Mammography Adherence: A Qualitative Study

Watson-Johnson, Lisa C.; DeGroff, Amy; Steele, C. Brooke; Revels, Michelle; Smith, Judith Lee; Justen, Erin; Barron-Simpson, Rachel; Sanders, Latasha D.; Richardson, Lisa C.

doi:10.1089/jwh.2010.2724

Cited by 50 publications

(50 citation statements)

References 26 publications

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“…There is some literature regarding the possible determinants of this lower participation of immigrant women, such as access to screening services, psychosocial issues and sociocultural factors (Scheppers et al, 2006, Remennick, 2006, Tejeda et al, 2009, Watson-Johnson et al, 2011. However, as far as we are aware, in a setting such as ours, i.e.…”

Section: Introductionmentioning

confidence: 82%

Country of origin and prevention of breast cancer: Beliefs, knowledge and barriers

Pons‐Vigués¹,

Puigpinós‐Riera²,

Rodríguez³

et al. 2012

Health & Place

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Section: Introductionmentioning

confidence: 82%

Country of origin and prevention of breast cancer: Beliefs, knowledge and barriers

Pons‐Vigués¹,

Puigpinós‐Riera²,

Rodríguez³

et al. 2012

Health & Place

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“…Nevertheless, the attendance rates in the counties vary from 71% to 90% (Swedish Breast Cancer Association, 2015); differences have also been found among areas in cities, with attendance rates ranging from 37% to 82% (Zackrisson, Lindström, Moghaddassi, Andersson, & Janzon, 2007). An integrative literature review of earlier studies regarding factors influencing mammographic screening participation has identified a range of reasons, from individual circumstances to more general conditions, such as socioeconomic status and age (Edgar, Glackin, Hughes, Mary, & Rogers, 2013), with many of the studies focusing on non-participation (Achat, Close, & Taylor, 2005; Borda et al, 2011; Brustrom & Hunter, 2001; Fallowfield, Rodway, & Baum, 1990; Gierisch et al, 2009; Johansson & Berterö, 2003; Lagerlund, Hedin, Sparén, Thurfjell, & Lambe, 2000; Lagerlund, Widmark, Lambe, & Tishelman, 2001; Pietrzak, Godlewski, & Adamczak, 2011; Watson-Johnson et al, 2011). This study focuses on the attendees as it could be assumed that continuous participation in mammographic screening is important.…”

Section: Introductionmentioning

confidence: 99%

Experiences and perceptions about undergoing mammographic screening: a qualitative study involving women from a county in Sweden

Zyl

Akhavan

Tillgren

et al. 2018

International Journal of Qualitative Studies on Health and Well

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Purpose: An organized population-based mammographic screening programme aims for an early detection of potential breast abnormalities so that treatment can commence. Continuous participation and a high attendance rate are vital for an effective programme. It is important to understand the underlying reasons for participation in mammographic screening, should there be factors that are amendable within reason and could be adjusted. Therefore, the invited women are valuable sources of information. This study aimed at describing the experiences and perceptions about mammographic screening of women from three municipalities in a Swedish county. Method: Six semi-structured focus-group discussions, each with four to five participants, were held. Content analysis was then conducted. Results: The screening procedure, such as staff professionalism, was covered. Other people’s opinions and the woman’s own understanding affected the women’s decisions on whether or not to undergo the procedure. Structural conditions, such as travel time and financial issues, were sources of concern. However, the offer to perform mammographic screening was perceived with gratitude. Conclusions: Structural conditions, risk and time perceptions, the screening procedure, attitudes towards undergoing it and appreciation of its benefit may influence the women’s continuous willingness to be screened, which in turn may affect public and individual health.

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“…At the individual level, obstacles to care identified have included low education level, 10 poor health literacy, 11 concerns about test efficacy, 12 and language and cultural beliefs related to cancer, distrust, and fear. [13][14][15] Compounded with these concerns, systems barriers such as difficulty accessing highquality diagnostic services, 16 variability in site of care, 17 poor access to primary care physicians or specialists, 18 and lack of insurance, 19,20 can impact adherence to cancer-related care.…”

Section: Introductionmentioning

confidence: 99%

Delays in Cancer Care Among Low-Income Minorities Despite Access

Nonzee

Ragas

Phisuthikul

et al. 2015

Journal of Women's Health

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Introduction: Narrowing the racial/ethnic and socioeconomic disparities in breast and cervical cancer requires an in-depth understanding of motivation for adherence to cancer screening and follow-up care. To inform patientcentered interventions, this study aimed to identify reasons why low-income women adhered to or delayed breast or cervical cancer screening, follow-up and treatment despite access to cancer care-related services. Methods: Semistructured qualitative interviews were conducted among women with access to cancer care-related services receiving care at an academic cancer center, federally qualified health centers, or free clinics in the Chicago metropolitan area. Transcripts were coded and analyzed for themes related to rationales for adherence. Results: Among 138 participants, most were African American (46%) or Hispanic (36%), English speaking (70%), and between ages 41 and 65 years (64%). Primary drivers of nonadherence included lack of knowledge of resources, denial or fear, competing obligations, and embarrassment. Facilitators included abnormality identification, patient activation, provider-initiated actions, and motivation from family or friends. Conclusions: Interventions targeting increased adherence to care among low-income and ethnic minority women should direct efforts to proactive, culturally and patient-informed education that enables patients to access resources and use the health care system, address misconceptions about cancer, ensure health care providers' communication of screening guidelines, and leverage the patient's social support network.

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Mammography Adherence: A Qualitative Study

Cited by 50 publications

References 26 publications

Country of origin and prevention of breast cancer: Beliefs, knowledge and barriers

Country of origin and prevention of breast cancer: Beliefs, knowledge and barriers

Experiences and perceptions about undergoing mammographic screening: a qualitative study involving women from a county in Sweden

Delays in Cancer Care Among Low-Income Minorities Despite Access

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