Implementing Breast Cancer Screening Guidelines: Results of the Ontario Health Status Survey

Edwards, Nancy; Boulet, Jack

doi:10.1016/s0749-3797(18)30212-5

Cited by 14 publications

(9 citation statements)

References 9 publications

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“…Similar to other studies, we found that nonattendance was associated with smoking (Rakowski et al, 1993;Beaulieu et al, 1996;Martin et al, 1996;Edwards and Boulet 1997;Maxwell et al, 1997bMaxwell et al, , 2001Aro et al, 1999;Fredman et al, 1999;Lagerlund et al, 2000;Bancej et al, 2005;Jelinski et al, 2005;Lin, 2008;Gierisch et al, 2009;Caleffi et al, 2010;Lopez-de-Andres et al, 2010) and lower leisuretime physical activity (Fajardo et al, 1992;Rakowski et al, 1993;Maxwell et al, 1997bMaxwell et al, , 2001Lin, 2008;Lopez-de-Andres et al, 2010). Similar to other studies, we found that nonattendance was associated with smoking (Rakowski et al, 1993;Beaulieu et al, 1996;Martin et al, 1996;Edwards and Boulet 1997;Maxwell et al, 1997bMaxwell et al, , 2001Aro et al, 1999;Fredman et al, 1999;Lagerlund et al, 2000;Bancej et al, 2005;Jelinski et al, 2005;Lin, 2008;Gierisch et al, 2009;Caleffi et al, 2010;Lopez-de-Andres et al, 2010) and lower leisuretime physical activity (Fajardo et al, 1992;Rakowski et al, 1993;…”

Section: Discussionsupporting

confidence: 91%

“…Many health-related factors have been reasonably well studied in association with mammography screening, and the general message emerging from those studies is that screening attendance is associated positively with nonsmoking and greater physical activity (for example Edwards and Boulet, 1997;Aro et al, 1999;Lagerlund et al, 2000;Maxwell et al, 2001;Lin, 2008;Gierisch et al, 2009;Caleffi et al, 2010;Lopez-de-Andres et al, 2010), but not BMI (Sutton et al, 1994;Staniscia et al, 2003;Lin, 2008;Caleffi et al, 2010) or self-rated health (for example Rodriguez et al, 1995;Maxwell et al, 1997a;Ore et al, 1997;Lagerlund et al, 2000;Lin, 2008). However, the literature does not unanimously support this assumption.…”

Section: Introductionmentioning

confidence: 99%

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Health-related lifestyle factors and mammography screening attendance in a Swedish cohort study

Lagerlund

Drake

Wirfält

et al. 2015

European Journal of Cancer Prevention

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To determine whether health-related lifestyle factors are associated with attendance at a population-based invitational mammography screening program in southern Sweden, data on health-related lifestyle factors (smoking, alcohol use, physical activity, BMI, diet, self-rated health, and stress) were obtained from the Malmö Diet and Cancer Study and linked to the Malmö mammography register (Sweden, 1992-2009). Women (n=11 409) who were free from breast cancer at study entry were included in the cohort, and mammography attendance was followed from cohort entry to 31 December 2009. Generalized estimating equations were used to account for repeated measures within patients. Adjusted odds ratios (OR) and 95% confidence intervals (CI) are reported. Nonattendance occurred in 8% of the 69 746 screening opportunities that were observed. Nonattendance was more common among women who were current or former smokers [OR=1.60 (1.45-1.76) and OR=1.15 (1.05-1.28)], had not used alcohol in the past year [OR=1.55 (1.32-1.83)], were less physically active outside of work [OR=1.10 (1.00-1.20)], had high physical activity at work (OR=1.13, 95% CI: 1.00-1.28), were vegetarians or vegans [OR=1.49 (1.11-1.99)], had not used dietary supplements [OR=1.11 (1.01-1.21)], had poor self-rated health [OR=1.24 (1.14-1.36)], and were experiencing greater stress [OR=1.25 (1.14-1.36)]. In this cohort, nonattendance was associated with smoking, alcohol abstinence, physical activity, poor self-rated health, stress, and following a vegetarian/vegan diet. These findings generally support the notion that women with less healthy lifestyles are less likely to engage in mammography screening.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Health-related lifestyle factors and mammography screening attendance in a Swedish cohort study

