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Original Article
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Factors associated with interval adherence to mammography screening in a population-based sample of New Hampshire women
Article first published online: 11 JUL 2002
DOI: 10.1002/cncr.10681
Copyright © 2002 American Cancer Society
Additional Information
How to Cite
Carney, P. A., Harwood, B. G., Weiss, J. E., Eliassen, M. S. and Goodrich, M. E. (2002), Factors associated with interval adherence to mammography screening in a population-based sample of New Hampshire women. Cancer, 95: 219–227. doi: 10.1002/cncr.10681
Publication History
- Issue published online: 11 JUL 2002
- Article first published online: 11 JUL 2002
- Manuscript Accepted: 15 FEB 2002
- Manuscript Revised: 13 FEB 2002
- Manuscript Received: 14 JAN 2002
Funded by
- American Cancer Society. Grant Number: (CRTG-98-280-01-CCE)
- U.S. Department of Defense. Grant Number: (DASD17-94-J-4109)
- National Cancer Institute. Grant Number: (U01 CA86082-01)
- Abstract
- Article
- References
- Cited By
Keywords:
- breast carcinoma screening;
- early detection;
- mammography screening;
- adherence
Abstract
BACKGROUND
Interval adherence to mammography screening continues to be lower than experts advise. The authors evaluated, using a population-based mammography registry, factors associated with adherence to recommended mammography screening intervals.
METHODS
The authors identified and recruited 625 women aged 50 years and older who did and did not adhere to interval mammography screening. Demographic and risk characteristics were ascertained from the registry and were supplemented with responses on a mailed survey to assess knowledge, perceived risk, anxiety regarding breast carcinoma and its detection, and women's experiences with mammography.
RESULTS
The authors found no differences in risk factors or psychologic profiles between adhering and nonadhering women. Women who did not adhere had a statistically higher body mass index than women who did adhere (27.6 versus 26.1, P = 0.003). Exploration of mammographic experiences by group found that care taken by technologists in performing or talking women through the exam was higher in adhering women than nonadhering women (75.6% vs 65.71% for performing the exam, and 71.6% vs 60.8% for talking patients through the exam, respectively, P < 0.05).
CONCLUSIONS
The authors found that previous negative mammographic experiences, particularly those involving mammography technologists, appear to influence interval adherence to screening and that patient body size may be an important factor in this negative experience. Cancer 2002;95:219–27. © 2002 American Cancer Society.
DOI 10.1002/cncr.10681