Perceptions of breast cancer risk and cancer screening: A qualitative study of Young, female Hodgkin’s Disease survivors

Bober, Sharon L.; Park, Elyse R.; Schmookler, Terra; Nancarrow, Cheryl Medeiros; Diller, Lisa

doi:10.1007/bf03174374

Cited by 15 publications

(9 citation statements)

References 14 publications

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“…Consistent with results found in a population of survivors of Hodgkin disease, a more positive perception of health-care provider interaction supported a more positive affect (Bober et al, 2007) and decreased health concerns; the model identified a more positive affect as a predictor of more recent mammography screening. Women in particular tend to view health-care provider interaction as supportive (Hall, Irish, Roter, Ehrlich, & Miller, 1994; Hall & Roter, 1995), rely on provider input for their health care decisions, and value their relationship with the health-care provider (Hall et al, 1994; Hall & Roter, 1995; Oeffinger et al, 2004; Shaw et al, 2006; Xu & Borders, 2003).…”

Section: Discussionsupporting

confidence: 79%

“…Quite similar to the general population (Cui et al, 2007; Cummings, Whetstone, Shende, & Weismiller, 2000; Goodwin, Visintainer, Facelle, & Falvo, 2006; Williams, Lindquist, Sudore, Covinsky, & Walter, 2008) factors that predict mammography utilization in survivors of breast cancer and Hodgkin disease include visits to the oncologist (Field et al, 2008), gynecologist (Doubeni et al, 2006), or primary care physician (Doubeni et al, 2006), having health insurance (Bober, Park, Schmookler, Medeiros Nancarrow, & Diller, 2007), physician support (Bober et al, 2007), worry about breast cancer (Bloom, Stewart, & Hancock, 2006), older age (Bloom et al, 2006), and higher education and income (Breen, Yarbroff, & Meissner, 2007). Childhood cancer survivors who are least likely to report receiving routine mammography are younger and express a lack of concern for future health issues (Yeazel et al, 2004).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Determinants of Mammography Screening Participation in Adult Childhood Cancer Survivors: Results From the Childhood Cancer Survivor Study

Cox¹,

Oeffinger²,

Montgomery³

et al. 2009

Oncology Nursing Forum

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Purpose: To identify treatment, intrapersonal, and provider factors that influence childhood cancer survivors' adherence to recommended mammography screening.Design: Secondary analysis of data derived from 3 consecutive surveys within the Childhood Cancer Survivors' Study.Sample: Female childhood cancer survivors: N = 335, mean age = 30.92, mean years after diagnosis = 21.79. Methods: T-tests and structural equation modeling. Main Research Variables:Mammogram recency, health concerns, affect, motivation, survivorprovider interaction.Findings: Forty-three percent of the variance was explained in mammogram recency. Survivors most likely to follow the recommended mammogram schedule were directly influenced by cancer treatment exposure to mantle radiation (p = 0.01), less intrinsic motivation (p = 0.01), positive affect (p = 0.05), recent visits to oncology clinic (p = 0.01), discussion of subsequent cancer risks with physician (p = 0.001), perceptions of more severe late effects (p = 0.05), age ≥ 40 years (p ≤ 0.001), and having received a print media intervention detailing breast cancer risks and follow-up strategies.Conclusions: Perceived symptoms, motivation, affect, provider influences, readiness for medical follow-up, and knowledge of treatment exposures are potential modifiable targets for intervention to support mammography screening in childhood cancer survivors at risk. KEY POINTS Although female childhood cancer survivors are at increased risk of breast cancer as a result of treatment exposures, they do not adhere to the recommended schedule for mammography screening. Intrapersonal (motivation, affect, concerns), contextual (symptoms, treatment exposures), and provider (survivor-provider relationship and discussions) factors are strong influences for adherence to mammography screening. Nursing interventions to support mammography screening in survivors should: (1) consider the impact of motivation, affect, and level of readiness for follow-up on health behavior; (2) provide written summaries of treatment exposures and the recommended interval for mammography screening at treatment completion and throughout follow-up; (3) identify specific fears, anxieties, and misconceptions that may prevent adherence to mammography screening. NIH Public Access

