Factors Affecting To Participation In Population-based Mammography Screening

Abstract

Objectives: This study aims to investigate the demographic or risk factors affecting participation in a population-based breast screening with mammography program in a rural area of Turkey. Patients and Methods:This definitive epidemiological study was carried out between December 2002 and August 2003, in a town of Ankara. Of the 784 women, 710 were interviewed and 462 (58.9%) of them participated in the screening. A questionnaire was used for collecting data. Results: The mean age of the women was 50.7±10.0 years. Fifty four percent of the single, widowed or divorced women (p=0.001), 62.5% of those aged 60 years or older (p<0.001), and 42.8% of the illiterate or literate women (p<0.001) did not participate the screening. Women, who were elder had a 1.1-fold greater risk of nonparticipation in mammography screening than younger ones (95% confidence interval, 1.04-1.09), and those who were postmenopausal had 1.5-fold greater risk than those who were premenopausal (95% confidence interval, 1.04-2.22). Conclusion: Age, marital, educational and menopausal statuses seem to be effective on participation in the population-based study. Screening programs should be planned considering these factors. Bekar dul veya boşanmış olanların %54'ünün (p=0.0001), 60 yaş ve üzerindekilerin %62.5'inin (p<0.001) ve okuma yazma bilmeyen veya okur yazar olanların %42.8'inin (p<0.001) taramaya katılmadığı saptandı. Yaşlı kadınların gençlere göre mamografi taramasına katılmama riskinin 1.1 kat (1.04-1.09; %95 güven aralığı) ve menopoz sonrası dönemde olanların menopoz öncesi dönemde olanlara göre 1.5 kat (1.04-2.22; %95 güven aralığı) daha fazla olduğu belirlendi. Sonuç: Topluma dayalı meme kanseri taramasına katılımı etkileyen faktörler yaş, medeni durum, eğitim durumu ve menopozda olup olmamadır. Tarama planlanırken katılımı az olabilecek grupların katılımını artıracak uygulamaların geliştirilmesi önerilmektedir.

Knowledge, Attitudes, and Behaviors about Breast Self-Examination and Mammography among Female Primary Healthcare Workers in Diyarbakır, Turkey

“…Similarly, in our study, the low knowledge level of mammography and low screening mammography (34.9%) was detected among PHW. Consistent with the present study, screening mammography was found to be low in the previous research [ 27 – 29 ]. It was lower than expected especially considering the fact that participants were HW [ 13 , 30 ].…”

Interventional Education Methods for Increasing Women’s Participation in Breast Cancer Screening Program

“…Although there are no available statistics showing the percentage of women who have received screening mammograms in Turkey, the Organization for Economic Co-operation and Development (OECD) has reported that the mean screening rate of women in Turkey over the age of 50 years between 2000 and 2009 was 12.4 % [9]. According to the results of studies conducted in Turkey, the rate of women who have had at least one screening mammogram over various periods has varied widely: 12.5 % by Canbulat and Uzun [24], 65.9 % by Açıkgöz et al [25], and 82.4 % by Maral et al [26]. Though the screening rate in this study fell within the defined range, it was higher than the average for Turkey as stated by the OECD [9], which may be due to the study being conducted within the city and not including women from rural areas.…”

Contributors of Mammography Screening with Zero-Inflated Count Regression Models by Bayesian Approach

“…In this study age has positive effect on doing mammography in women who go for a mammography at least once. Whereas according to the studies in other countries age had negative effect; in a study conducted in Turkey, elder women had 1.1 fold greater risk of nonparticipation in mammography screening (31) and in Korean women, age had significantly contributed to the poor participation in breast cancer screening programs (32). One of the reason for this difference is related to the modeling strategy for analyzing data.…”