 18.9 16.36 21.63 531 665,679 22.9 20.17 25.89 Middle 40% 138 237,844 24.9 19.71 30.85 170 284,008 29.7 24.33 35.68 Top 20% 59 79,273 20.6 15.56 26.84 68 96,182 25.0 19.30 31.81 Family History of Breast Cancer 76 121,531 12.4 9.28 16.39 94 156,128 13.1 10.16 16.85 Mammogram Examination facility Public Health Facility 534 617,663 63.1 57.08 68.80
Private Health Facility 192 356,581 36.4 30.82 42.47
*Prevalence with high RSE, interpret with caution a - Malay includes Orang Asli b - Not working includes Unemployed, and Old Age
National Health and Morbidity Survey 2019 Technical Report − Volume I 140 Table 8.4: Prevalence of Pap Smear Examination in The Last 3 Years and, Awareness and Interest to Use Self-Sampling Screening (HPV Screening) Among Female Aged 20 Years and Above in Malaysia by Socio-Demographic Characteristics (n=5,509) Sociodemographic Characteristics Pap Smear Examination in The Last 3 Years Awareness on Self-Sampling Screening (HPV Screening) for Cervical Cancer Count Estimated Population Prevalence (%) 95% CI Count Estimated Population Prevalence (%) 95% CI Lower Upper Lower Upper MALAYSIA 2,301 3,641,193 36.6 34.53 38.77 1,476 2,456,881 24.7 22.58 26.98 State Johor 169 399,873 35.4 28.16 43.39 103 227,882 20.2 13.47 29.09 Kedah 123 231,736 37.6 29.63 46.38 40 92,314 15.0 9.54 22.77 Kelantan 115 184,143 34.7 30.17 39.49 118 200,146 37.7 32.05 43.70 Melaka 170 133,135 44.8 35.82 54.11 126 108,061 36.4 21.69 54.08 Negeri Sembilan 134 128,876 39.5 30.70 48.98 89 95,292 29.2 20.39 39.88 Pahang 100 129,902 28.0 22.17 34.62 109 154,496 33.3 26.72 40.54 Pulau Pinang 121 207,332 35.6 25.66 46.93 38 68,040 11.7* 5.08 24.63 Perak 155 315,303 43.7 37.65 50.01 20 59,714 8.3* 3.52 18.25 Perlis 158 40,555 51.3 43.48 59.00 105 25,402 32.1 23.02 42.80 Selangor 217 675,195 31.7 26.08 37.88 137 474,592 22.3 18.21 26.94 Terengganu 156 148,238 42.5 37.11 47.97 87 80,664 23.1 15.83 32.43 Sabah 144 382,100 32.9 27.81 38.39 127 330,519 28.4 21.65 36.38 Sarawak 203 400,006 46.2 40.64 51.93 117 244,034 28.2 22.00 35.37 WP Kuala Lumpur 112 239,817 38.3 30.60 46.58 116 280,236 44.7 34.09 55.86 WP Labuan 122 14,292 48.0 41.22 54.84 52 6,191 20.8 12.98 31.59 WP Putrajaya 102 10,691 34.4 27.44 41.98 92 9,299 29.9 21.05 40.50 Location Urban 1,334 2,781,933 35.7 33.20 38.32 868 1,863,745 23.9 21.43 26.63 Rural 967 859,261 39.9 36.82 43.07 608 593,136 27.5 23.96 31.44 Age Group (Years) 20-24 33 97,659 7.1 3.91 12.56 68 186,111 13.5 9.10 19.65 25-29 138 373,822 26.5 21.60 32.05 144 435,966 30.9 24.91 37.62 30-34 243 483,305 38.7 31.97 45.93 172 319,291 25.6 20.38 31.58 35-39 286 556,142 48.4 42.68 54.11 172 330,708 28.8 23.64 34.51 40-44 293 464,719 53.6 47.01 60.06 164 277,871 32.0 26.30 38.39 45-49 282 422,747 50.4 44.68 56.13 164 226,616 27.0 22.33 32.30 50-54 276 393,906 50.7 44.66 56.75 157 216,267 27.8 22.68 33.68 55-59 298 352,138 52.9 46.37 59.33 153 177,521 26.7 21.87 32.08 60-64 196 215,188 38.7 32.47 45.22 113 120,403 21.6 16.90 27.24 65-69 135 148,436 36.1 27.87 45.30 88 91,435 22.3 16.82 28.83 70-74 65 75,012 25.7 19.02 33.78 43 41,413 14.2 8.95 21.77 75 & above 56 58,120 16.6 11.57 23.24 38 33,278 9.5 6.33 14.04 Ethnicity Malaya 1,514 1,974,578 37.8 35.37 40.24 984 1,308,190 25.0 22.51 27.75 Chinese 274 809,049 37.8 31.80 44.19 187 537,134 25.1 20.23 30.68 Indian 169 243,909 38.6 32.61 45.02 97 133,092 21.1 15.42 28.13 Bumiputera Sabah 134 225,365 34.5 28.88 40.67 87 201,333 30.9 23.28 39.62 Bumiputera Sarawak 127 205,745 45.9 39.66 52.30 64 116,524 26.0 17.62 36.60 Others 83 182,547 21.7 15.26 29.86 57 160,608 19.1 11.85 29.26