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Section: Discussionsupporting

confidence: 79%

Section: Introductionmentioning

confidence: 99%

Determinants of Mammography Screening Participation in Adult Childhood Cancer Survivors: Results From the Childhood Cancer Survivor Study

Cox¹,

Oeffinger²,

Montgomery³

et al. 2009

Oncology Nursing Forum

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show abstract

“…This finding adds to the mounting evidence that the prevalence of medical follow-up and cancer screening among cancer survivors is below recommended levels. 19 Cancer survivors' need for timely and complete access to lifelong follow-up care is also reinforced in the literature. 19 Trust in healthcare professionals to take care of their second cancer risk meant many cancer survivors did not practice selfexaminations, preferring to have clinical examinations.…”

Section: Being Respectfulmentioning

confidence: 99%

“…4 Despite the potential benefits of long-term follow-up, recent studies show that as many as 60% of cancer survivors report receiving no regular medical follow-up. 18 As Bober and colleagues 19 found in interviewing Hodgkin disease survivors, cancer survivors avoided cancer screening for 3 reasons: (1) they struggled to reconcile messages that they were ''cured'' with the idea of being at increased risk for second cancers; (2) they felt helpless in preventing a second cancer; and (3) they received confusing recommendations over the initiation and frequency of cancer screening. 13Y16 Cancer screening is very poor among young cancer survivors, those with a history of high-risk cancer treatment, and those at highest risk for colon, breast, or skin cancer.…”

mentioning

confidence: 99%

Taking Care of Second Cancer Risk

Wilkins

Woodgate²

2012

Cancer Nursing

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“…Cancer patients do not undergo SPC screening due to an inappropriate perception of SPC risk (Park et al, 2009), fear of cancer recurrence and a desire to avoid thinking about illness (Bober et al, 2007). Lack of knowledge and information about SPC among cancer patients are other key barriers to SPC screening (Shin et al, 2010;.…”

Section: Introductionmentioning

confidence: 99%

Oncologists Experience with Second Primary Cancer Screening: Current Practices and Barriers and Potential Solutions

Shin

Kim²,

Baek³

et al. 2012

Asian Pacific Journal of Cancer Prevention

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Objectives: Screening for second primary cancer (SPC) is one of the key components of cancer survivorship care. The aim of the present study was to explore oncologists' experience with promoting second primary cancer screening. Methods: Two focus group interviews were conducted with 12 oncologists of diverse backgrounds. Recurrent issues were identified and placed into thematic categories. Results: Most of the oncologists did not consider SPC screening promotion as their responsibility and did not cover it in routine care. All of the study participants had experience with unexpected SPC cases, and they were under emotional tress. There was no systematic manner of providing SPC screening. Oncologists usually prescribe SPC screening in response to patients' requests, and there was no active promotion of SPC screening. Short consultation time, limited knowledge about cancer screening, no established guideline for SPC screening, and disagreement with patients about oncologists' roles were major barriers to its promotion. An institutionbased shared care model was suggested as a potential solution for promoting SPC screening given current oncology practices in Korea. Conclusion: Oncologists could not effectively deal with the occurrence of SPC, and they were not actively promoting SPC screening. Lack of knowledge, limited health care resources, and no established guidelines were major barriers for promoting SPC screening to cancer survivors. More active involvement of oncologists and a systematic approach such as shared-care models would be necessary for promoting SPC screening considering increasing number of cancer survivors who are vulnerable.

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Perceptions of breast cancer risk and cancer screening: A qualitative study of Young, female Hodgkin’s Disease survivors

Abstract: Female HD survivors would likely benefit from tailored education that links current beliefs with their previous cancer experience. Education about cancer risk may be more effective if delivered in a health-promoting rather than disease-detection framework.

Cited by 15 publications

References 14 publications

Determinants of Mammography Screening Participation in Adult Childhood Cancer Survivors: Results From the Childhood Cancer Survivor Study

Determinants of Mammography Screening Participation in Adult Childhood Cancer Survivors: Results From the Childhood Cancer Survivor Study

Taking Care of Second Cancer Risk

Oncologists Experience with Second Primary Cancer Screening: Current Practices and Barriers and Potential Solutions

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