Factors influencing participation in breast cancer screening

Edgar, Lynne; Glackin, Marie; Hughes, Caroline; Rogers, Katherine

doi:10.12968/bjon.2013.22.17.1021

Cited by 32 publications

(21 citation statements)

References 26 publications

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“…Thus, our findings are similar to those in previous studies reporting that physician recommendation, acculturation and length of stay in the United States, and barriers to mammography were significantly associated with screening behavior. 16,25,37,[77][78][79][80][81][82][83][84] Self-efficacy is a key variable in the Health Belief Model (HBM). Interestingly, self-efficacy was significant in distinguishing between women who had never had a mammogram and those who had had at least one but was not a predictor for adherence to screening guidelines.…”

Section: Discussionmentioning

confidence: 99%

“…1,[9][10][11][12][13][14][15] Low mammography use has been associated with a variety of factors, including not having a medical home, not having health insurance, being a recent immigrant, and having low levels of knowledge and awareness about breast cancer. [16][17][18] Migration to Western countries and increased length of stay are associated with increased risk of breast cancer, 19 which in turn is attributed to a number of factors and is compounded by barriers to timely screening. 20 Ethnicminority women residing in Western countries are more likely to be diagnosed with advanced-stage disease and hence have higher mortality rates.…”

Section: Introductionmentioning

confidence: 99%

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Breast Cancer Screening Practices Among First-Generation Immigrant Muslim Women

Hasnain

Menon

Ferrans

et al. 2014

Journal of Women's Health

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Background: The purpose of this study was to identify beliefs about breast cancer, screening practices, and factors associated with mammography use among first-generation immigrant Muslim women in Chicago, IL. Methods: A convenience sample of 207 first-generation immigrant Muslim women (Middle Eastern 51%; South Asian 49%) completed a culturally adapted questionnaire developed from established instruments. The questionnaire was administered in Urdu, Hindi, Arabic, or English, based on participant preference. Internalconsistency reliability was demonstrated for all scales (alpha coefficients ranged from 0.64 to 0.91). Associations between enabling, predisposing, and need variables and the primary outcome of mammography use were explored by fitting logistic regression models. Results: Although 70% of the women reported having had a mammogram at least once, only 52% had had one within the past 2 years. Four factors were significant predictors of ever having had a mammogram: years in the United States, self-efficacy, perceived importance of mammography, and intent to be screened. Five factors were significant predictors of adherence (having had a mammogram in the past 2 years): years in the United States, having a primary care provider, perceived importance of mammography, barriers, and intent to be screened. Conclusions: This article sheds light on current screening practices and identifies theory-based constructs that facilitate and hinder Muslim women's participation in mammography screening. Our findings provide insights for reaching out particularly to new immigrants, developing patient education programs grounded in culturally appropriate approaches to address perceived barriers and building women's self-efficacy, as well as systemslevel considerations for ensuring access to primary care providers.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Breast Cancer Screening Practices Among First-Generation Immigrant Muslim Women

Hasnain

Menon

Ferrans

et al. 2014

Journal of Women's Health

View full text Add to dashboard Cite

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“…Nevertheless, the attendance rates in the counties vary from 71% to 90% (Swedish Breast Cancer Association, 2015); differences have also been found among areas in cities, with attendance rates ranging from 37% to 82% (Zackrisson, Lindström, Moghaddassi, Andersson, & Janzon, 2007). An integrative literature review of earlier studies regarding factors influencing mammographic screening participation has identified a range of reasons, from individual circumstances to more general conditions, such as socioeconomic status and age (Edgar, Glackin, Hughes, Mary, & Rogers, 2013), with many of the studies focusing on non-participation (Achat, Close, & Taylor, 2005; Borda et al, 2011; Brustrom & Hunter, 2001; Fallowfield, Rodway, & Baum, 1990; Gierisch et al, 2009; Johansson & Berterö, 2003; Lagerlund, Hedin, Sparén, Thurfjell, & Lambe, 2000; Lagerlund, Widmark, Lambe, & Tishelman, 2001; Pietrzak, Godlewski, & Adamczak, 2011; Watson-Johnson et al, 2011). This study focuses on the attendees as it could be assumed that continuous participation in mammographic screening is important.…”

Section: Introductionmentioning

confidence: 99%

Experiences and perceptions about undergoing mammographic screening: a qualitative study involving women from a county in Sweden

