Analyzing factors associated with women’s attitudes and behaviors toward screening mammography using design-based logistic regression

Abstract

We examined the factors associated with screening mammography adherence behaviors and influencing factors on women's attitudes toward mammography in non-adherent women. Design-based logistic regression models were developed to characterize the influencing factors, including socio-demographic, health related, behavioral characteristics, and knowledge of breast cancer/mammography, on women's compliance with and attitudes toward mammography using the 2003 Health Information National Trends Survey data. Findings indicate significant associations among adherence to mammography and marital status, income, health coverage, being advised by a doctor to have a mammogram, having had Pap smear before, perception of chance of getting breast cancer, and knowledge of mammography (frequency of doing mammogram) in both women younger than 65 and women aged 65 and older. However, number of visits to a healthcare provider per year and lifetime number of smoked cigarettes are only significant for women younger than 65. Factors significantly associated with attitudes toward mammography in non-adherent women are age, being advised by a doctor to have a mammogram, and seeking cancer information. To enhance adherence to mammography programs, physicians need to continue to advise their patients to obtain mammograms. In addition, increasing women's knowledge about the frequency and starting age for screening mammography may improve women's adherence. Financially related factors such as income and insurance are also shown to be significant factors. Hence, healthcare policies aimed at providing breast cancer screening services to underserved women will likely enhance mammography participation.

The sociodemographic profile of women participating in mammography screening in Lower Silesia

“…The study also showed that more than three quarters (78%) of all participants lived in Wrocław, probably because large urban centers tend to provide better access to healthcare resources. This observation is consistent with the findings of many previous studies conducted both in Poland and abroad [17][18][19][20][21].…”

“…Studies conducted in various countries have shown that health behaviors depend on a number of social and demographic factors, such as age, education, marital status, family situation, social class, and material conditions [17][18][19][20][21]. This article focuses specifically on the age, education, occupational status, and place of residence of screening participants under study.…”

Effect of second timed appointments for non-attenders of breast cancer screening in England: a randomised controlled trial

“…Evidence at the ecological and individual level from Europe and North America suggests that socioeconomic deprivation, often in conjunction with specific ethnicity, is strongly associated with non-participation in breast cancer screening 11, 12, 13, 14, 15, 16. Transport issues and difficulties in getting to the screening appointment are cited as reasons for non-participation 12, 14.…”

Survival Analysis of Women with Triple Negative Breast Cancer Using EMRLinked Cancer Registry Data in Florida

“…The potentially significant impact that social support can have on breast cancer detection, treatment, and survival has been well described [45][46][47]. Married women are also more likely to participate in breast cancer screening compared to their unmarried counterparts [48][49][50]. J Womens Health Gyn 2016 | Vol 3: 104…”