Health Beliefs and Illness Perceptions as Related to Mammography Uptake in Randomly Selected Women in Greece

Anagnostopoulos, Fotios; Dimitrakaki, Christine; Fitzsimmons, Deborah; Potamianos, G.; Niakas, Dimitris; Tountas, Yannis

doi:10.1007/s10880-011-9272-1

Cited by 27 publications

(50 citation statements)

References 73 publications

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“…[18] A study conducted in Greece suggested that women who perceived fewer benefits and more barriers to mammography screening, and who have more negative emotional representations of breast cancer or no private health insurance coverage were more likely to have no screening mammography. [19] Based on these above studies, behavioral interventions, theory-based education, and interventions targeted at physicians or providers were effective to promote screening.…”

Section: Introductionmentioning

confidence: 99%

Women with abnormal screening mammography lost to follow-up

et al. 2016

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Breast cancer has the highest incidence among all cancers for women in Taiwan. The current screening policy in Taiwan suggested a biennial mammography for all women 40 to 69 years of age. A recommendation for additional testing is recommended for women with a BI-RADS result of 0 or 4; a request made via postal mail. Approximately 20% of high-risk patients do not receive additional follow-up. Therefore, we aimed to explore the causes of these patients being lost to follow-up, despite an abnormal mammogram. Two questionnaires were designed separately according to the conceptual framework of the Health Belief Model. Study participants, women who received a screening mammography at the National Taiwan University Hospital in 2011 with a BI-RAD of 0 or 4, were interviewed via telephone. The dependent variable was receipt of follow-up or not. The analyses were performed by using χ2 tests and logistic regression models. In total, 528 women were enrolled in the study: 51.2% in BI-RADS 0 group and 56.6% in BI-RADS 4, respectively. In the BI-RADS 0 group, those patients who received a follow-up examination cited the most likely causes to be physician suggestion, health implications, and concerns regarding breast cancer. Patients who did not receive a follow-up examination cited a lack of time and a perception of good personal health as primary reasons. In the BI-RADS 4 group, those patients who received a follow-up examination cited the physician's recommendation and a recognition of the importance of follow-up examinations. Patients who did not receive a follow-up examination cited having received follow-up at another hospital and a desire for a second opinion. In the BI-RADS 0 group, multivariate analysis showed that patients with higher scores in the “perceived benefits” domain were statistically more likely to receive a follow-up examination. There was no significant difference in perceived threats, perceived barriers, action cues, or self-efficacy between groups. We conclude that additional education to raise breast cancer awareness in the general public and healthcare providers will be needed to improve the rate of follow-up examinations after an abnormal screening mammogram.

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Section: Introductionmentioning

confidence: 99%

Women with abnormal screening mammography lost to follow-up

et al. 2016

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“…The extant literature suggests that a number of factors influence BS uptake, namely: (1) health beliefs [17–19], (2) illness representations [17, 20, 21], (3) knowledge of BC signs and symptoms, its causes and consequences, and recommended BS practices [22, 23], (4) socio-demographic factors [22, 24, 25], and (5) health status (medical factors) [17, 25–27]. …”

Section: Introductionmentioning

confidence: 99%

“…The Health Belief Model (HBM) was selected as one of the theoretical models for the current study, as it is widely used to identify associated variables with mammography and guides the prediction of screening behaviours [17, 18]. The HBM consists of six constructs: perceived susceptibility, perceived severity, perceived benefits, perceived barriers, cues to action, and self-efficacy [28, 29].…”

Section: Introductionmentioning

confidence: 99%

“…HBM, however, only explains some variation in BS behaviour [29], which is why the Common-Sense Model (CSM) of self-regulation [or Self-Regulation Model (SRM)], developed by Leventhal and colleagues in 1980s, has been used to consider the cognitive and emotional representations of an illness [17]. This study was also informed by the CSM to understand how individual symptoms and emotions influence one’s perception of BC, such as its likely impact upon physical and psychosocial functioning, and guide subsequent coping behaviour.…”

Section: Introductionmentioning

confidence: 99%

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Health beliefs, illness perceptions and determinants of breast screening uptake in Malta: a cross-sectional survey

