TY - JOUR
T1 - Mammography perceptions and practices among women aged 30–49
T2 - The role of screening programme availability and cultural affiliation
AU - Labrie, Nanon H.M.
AU - Ludolph, Ramona A.
AU - Schulz, Peter J.
N1 - Funding Information:
This study was funded by the Swiss National Science Foundation as part of a larger project grant ( 100019-153131/1 ). The authors declare to have no conflicts of interest.
Publisher Copyright:
© 2019 Elsevier B.V.
PY - 2020/2
Y1 - 2020/2
N2 - Objective: To explore the role of systematic screening programme availability and cultural affiliation as drivers of mammography perceptions/practices among women aged 30–49, who are not eligible for screening. Methods: Cross-sectional survey about mammography perceptions/practices among N = 918 Swiss women (30–49), across three cultural-linguistic regions (Swiss-German, Swiss-French, Swiss-Italian) and 26 cantons. Results: In cantons offering systematic screening programmes, women appeared more likely to ask for a mammogram, felt more susceptible to breast cancer, and perceived more benefits to screening. Swiss-German women engaged less in screening and felt less susceptible to breast cancer than women in other cultural-linguistic regions. Within the Swiss-German region, women living in cantons with programmes were more likely to ask for a mammogram than in cantons without. Conclusions: Programme availability and cultural affiliation both appear related to young women's screening perceptions/practices. While the interaction between these factors should be further explored, this study provides some preliminary evidence that cultural affiliation is the more important driver. Practice Implications: Health communication efforts should consider the impact of these drivers on women's intentions to have a mammogram, prior to the recommended age. Tailored communication – public and interpersonal - should be directed towards facilitating informed decision-making and avoidance of mammography overuse.
AB - Objective: To explore the role of systematic screening programme availability and cultural affiliation as drivers of mammography perceptions/practices among women aged 30–49, who are not eligible for screening. Methods: Cross-sectional survey about mammography perceptions/practices among N = 918 Swiss women (30–49), across three cultural-linguistic regions (Swiss-German, Swiss-French, Swiss-Italian) and 26 cantons. Results: In cantons offering systematic screening programmes, women appeared more likely to ask for a mammogram, felt more susceptible to breast cancer, and perceived more benefits to screening. Swiss-German women engaged less in screening and felt less susceptible to breast cancer than women in other cultural-linguistic regions. Within the Swiss-German region, women living in cantons with programmes were more likely to ask for a mammogram than in cantons without. Conclusions: Programme availability and cultural affiliation both appear related to young women's screening perceptions/practices. While the interaction between these factors should be further explored, this study provides some preliminary evidence that cultural affiliation is the more important driver. Practice Implications: Health communication efforts should consider the impact of these drivers on women's intentions to have a mammogram, prior to the recommended age. Tailored communication – public and interpersonal - should be directed towards facilitating informed decision-making and avoidance of mammography overuse.
KW - Attitudes and behaviours
KW - Breast cancer
KW - Cross-sectional survey
KW - Cultural differences
KW - Mammography screening
KW - Switzerland
KW - Systematic screening programme availability
KW - Women aged 30–49
UR - http://www.scopus.com/inward/record.url?scp=85071868923&partnerID=8YFLogxK
U2 - 10.1016/j.pec.2019.09.001
DO - 10.1016/j.pec.2019.09.001
M3 - Article
C2 - 31506173
AN - SCOPUS:85071868923
SN - 0738-3991
VL - 103
SP - 369
EP - 375
JO - Patient Education and Counseling
JF - Patient Education and Counseling
IS - 2
ER -