Women who decline breast screening.

Maclean, Una; Sinfield, Dorothy; Klein, Susan; Harnden, Betty

doi:10.1136/jech.38.4.278

Cited by 109 publications

(27 citation statements)

References 9 publications

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“…They also have fewer contacts with the health service. [16][17][18][19] This difference in behavior was confirmed in the present study. Proportionally fewer of those in the screening group who refused to attend the screening examination in 1996 had distal endoscopies in the observation period compared with the control group: 9.3% versus 17.4%.…”

Section: Discussionsupporting

confidence: 83%

Impact of a colonoscopic screening examination for colorectal cancer on later utilization of distal GI endoscopies

Thiis‐Evensen

Seip

Vatn

et al. 2006

Gastrointestinal Endoscopy

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Section: Discussionsupporting

confidence: 83%

Impact of a colonoscopic screening examination for colorectal cancer on later utilization of distal GI endoscopies

Thiis‐Evensen

Seip

Vatn

et al. 2006

Gastrointestinal Endoscopy

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“…Magnetic resonance imaging screening may be more sensitive in pre-menopausal women than mammography (Stoutjesdijk et al, 2001). Demographic variables such as age, education and ethnicity have been associated with differing levels of screening uptake (MacLean et al, 1984;Owens et al, 1987). Some women may opt for primary prevention strategies such as prophylactic surgery.…”

Section: Risk Managementmentioning

confidence: 99%

Predictive testing for BRCA1/2: attributes, risk perception and management in a multi-centre clinical cohort

et al. 2002

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The aim of this multi-centre UK study is to examine the attributes of a cohort offered predictive genetic testing for breast/ ovarian cancer predisposition. Participants are adults unaffected with cancer from families with a known BRCA1/2 mutation. This is the first large multi-centre study of this population in the UK. The study evaluates mental health, perceived risk of developing cancer, preferred risk management options, and motivation for genetic testing. Participants were assessed when coming forward for genetic counselling prior to proceeding to genetic testing. Three hundred and twelve individuals, 76% of whom are female, from nine UK centres participated in the study. There are no gender differences in rates of psychiatric morbidity. Younger women (550 years) are more worried about developing cancer than older women. Few women provide accurate figures for the population risk of breast (37%) or ovarian (6%) cancer but most think that they are at higher risk of developing breast (88%) and ovarian (69%) cancer than the average woman. Cancer related worry is not associated with perceived risk or uptake of risk management options except breast self-examination. The findings indicate that younger women may be particularly vulnerable at the time of the offer of a predictive genetic test.

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“…Many studies have focused on factors associated with initial participation in breast screening. [5][6][7][8][9][10][11][12][13] The purpose of this paper is to identify predictors of non-attendance for second round screening in Victorian women who attended for first round screening.Adherence to mammography screening schedules has been observed to fall with successive screening rounds.14 It is particularly concerning that women who do not attend after their first round screen largely never participate in the screening programme again. In Nijmegen, 80% of women who attended first round screening attended the second round 15 .…”

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confidence: 99%

Predictors of non-attendance for second round mammography in an Australian mammographic screening programme

et al. 2000

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Objective-To determine the socioeconomic, cultural, and clinical predictors of non-attendance for second round mammography. Design/participants-Retrospective cohort study of 121 889 women aged 50-69 years who attended for first mammography screening in the BreastScreen Victoria programme in 1995/1996 and who were recommended to be invited for routine biennial mammography. Women were considered to be non-attenders if they had not attended for rescreening within 27 months of their initial screening. Relative risk (RR) was used to compare categories for non-attendance for second screening, and a multivariate model was fitted to adjust for possible confounding. Setting-BreastScreen Victoria, a population based mammographic screening programme, which oVers free biennial mammography to all women 40 years and older. The programme specifically targets women aged 50-69 years. Results-In the multivariate analysis, women from non-English speaking backgrounds were more likely not to attend for second round screening (RR ranged from 1.18 to 1.77). Indigenous women (RR 2.02, 95% confidence interval (CI) 1.61 to 2.54) and women who reported either significant symptoms (RR 1.90, 95% CI 1.76 to 2.05) or other breast symptoms (RR 2.25, 95% CI 2.15 to 2.36) at the time of first round screening were also more likely not to attend for second round screening. Conclusions-Women from non-English speaking backgrounds, indigenous women, and women who report symptoms at the time of first screening are more likely to not attend for second round screening. It is important to investigate why these women do not attend for second round screening so that services can be more appropriately tailored to their needs. (J Med Screen 2000;7:190-194) Keywords: breast; cancer; mammography; attendance In Australia, breast cancer is the most common cancer in women (excluding non-melanocytic skin cancer) and accounted for 29% (9846 cases) of new cancers in women and 17% (2623 cases) of female cancer related deaths in 1996.1 Randomised controlled trials of mammographic screening have shown a 30% reduction in mortality in women aged between 50 and 69 years who are screened.2 Achieving this mortality reduction depends on achieving a screening rate of about 70% of the target population.3 In Victoria, Australia, in 1996 and 1997, 54.9% of women aged 50-69 years attended for screening. For women of non-English speaking background, this rate was 44.8%. 4 Not only should the programme aim to maximise participation in first round screening but, if a mortality reduction is to be achieved, women must also continue to participate in the programme. This requires recruiting women who are eligible for baseline screening and retaining them within the screening programme. Many studies have focused on factors associated with initial participation in breast screening. [5][6][7][8][9][10][11][12][13] The purpose of this paper is to identify predictors of non-attendance for second round screening in Victorian women who attended for first round screening.Adherence to...

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Women who decline breast screening.

Cited by 109 publications

References 9 publications

Impact of a colonoscopic screening examination for colorectal cancer on later utilization of distal GI endoscopies

Impact of a colonoscopic screening examination for colorectal cancer on later utilization of distal GI endoscopies

Predictive testing for BRCA1/2: attributes, risk perception and management in a multi-centre clinical cohort

Predictors of non-attendance for second round mammography in an Australian mammographic screening programme

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