Marmarà

Hubbard

2017

BMC Public Health

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BackgroundWomen’s beliefs and representations of breast cancer (BC) and breast screening (BS) are salient predictors for BS practices. This study utilized the health belief model (HBM) and common-sense model (CSM) of illness self-regulation to explore factors associated with BS uptake in Malta and subsequently, to identify the most important predictors to first screening uptake.MethodsThis cross-sectional survey enrolled Maltese women (n = 404) ages 50 to 60 at the time of their first screening invitation, invited to the National Breast Screening Programme by stratified random sampling, with no personal history of BC. Participants responded to a 121-item questionnaire by telephone between June–September 2015. Data were analyzed using descriptive statistics, chi-square tests and logistic regression.ResultsThere is high awareness of BC signs and symptoms among Maltese women (>80% agreement for 7 out of 8 signs), but wide variation about causation (e.g., germ or virus: 38.6% ‘agree’, 30.7% ‘disagree’). ‘Fear’ was the key reason for non-attendance to first invitation (41%, n = 66) and was statistically significant across all subscale items (p < 0.05). Most items within HBM constructs (perceived barriers; cues to action; self-efficacy) were significantly associated with first invitation to the National Breast Screening Programme, such as fear of result (χ2 = 12.0, p = 0.017) and life problems were considered greater than getting mammography (χ2 = 38.8, p = 0.000). Items within CSM constructs of Illness Representation (BC causes; cyclical cancer timeline; consequences) were also significantly associated, such as BC was considered to be life-changing (χ2 = 18.0, p = 0.000) with serious financial consequences (χ2 = 13.3, p = 0.004). There were no significant associations for socio-demographic or health status variables with uptake, except for family income (χ2 = 9.7, p = 0.047). Logistic regression analyses showed that HBM constructs, in particular perceived barriers, were the strongest predictors of non-attendance to first invitation throughout the analyses (p < 0.05). However, the inclusion of illness representation dimensions improved the model accuracy to predict non-attendance when compared to HBM alone (65% vs 38.8%).ConclusionsInterventions should be based on theory including HBM and CSM constructs, and should target first BS uptake and specific barriers to reduce disparities and increase BS uptake in Malta.Electronic supplementary materialThe online version of this article (doi:10.1186/s12889-017-4324-6) contains supplementary material, which is available to authorized users.

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“…Research on illness perceptions in patients with breast cancer illustrates the clinical and scientific value of self-regulation model, as can be seen in Table 1 in which a substantial number of empirical studies available on this topic is summarized (Anagnostopoulos et al, 2012;Anagnostopoulos & Spanea, 2005;Beadle et al, 2004;Duric et al, 2007;Frith & Harcourt, 2007;Hunter, Grunfeld, & Ramirez, 2003;Kucukkaya, 2010;Kwate, Thompson, Valdimarsdottir, & Bovjberg, 2005;Lavery, & Clarke, 1996;McCorry et al, in press;Millar, Purushotham, McLatchie, George, & Murray, 2005;Mulders, Vingerhoets, & Breed, 2008;Rozema, Völlink, & Lechner, 2009;Silva, Moreira, & Canavarro, 2012;Thuné-Boyle, Myers, & Newman, 2006).The results of the studies show how various dimensions of illness perceptions are associated with different aspects of (medical or behavioral) outcome.…”

Section: Introductionmentioning

confidence: 99%

Illness Perceptions and Quality of Life in Japanese and Dutch Women with Breast Cancer

Kaptein

Yamaoka

Snoei

et al. 2013

Journal of Psychosocial Oncology

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Knowledge on cross-cultural quality of life (QOL) and illness perceptions may help women with breast cancer cope more effectively. The self regulation model (SRM) guided the current exploratory longitudinal pilot-study. Central to SRM is the perception of health threats and their effects on QOL. Illness perceptions and QOL were assessed in 22 Dutch and 21 Japanese patients with breast cancer who filled out questionnaires before, 1 week, and 8 weeks after the first chemotherapy course. The questionnaires assessed QOL and illness perceptions. Patients' scores were compared with groups of patients with other chronic somatic illnesses (asthma, diabetes). Patients in both samples reported major impact of chemotherapy on global health status, physical functioning, role functioning, emotional functioning, constipation and diarrhea. Differences between Japanese and Dutch patients were limited to social functioning and financial problems. Japanese patients expressed stronger concerns about their illness than Dutch patients. Results of the Japanese and Dutch patients with breast cancer differed from data in patients with asthma on consequences, timeline, concern and emotional response. Results of Japanese patients differed from patients with type 2 diabetes on timeline and concern, whereas Dutch patients differed on timeline and consequences. Japanese and Dutch breast cancer patients have-overall-similar illness perceptions and QOL responses and are aware of the typical characteristics of their disease. The results support the feasibility of cross-cultural psychosocial research in oncology and offer implications for clinical interventions which impact on self-efficacy to empower patients with breast cancer.

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Health Beliefs and Illness Perceptions as Related to Mammography Uptake in Randomly Selected Women in Greece

Cited by 27 publications

References 73 publications

Women with abnormal screening mammography lost to follow-up

Women with abnormal screening mammography lost to follow-up

Health beliefs, illness perceptions and determinants of breast screening uptake in Malta: a cross-sectional survey

Illness Perceptions and Quality of Life in Japanese and Dutch Women with Breast Cancer

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