Lagerlund

Drake

Wirfält

et al. 2015

European Journal of Cancer Prevention

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“…Several subpopulations, such as rural women, remain relatively underscreened for breast and cervical cancers. [3][4][5][6][7] This is important for both Canada and the United States, where approximately 24% of the population live outside urban areas. 8 Studies show that rural women in Canada are less likely to have had a Pap test within the past 2 years 5 and to participate in mammography, clinical breast examination (CBE), and breast self-examination compared with women living in urban areas, although both had similar access to and regular use of family physicians.…”

Section: Introductionmentioning

confidence: 99%

“…8 Studies show that rural women in Canada are less likely to have had a Pap test within the past 2 years 5 and to participate in mammography, clinical breast examination (CBE), and breast self-examination compared with women living in urban areas, although both had similar access to and regular use of family physicians. 6,7 Most of these differences remained statistically significant after controlling for age, education, income, and marital status, known determinants of women's screening behavior. [4][5][6] Many studies highlight the role of physicians in determining cancer screening rates in women.…”

Section: Introductionmentioning

confidence: 99%

“…6,7 Most of these differences remained statistically significant after controlling for age, education, income, and marital status, known determinants of women's screening behavior. [4][5][6] Many studies highlight the role of physicians in determining cancer screening rates in women. [9][10][11] However, physicians encounter barriers to the provision of preventive health services.…”

Section: Introductionmentioning

confidence: 99%

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Rural Physicians' Perspectives on Cervical and Breast Cancer Screening: A Gender-Based Analysis

Ahmad

Stewart²,

Cameron³

et al. 2001

Journal of Women's Health & Gender-Based Medicine

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Several studies highlight the role of physicians in determining cervical and breast cancer screening rates, and some urban studies report higher screening rates by female physicians. Rural women in North America remain underscreened for breast and cervical cancers. This survey was conducted to determine if there were significant gender differences in practices and perceptions of barriers to breast and cervical cancer screening among rural family physicians in Ontario, Canada. One hundred ninety-one family physicians (response rate 53.1%) who practiced in rural areas, small towns, or small cities completed a mail questionnaire. The physicians' mean age was 44.4 years (SD 9.9), and mean number of years in practice was 16.6 years (SD 10.3). Over 90% of physicians reported that they were very likely to conduct a Pap test and clinical breast examination (CBE) during a periodic health examination, and they had high levels of confidence and comfort in performing these procedures. Male (68%) and female (32%) physicians were similar in their likelihood to conduct screening, levels of confidence and comfort, and knowledge of breast and cervical cancer screening guidelines. However, the self-reported screening rates for Pap tests and CBE performed during last year were higher for female than male physicians (p < 0.01). Male physicians reported they were asked more frequently by patients for a referral to another physician to perform Pap tests and CBE (p < 0.001). Also, male physicians perceived patients' embarrassment as a stronger barrier to performing Pap tests (p < 0.05) and CBE (p < 0.01) than female physicians. No gender differences were observed in screening rates or related barriers to mammography referrals. These findings suggest that physicians' gender plays a role in sex-sensitive examination, such as Pap tests and CBE. There is a need to facilitate physician-patient interactions for sex-sensitive cancer screening examinations by health education initiatives targeting male physicians and women themselves. The feasibility of providing sex-sensitive cancer screening examinations by a same-sex health provider should also be explored.

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Smoking and Cancer Screening for Women Ages 42–75: Associations in the 1990–1994 National Health Interview Surveys

Rakowski

Clark

Ehrich

1999

Preventive Medicine

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Implementing Breast Cancer Screening Guidelines: Results of the Ontario Health Status Survey

Cited by 14 publications

References 9 publications

Health-related lifestyle factors and mammography screening attendance in a Swedish cohort study

Health-related lifestyle factors and mammography screening attendance in a Swedish cohort study

Rural Physicians' Perspectives on Cervical and Breast Cancer Screening: A Gender-Based Analysis

Smoking and Cancer Screening for Women Ages 42–75: Associations in the 1990–1994 National Health Interview Surveys

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