Use of mammography among women residing in Spanish provinces with breast cancer screening programmes

Luengo, S.; Lázaro, Pablo; Azcona, B.; Madero, Rosário; Fitch, Kate

doi:10.1097/00008469-199912000-00007

Cited by 8 publications

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“…There were significant associations in this study between lifetime attendees and non-attendees regarding having a breast condition or BC in the family and the close relations, such that women with a breast condition or who had relatives or close friends with cancer were more likely to attend for mammography during their lifetime. Similarly, having a family member or close friends with BC was found to be associated with mammography attendance in other studies [ 46 , 47 ] but contrast others [ 48 – 50 ]. Women most often play key roles as health managers and family caregivers [ 51 – 53 ] and this is not only reflected in that women more regularly than men are searching for health-related information on the Internet [ 54 ] but in women seeking a preventive action when faced with a prior personal or close relation experience that subsequently triggers them to engage in a health-related behaviour [ 50 , 55 , 56 ].…”

Section: Discussionmentioning

confidence: 58%

Lifetime utilization of mammography among Maltese women: a cross-sectional survey

Marmarà

Hubbard

2018

BMC Public Health

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BackgroundThe knowledge of Maltese women not attending the Maltese Breast Screening Programme (MBSP) for mammography screening is scarce. Previous research has identified two distinct groups of non-attendees: those who do not attend because a mammogram was taken elsewhere and those who never attended for mammography anywhere. It is however unknown which determinants are predictive of lifetime attendance ‘anywhere’ and ‘real’ non-attendance. The present study examines the relationship between ever-using (Lifetime attendees) or never using mammography (Lifetime non-attendees) and psychosocial - as well as sociodemographic factors, with the aim to identify predictors that can inform practice.MethodsWomen’s characteristics, knowledge, health beliefs and illness perceptions were compared, based on prior data of 404 women, aged 50–60 years at the time of their first MBSP invitation. The main variable of interest described women’s attendance to mammography (LIFETIME ATTENDEES) and no mammography (LIFETIME NON-ATTENDEES). Data were analyzed using descriptive statistics, chi-square tests, Mann Whitney test, Independent Samples t-test, Shapiro Wilk test and logistic regression.ResultsDuring their lifetime, 86.1% of Maltese women (n = 348) were attendees, while 13.9% (n = 56) were non-attendees. Non-attendees were more likely to be women with a lower family income (χ2 = 13.1, p = 0.011), widowers (χ2 = 9.0, p = 0.030), non-drivers (χ2 = 7.7, p = 0.006), without a breast condition (χ2 = 14.2, p < 0.001), who had no relatives or close friends with cancer (χ2 = 8.3, p = 0.016), and who were less encouraged by a physician (χ2 = 4.9, p = 0.027), unsure of the screening frequency (χ2 = 28.5, p < 0.001), more anxious (p = 0.040) and fearful (p = 0.039). Perceived benefits, barriers, cues to action, self-efficacy and emotional representations were the most significant variables to describe the differences between lifetime attendees and non-attendees. Perceived barriers and cues to action were the strongest predictors for lifetime non-attendance (p < 0.05 respectively).ConclusionsThe health beliefs of women who have never attended for mammography during their lifetime should be targeted, particularly perceived barriers and cues to action. Further research should focus on understanding knowledge gaps, attitudinal barriers and emotional factors among ‘real’ non-attendees who require a more targeted approach.

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Section: Discussionmentioning

confidence: 58%

Lifetime utilization of mammography among Maltese women: a cross-sectional survey

Marmarà

Hubbard

2018

BMC Public Health

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“…26 Our study found that having benign breast disease encouraged individuals to participate in screenings. Similarly, personal breast disease history was related to participation in screenings in a study by Luengo et al 27 A study by Lagerlund et al found that the probability of not participating screening was three times higher in women who did not have breast problems than those who had breast problems. 9 Women who have breast cancer in their family or encounter these problems in their social circle may tend to participate in this program more as a result of higher awareness.…”

Section: Discussionmentioning

confidence: 92%

The Relationship Between Participation in Mammography Screening Program and Health Literacy

Keskin

2019

Turkish Journal of Family Medicine and Primary Care

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Background/Aim: Breast cancer is the most common type of cancer in women around the world. This study aimed to determine the factors that affect participation in a mammography screening program, and analyze the effect of health literacy on women's level of participation in this program.Methods: The study was planned as a case-control study. Women aged 40-69 years were included in the study. The cases consisted of women who had never participated in the mammography screening program before, and controls consisted of women who had participated in the mammography screening program in the last two years. The study used Turkey Health Literacy Scale and a data form that included questions about participants' sociodemographic characteristics and reasons for not having participated in the screening program. The data were collected in a family health center and the Cancer Early Diagnosis Screening and Training Centers (CEDSTC) between April and June 2017 during individual interviews.Results/Findings: A total of 619 individuals (case group: 212; control group: 407) participated in this study. The scores of the women that had not participated in the mammography screening program on health literacy scale (29.2±6.8) were lower than that of the women that had participated in this program (33.7±4.8) (p<0.05). In logistic regression analysis, having benign breast diseases (OR: 0.04) and breast cancer history of their family (OR: 0.36) and friends (OR: 0.22) decrease the risk of avoiding mammography screening. This risk of not participating in screening was higher among the women that were working in jobs bringing income to them (OR: 1.74). In addition, the numerical variables, health literacy score (OR: 0.84), age (OR: 0.96) and number of children (OR: 0.62) increased, the risk of not participating in the screening program was found to decrease.Conclusion: Improving health literacy in women is a factor that positively affects participation in breast cancer screening program. It is also necessary to plan support for women in working life to increase participation in the screening programs.

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Breast Cancer

2006

Wiley Handbook of Current and Emerging Drug Therapies

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Use of mammography among women residing in Spanish provinces with breast cancer screening programmes

Cited by 8 publications

References 0 publications

Lifetime utilization of mammography among Maltese women: a cross-sectional survey

Lifetime utilization of mammography among Maltese women: a cross-sectional survey

The Relationship Between Participation in Mammography Screening Program and Health Literacy

Breast Cancer

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