Zyl

Akhavan

Tillgren

et al. 2018

International Journal of Qualitative Studies on Health and Well

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Purpose: An organized population-based mammographic screening programme aims for an early detection of potential breast abnormalities so that treatment can commence. Continuous participation and a high attendance rate are vital for an effective programme. It is important to understand the underlying reasons for participation in mammographic screening, should there be factors that are amendable within reason and could be adjusted. Therefore, the invited women are valuable sources of information. This study aimed at describing the experiences and perceptions about mammographic screening of women from three municipalities in a Swedish county. Method: Six semi-structured focus-group discussions, each with four to five participants, were held. Content analysis was then conducted. Results: The screening procedure, such as staff professionalism, was covered. Other people’s opinions and the woman’s own understanding affected the women’s decisions on whether or not to undergo the procedure. Structural conditions, such as travel time and financial issues, were sources of concern. However, the offer to perform mammographic screening was perceived with gratitude. Conclusions: Structural conditions, risk and time perceptions, the screening procedure, attitudes towards undergoing it and appreciation of its benefit may influence the women’s continuous willingness to be screened, which in turn may affect public and individual health.

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“…Experiences of racism, stereotypes, linguistic and cultural barriers including the way in which screening guidelines are not culturally relevant have all been reported to result in disease going undetected for longer periods of time among BME populations [21][22][23]. Research has also reported that religion and culture influence patients' health behaviour in terms of the perceived benefit of engaging in recommended disease prevention activities choice of treatment options and delays in help-seeking [24][25][26][27].…”

Section: Introductionmentioning

confidence: 99%

Exploring Factors Contributing to Low Uptake of the NHS Breast Cancer Screening Programme among Black African Women in the UK

Bamidele¹,

Ali²,

Papadopoulos³

et al. 2017

Divers Equal Health Care

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What is known about this topic?• Advances in breast screening services have led to improvements in early detection, reduced mortality and better management of breast cancer.• Low uptake of the national breast screening programme and delayed presentation of breast cancer symptoms means that mortality from breast cancer continues to be high among Black African women.• Reasons for low uptake of the breast screening services among Black African women are poorly understood. What this paper adds?• This paper presents salient factors leading to low uptake of the NHS Breast Screening programme by Black African women in England.• There is need for culturally relevant interventions to improve knowledge on cancer, cancer screening and treatments options for Black African women.• These interventions should be delivered through community social networks, community media (TV, Radio, newspapers, workshops) and faith settings such as Churches and Mosques.• Offering appropriate and culturally sensitive pre-screening and post-screening counselling services could also help increase Black African women's awareness about breast cancer, reduce their perceptions of the stigma associated with cancer and allay their fears of fatal breast cancer outcomes. ABSTRACTBreast cancer is the most common cancer among women in the United Kingdom (UK) accounting for about 15% of cancer deaths. The National Breast Cancer Screening Programme in the UK was introduced in 1988 to assist with early detection and better management of breast cancer. Black and Minority Ethnic (BME) women however have a low uptake of the National Breast Screening programme when compared to their White counterparts. Within the BME group, Black African women have the lowest uptake of screening services and are more likely to have an advanced stage of the disease at diagnosis, leading to poorer survival rates than White women. This study aimed to explore the factors that lead to low uptake of the National Breast Cancer Screening Programme among Black African women living in Luton, UK and present action points to local breast cancer services. Using a qualitative research design, six focus groups were conducted with a total of twenty-five Black African women residing in Luton between May and June in 2013. Data was analysed thematically using the framework approach. Four main themes emerged across the focus group discussions: awareness and beliefs about breast cancer and risk factors, prevention of breast cancer and awareness of the NHS breast screening programme, low uptake of the NHS breast screening service and suggestions for improving information on breast cancer and the NHS breast cancer screening programme. The findings from this study suggest the need for more targeted information on breast cancer and screening services for Black African women. This could help improve the uptake of the NHS breast screening programme, promote early help-seeking behaviour and improve breast cancer outcomes for this ethnic group.

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Factors influencing participation in breast cancer screening

Cited by 32 publications

References 26 publications

Breast Cancer Screening Practices Among First-Generation Immigrant Muslim Women

Breast Cancer Screening Practices Among First-Generation Immigrant Muslim Women

Experiences and perceptions about undergoing mammographic screening: a qualitative study involving women from a county in Sweden

Exploring Factors Contributing to Low Uptake of the NHS Breast Cancer Screening Programme among Black African Women in the UK

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