Sociodemographic Determinants of Nonattendance in a Population-Based Mammography Screening Program in the City of Manisa, Turkey

Abstract

<jats:p><jats:italic>Objectives</jats:italic>. Community based breast cancer screening has decreased breast cancer mortality in women. This study examined the predictors of nonattendence for invitational breast cancer screening in relation to socioeconomic status in the city of Manisa, in western Turkey.<jats:italic>Study Design</jats:italic>. For the evaluation of the reasons for refusing to participate in the study, two districts were selected. 446 women aged between 50 and 69 years were selected from the program database by systematic random sampling.<jats:italic>Methods</jats:italic>. The questionnaire consisted of sociodemographic variables and the adapted version of Champion's Health Belief Model Scale. Univariete and multivariete logistic regression analysis were performed throughout the data analysis.<jats:italic>Results</jats:italic>. Being from an urban district and being from the western region were the risk factors for not participating in the screening program (, ). A statistical significance was found between mammography-benefit, mammography-barrier and program participation (, ). Although there were many more barriers for not participating in the screening program for the women of the slum district, the attendence rate of the slum district was higher than that of the urban district.<jats:italic>Conclusions</jats:italic>. Increased attendance may be achieved through enhancement of breast cancer awareness and by reducing some of the modifiable barriers.</jats:p>

The sociodemographic profile of women participating in mammography screening in Lower Silesia

“…The study also showed that more than three quarters (78%) of all participants lived in Wrocław, probably because large urban centers tend to provide better access to healthcare resources. This observation is consistent with the findings of many previous studies conducted both in Poland and abroad [17][18][19][20][21].…”

“…Studies conducted in various countries have shown that health behaviors depend on a number of social and demographic factors, such as age, education, marital status, family situation, social class, and material conditions [17][18][19][20][21]. This article focuses specifically on the age, education, occupational status, and place of residence of screening participants under study.…”

Rastreamento mamográfico do câncer de mama no Sul do Brasil e fatores associados: estudo de base populacional

“…Entretanto, a falta de solicitação do exame pode ser um dos problemas do rastreamento oportunístico, cuja realização necessita da solicitação da busca da mulher pelos serviços. O medo referente ao exame pode estar tanto relacionado a um diagnóstico do câncer de mama, quanto ao exame ser doloroso, motivos que também são conside-rados barreiras para a sua realização 42 . E quanto ao achar desnecessário mostra principalmente a falta de conhecimento sobre a detecção precoce do câncer de mama 43 .…”

“…Segundo a literatura 18,42 , o diálogo pode ajudar a vencer dificuldades, como a falta de solicitação médica, aliviando possíveis medos e ansiedades e informando sobre a importância da realização do exame, e consequentemente aumentando a adesão ao exame.…”

Social determinants of health related to adhesion to mammography screening

“…Although without considerable association, the fact of residing in the interior of the state contributes, albeit subtly, to less adhesion to the mammographic examination. Research has shown that the origin of the woman and the domains of CHBMS are associated (27) .…”