Breast cancer screening by mammography: utilization and associated factors.

Zapka, Jane G.; Stoddard, Anne M.; Costanza, Mary E.; Greene, Harru L.

doi:10.2105/ajph.79.11.1499

Cited by 246 publications

(115 citation statements)

References 15 publications

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“…20 Adults with lower socioeconomic status (SES) and older age are less likely to be screened for cancer, more likely to have advanced cancer at presentation, and suffer disproportionately high levels of cancer mortality. [21][22][23][24][25][26][27][28] Low literacy, which correlates with both low SES and older age, is an under-appreciated factor in cancer control communication and patient decisionmaking. 11,27,[29][30][31] Individuals with low health literacy obtain less information from cancer control messages, materials, and conversations.…”

Section: Low Literacy and Communication With Regard To Cancer Screeningmentioning

confidence: 99%

Health Literacy and Cancer Communication

Davis

Williams

Marin

et al. 2002

CA: A Cancer Journal for Clinicians

564

492

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Health literacy is increasingly recognized as a critical factor affecting communication across the continuum of cancer care. We reviewed research on health literacy and examined its impact on cancer outcomes and communication. According to the National Adult Literacy Survey (NALS), considered the most accurate portrait of literacy in our society, about one in five American adults may lack the necessary literacy skills to function adequately in our society. As patients, such individuals are at a disadvantage in their capacity to obtain, process, and understand cancer information and services needed to make appropriate health care decisions. Patients with poor health literacy have a complex array of difficulties with written and oral communication that may limit their understanding of cancer screening and of symptoms of cancer, adversely affecting their stage at diagnosis. In addition, these barriers impair communication and discussion about risks and benefits of treatment options, and patient understanding of informed consent for routine procedures and clinical trials. More research is needed to identify successful methods for educating and communicating with patients who have limited health literacy. Based on our own experience, we offer practical communication aids that can help bridge the cancer communication gap.

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Section: Low Literacy and Communication With Regard To Cancer Screeningmentioning

confidence: 99%

Health Literacy and Cancer Communication

Davis

Williams

Marin

et al. 2002

CA: A Cancer Journal for Clinicians

564

492

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“…9 An important barrier to receiving a mammogram is the woman's or the family's absolute out-of-pocket expenditure for the service. 6,10 Underuse of mammography screening because of burdensome out-of-pocket expenditures may be most common among women who are of low income, 6,8,[11][12][13] are uninsured, 6,7,[12][13][14] are insured through health plans with increased cost sharing, [15][16][17][18][19] or overestimate their copayment. 6,10 In fact, both the perceived and actual out-of-pocket expenditures have been demonstrated to be the most important aspect of cost that acts as a barrier to receiving a mammogram.…”

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confidence: 99%

A National Study of Out-of-Pocket Expenditures for Mammography Screening

LeMasters

Sambamoorthi

2011

Journal of Women's Health

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Ordinary least squares regression was used to describe relationships among out-of-pocket mammography expenditures, total mammography expenditures, and out-of-pocket mammography expenditures as a percentage of total mammography expenditures and such independent variables as insurance status and type, income, region of the United States, and type of facility where a mammogram was received. Results: The average out-of-pocket expenditure for a mammogram in 2007 or 2008 was $33, representing 14.1% of the total mammogram expenditure ($266). After controlling for demographic and health factors, women who were uninsured, were from the Midwest, and had a mammogram at an office-based facility had greater out-ofpocket mammography expenditures. Women who were uninsured, lived in the South, and received their mammogram at an office-based facility had out-of-pocket mammography expenditures that represented a greater proportion of the total mammography expenditures. Conclusions: Large variations in out-of-pocket expenditures were observed among women with and without insurance and between insurance types, geographic regions of the United States, and types of facilities where mammograms were received. A higher financial burden of mammography screening among some subgroups of women may act as a barrier to future mammography screening.

