Cancer screening in Greece. Guideline awareness and prescription behavior among Hellenic physicians

Kamposioras, Konstantinos; Mauri, Davide; Alevizaki, P.; Ferentinos, Georgios; Karampoiki, Vassiliki; Kouiroukidou, P.; Zorba, E.; Proiskos, Anastasios; Chasioti, Dimitra; Panou, Charalampos; Gkinosati, Anastasia; Chatziioannou, Ioanna; Aggelinas, Georgios; Xilomenos, Apostolos

doi:10.1016/j.ejim.2007.10.018

Cited by 16 publications

(10 citation statements)

References 24 publications

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“…Conflicting expert recommendations regarding breast cancer screening may result in diminished uptake of mammography over time (Han et al, 2007). Screening tests are advised at suboptimal rates (Kamposioras et al, 2008), inequalities in access to and use of specialized healthcare services are large (Athanasakis et al, in press), while waiting lists for diagnostic tests are long (Geitona & Kanavos, 2010). National guidelines for cancer screening are lacking and a well-developed referral system is not available.…”

Section: Discussionmentioning

confidence: 99%

“…Women who reported two or more prior mammograms during their lifetime were regarded as having undergone repeat mammography screening. Because of the confusion and controversy about breast cancer screening guidelines regarding target age-groups and screening periodicity (e.g., in Greece, Kamposioras et al, 2008;Trigoni et al, 2011), compliance guidelines and mammography adherence definitions, these distinct variables were chosen as measures of mammography practice.…”

Section: Early Detection Practicesmentioning

confidence: 99%

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

Anagnostopoulos

Dimitrakaki

Fitzsimmons

et al. 2011

J Clin Psychol Med Settings

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Previous research has shown that, although routine mammography screening can reduce mortality from breast cancer, the use of annual mammography screening remains well under 65%. In an effort to determine the factors that are associated with women's mammography behaviors, this study used the health belief model and the common-sense model of self-regulation as the theoretical frameworks to explore health beliefs, illness representations, and women's mammography practice. Data were obtained from a nationally representative sample of 408 Greek women, 40 years of age or older, with no personal history of cancer. Three dependent variables were considered: recent mammography, repeat mammography, and no mammogram during lifetime. Predictors included socio-demographic and medical variables, perceived benefits of mammography screening, perceived barriers to mammography screening, self-efficacy, as well as illness perceptions. Multivariate analyzes indicated that never having had a mammogram was more likely for women who perceived fewer benefits and more barriers to mammography screening, had more negative emotional representations of breast cancer, and had no private health insurance coverage. Factors associated with recent mammography were younger age, a good knowledge of the recommended mammography screening interval, a family history of breast cancer, and use of patient reminders for next mammogram. Adequate knowledge about the recommended mammography screening interval and higher values for breast cancer worry were associated with an increased number of repeat lifetime mammograms. Implications of the results and suggestions for future research are outlined.

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Section: Discussionmentioning

confidence: 99%

Section: Early Detection Practicesmentioning

confidence: 99%

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

Anagnostopoulos

Dimitrakaki

Fitzsimmons

et al. 2011

J Clin Psychol Med Settings

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“…Thereafter patients willing to undergo preventive tests and waiting for a call from the institution would not have been screened. Secondly, there is fair evidence that low screening rates might stem from primary care physicians' point of view towards responsibilities in screening delivery [33,34]. In this sense the low rate of screened individuals seems to be reasonable.…”

Section: Discussionmentioning

confidence: 99%

Screening practice and misplaced priorities

et al. 2009

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“…Within Greece, evidence has identified low participation rates in the participation in mammography screening (Kamposioras et al 2008;Dimitrakaki et al 2009;Mauri et al 2009). For example, Simou et.…”

Section: Role Of Screeningmentioning

confidence: 99%

“…This means that participation in mammograms, often after a Clinical Breast Examination (CBE), depends on advice from primary care providers and on individuals' requests for screening, since a centralised invitational register is lacking (Kamposioras et al 2008). Women use either the National Sector, where they pay a minimum fee, or the Private Sector, where they pay the full cost of screening.…”

Section: Introductionmentioning

confidence: 99%

Factors that influence mammography screening behaviour: A qualitative study of Greek women's experiences

Kaltsa¹,

Holloway²,

Cox³

2013

European Journal of Oncology Nursing

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Aim: To identify the factors that influence mammography screening behaviour in a sample of Greek women.Methods/Sample: Data were collected in Athens-Greece, from individuals who were members of six women's associations. A subset of 33 women were interviewed about their screening behaviour and experiences out of the 186 women who completed an initial questionnaire. This paper focuses on the findings revealed from the interviews.Women's associations were approached for the recruitment of the interviewees.Results: Influences arising from women's immediate networks, such as family and close friends, appeared to be of essential importance in relation to their screening behaviour, while influences from their broader networks were of moderate impact.Fear acted as a motivator but also as a barrier in relation to mammography screening participation. Experiences that arose from engagement with the mammography screening processes were mostly characterized by having to overcome a variety of obstacles, such as long bureaucratic procedures and distrust in doctors. Conclusions:The interpersonal relationships between women and their social networks appeared to have an important and influential role in relation to breast screening behaviour. The quality of these relationships appeared to determine women's participation in mammography screening. It would appear that future practice needs to focus on these relationships in order to utilize them in a positive way. Future research is needed to explore this further.

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Cancer screening in Greece. Guideline awareness and prescription behavior among Hellenic physicians

Cited by 16 publications

References 24 publications

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

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

Screening practice and misplaced priorities

Factors that influence mammography screening behaviour: A qualitative study of Greek women's experiences

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