Preventive health screening plays a crucial role in the early detection of diseases, allowing for timely intervention and better health outcomes. In Singapore, the Screen for Life (SFL) programme provides subsidised health screenings to eligible residents, making it easier to monitor health and detect conditions such as diabetes, high blood pressure, and certain cancers early.
Understanding what tests are included and how often you should go for screening can help you take full advantage of this programme.
What Is Screen for Life?
Screen for Life is a national health screening initiative by the Health Promotion Board (HPB) of Singapore. It aims to encourage Singaporean citizens and Permanent Residents to undergo regular screenings for chronic diseases and cancers.
The programme offers highly subsidised screenings at Community Health Assist Scheme (CHAS) GP clinics and polyclinics, ensuring that preventive healthcare is accessible to all.
The eligibility criteria for subsidies depend on factors such as age, gender, and pre-existing risk factors. Those who qualify pay only a minimal fee or nothing at all for their screenings.
What Tests Are Included in Screen for Life?
Screen for Life provides screening for various chronic diseases and cancers based on age and risk factors.
Chronic Disease Screening
For adults aged 40 and above, screenings for chronic conditions such as diabetes, high blood pressure (hypertension), and high cholesterol (dyslipidaemia) are recommended. These conditions often show no symptoms in their early stages but can lead to severe complications like heart disease and stroke if left undetected.
Colorectal Cancer Screening
Singaporeans aged 50 and above are encouraged to undergo colorectal cancer screening. The primary test used is the Faecal Immunochemical Test (FIT), a simple at-home stool test that detects hidden blood in the stool, which may be an early sign of colorectal cancer. If abnormalities are found, a follow-up colonoscopy may be required.
Cervical Cancer Screening
Women aged 25 to 69 years who have ever been sexually active should undergo regular cervical cancer screening. The Pap smear test is recommended for women aged 25 to 29, while the HPV test is advised for women aged 30 and above. These tests detect precancerous changes in the cervix, allowing for early treatment before cancer develops.
Breast Cancer Screening
For women aged 50 to 69 years, a mammogram is recommended once every two years. Breast cancer is one of the most common cancers among women in Singapore, and early detection significantly improves treatment outcomes. Women with a family history of breast cancer may need to start screening earlier or undergo more frequent check-ups.
Screening for Other Risk Factors
Depending on your medical history and lifestyle, your doctor may recommend additional screenings, such as checks for obesity, smoking-related conditions, or liver function tests. These screenings help assess overall health and identify risks that can be managed early.
How Often Should You Go for Screening?
The frequency of screenings depends on your age, gender, and risk factors.
- Chronic disease screening (diabetes, hypertension, high cholesterol): Every three years if results are normal, but more frequently if there are risk factors such as obesity, smoking, or a family history of chronic diseases.
- Colorectal cancer screening (FIT test): Every year for those aged 50 and above.
- Cervical cancer screening (Pap smear/HPV test): Pap smear every three years for women aged 25-29, and HPV test every five years for women aged 30-69.
- Breast cancer screening (mammogram): Every two years for women aged 50-69, or earlier and more frequently for those at higher risk.
If you have a family history of chronic diseases or cancers, your doctor may advise more frequent screenings to detect potential issues early.
Conclusion
Regular health screenings are a vital part of maintaining long-term wellness. With the Screen for Life programme, Singapore residents can access affordable and convenient screenings for chronic diseases and cancers, ensuring early detection and timely intervention. By understanding which tests are included and how often they should be done, individuals can take proactive steps toward better health. Scheduling regular screenings, following medical advice, and making lifestyle changes based on screening results can significantly improve overall well-being and quality of life.