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Prev Med. 2005 Jul;41(1):312-20.

Who has regular mammograms? Effects of knowledge, beliefs, socioeconomic status, and health-related factors.

Author information

1
Centre for Epidemiology, Indicators, Research and Evaluation, Division of Service Development and Population Health, Sydney West Area Health Service, Locked Bag 7118, Parramatta BC NSW 2150, Australia. Helen_Achat@wsahs.nsw.gov.au

Abstract

BACKGROUND:

Breast cancer accounts for the largest proportion of female cancer deaths and new cases in New South Wales (NSW). Biennial screening is recommended for women aged 50-69 years. Objectives were to (1) identify associations between beliefs and knowledge about breast cancer and mammography, socioeconomic (SES) indicators, and health-related factors, and having a mammogram (a) ever and (b) within the last 2 years; and (2) describe utilization of mammography.

METHODS:

2974 women aged 50-69 years selected from the BreastScreen NSW (BSNSW) database and the NSW Electoral Roll were administered a structured telephone survey. Associations were assessed using weighted Chi squares and age-adjusted odds ratios from logistic regression with 95% confidence intervals.

RESULTS:

Strong positive associations were found between age, married/de facto relationship, knowledge about and belief in the benefits of screening, indicators of health status and service utilization, and whether women had had a mammogram or had one within the recommended period. SES was weakly associated with regularity of mammography. Most respondents (97.4%) reported having had at least one mammogram.

CONCLUSIONS:

Specific aspects of knowledge and beliefs about mammograms and individual health-related factors would be important components of initiatives to encourage initial and repeat screening in the targeted age group.

PMID:
15917027
DOI:
10.1016/j.ypmed.2004.11.016
[Indexed for MEDLINE]

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