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“…Sin embargo, y concretamente sobre el papel del médico, hay que señalar que, cuando considerábamos la muestra total de nuestro estudio sin establecer subgrupos de edad, el médico era el único factor de influencia social que no se asociaba con la asistencia al programa de cribado (Andreu, Galdón, Durá y Tuells, en preparación), contrariamente a lo señalado por la bibliografía 39,[67][68][69][70][71][72][73][74] . Este resultado se ha visto matizado en el presente trabajo y así, al considerar subgrupos de edad, los resultados señalan que la presión percibida por parte del médico para realizarse mamografías es un factor importante para la asistencia a programas de cribado sólo en el caso de las mujeres más jóvenes (menos de 50 años), precisamente en aquellas para las que no existe un claro consenso en las pautas de screening recomendadas [10][11][12][13][14][15][16] y en las que, seguramente, es más habitual la realización de revisiones ginecológicas regulares; siendo que son los ginecólogos los médicos más predispuestos a recomendar la mamografía a sus pacientes 74,75 .…”

Section: Discussionunclassified

Age, Health Beliefs and Breast Cancer Screening Program Participation in Valencian Community, Spain

Vaíllo

Garrido

Ferrandis

et al. 2004

Rev. Esp. Salud Publica

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RESUMENFundamento: La edad influye significativamente en las creencias de salud relacionadas con la asistencia a programas de cribado mamográfico. El objetivo de este trabajo es analizar las creencias y actitudes hacia el cáncer de mama asociadas a la asistencia a un programa de cribado en diferentes grupos de edad. Métodos:Utilizando un diseño transversal se comparan las creencias de salud de un grupo de mujeres que acuden a un programa de cribado con las de las mujeres que no lo hacen, considerando tres intervalos de edad: menores de 50 años (N=279), 50-60 años (N=463), mayores de 60 (N=271).Resultados: Algunas variables diferencian significativamente entre las mujeres que acuden y no acuden al programa sólo en determinados subgrupos: gravedad percibida (50-60 años: F=5,14; p ≤ 0,01); beneficios percibidos (menos de 50 años: F=8,18; p ≤ 0,01; más de 60: F=4,54; p ≤ 0,05); actitud hacia la mamografía (menos de 50 años: F=56,67; p ≤ 0,001; más de 60: F=18,42; p ≤ 0,001); control de la salud por profesionales (menos de 50 años: F=11,30; p ≤ 0,01) y suerte o azar (menos de 50 años: F=3,78; p ≤ 0,05; 50-60 años: F=4,29; p ≤ ,001). Creencias más específicas, evaluadas por los items de estas variables, también alcanzan la significación estadística (p ≤ 0,05), aunque sólo para determinados intervalos de edad. Conclusiones:Las creencias y/o las actitudes de las mujeres relacionadas con la asistencia a los programas de prevención del cán-cer de mama difieren en función de su edad.Palabras clave: Distribución por edad. Prevención. Neoplasias. ABSTRACT Age, Health Beliefs and Breast Cancer Screening Program Participation in Valencian Community, SpainBackground: Age has a significant bearing on health beliefs related to participating in breast cancer screening programs. This study is aimed at analyzing the breast cancer-related beliefs and attitudes influencing screening program participation among different age groups.Methods: In a transversal study, a comparison is drawn between the health-related beliefs of a group of women participating in a screening program and a group of non-participating women, taking into account three age ranges (under age 50 (N=279), 50-60 age range (N=463), and over age 60 (N=271).Results: Some variables significantly differ between the participating and non-participating women solely in certain subgroups: perceived severity (50-60 age group: F=5,14; p<0,01); perceived benefits (under age 50: F=8,18; p<0,01; over age 60: F=4,54; p<.05); mammogram-related attitude (under age 50: F=56.67; p?.001; over age 60: F=18.42; p<0.001); professional health checkups (under age 50: F=11.30; p<0.01) and luck or chance (under age 50:F=3.78; p<0.05; 50-60 age group: F=4.29; p<0.001). More specific beliefs, assessed by items from these scales, are also statistically significant (p<0.05), although only for certain age groups.Conclusions: Women's breast cancer prevention program participation related beliefs and/or attitudes differ in terms of their age.

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Breast cancer screening by mammography: utilization and associated factors.

Cited by 246 publications

References 15 publications

Health Literacy and Cancer Communication

Health Literacy and Cancer Communication

A National Study of Out-of-Pocket Expenditures for Mammography Screening

Age, Health Beliefs and Breast Cancer Screening Program Participation in Valencian Community, Spain

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