Attitudes, Beliefs, and Knowledge as Predictors of Nonattendance in a Swedish Population-Based Mammography Screening Program

doi:10.1006/pmed.2000.0723

Preventive Medicine

Volume 31, Issue 4, October 2000, Pages 417-428

https://doi.org/10.1006/pmed.2000.0723 Get rights and content

Abstract

Background. The effectiveness of mammography screening could be improved if factors that influence nonattendance were better understood.

Methods. We examined attitudes, beliefs, and knowledge in relation to nonattendance in a population-based mammography screening program, using a case-control design. Data were collected from November 1997 to March 1998 through telephone interviews with 434 nonattenders and 515 attenders identified in a population-based mammography register in central Sweden. The questions asked drew primarily upon the components constituting the Health Belief Model.

Results. Multivariate analysis showed that nonattendance was most common among women within the highest quartile of perceived emotional barriers, compared to women within the lowest quartile (OR = 4.81; 95% CI 2.96–7.82). Women who worried most about breast cancer were more likely to attend than those who worried least (OR = 0.09; 95% CI 0.02–0.31). Women with the highest scores of perceived benefits were more likely to attend than women with the lowest ones (OR = 0.35; 95% CI 0.08–0.75). Other factors associated with nonattendance were less knowledge about mammography and breast cancer, lack of advice from a health professional to participate, and very poor trust in health care.

Conclusions. Our findings suggest that increased participation in outreach mammography screening programs can be achieved through enhancement of breast cancer awareness and possibly by reducing some of the modifiable barriers. mammography; mass screening; breast cancer; attitudes; Sweden.

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^☆: We are indebted to Professor Leif Gustafsson, Professor Anders Ekbom, Dr. Fredrik Granath, Dr. Paul Dickman, and Dr. Matthew Zack for valuable advice.

^☆☆: This study was supported by grants from the Prevention Fund (Swedish Cancer Society, National Institute of Public Health, Heart-Lung Association of Sweden), the Swedish Council for Social Research, the King Gustaf V Jubilee Fund, and the Swedish Society of Medicine.

²: To whom correspondence and reprint requests should be addressed. Fax: + 46 8 31 49 57. E-mail: [email protected].

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Regular ArticleAttitudes, Beliefs, and Knowledge as Predictors of Nonattendance in a Swedish Population-Based Mammography Screening Program☆,☆☆

Abstract

Soc Sci Med

Prev Med

Am J Prev Med

Prev Med

Pub Health

Addict Behav

Aust J Pub Health

Prev Med

Efficacy of breast cancer screening by age: New results from the Swedish two-county trial

Cancer

Screening for cancer of the breast

Epidemiol Rev

Breast cancer screening programmes in 22 countries: Current policies, administration and guidelines—m International Breast Cancer Screening Network (IBSN) and the European Network of Pilot Projects for Breast Cancer Screening

Int J Epidemiol

600,000 kvinnor per ar undersoks med mam mografi: Var femte inbjuden avstar fran screening [600,000 women are examined by mammography per year: Every fifth of them refuses screening]

Lakartidningen

Breast cancer survival rates with mammographic screening: similar favorable survival rates for women younger and those older than 50 years

Radiology

Predictors of non-attendance in a population-based mammography screening programme; Socio-demographic factors and aspects of health behaviour

Eur J Cancer Prev

Health behaviour and health education: Theory, research and practice

What are the psychological factors influencing attendance, non-attendance and re-attendance at a breast screening centre?

J R Soc Med

Correlates of health screening utilization: The roles of health beliefs and self-regulation motivation

Psychol Health

Factors determining compliance with screening mammography

Can Med Assoc J

Compliance with guidelines for mammography screening

Cancer Detect Prev

Repeat ammography use among women ages 50–75

Cancer Epidemiol Biomarkers Prev

Why women resist screening mammography: Patient-related barriers

Radiology

Factors associated with adherence to breast cancer screening among working women

J Occup Med

A study guided by the Health Belief Model of the predictors of breast cancer screening of women ages 40 and older

Pub Health Rep

Health beliefs and compliance with mammography-screening recommendations in asymptomatic women

Health Psychol

The effects of health beliefs on screening mammography utilization among a diverse sample of older women

Women Health

Mammography usage and the health belief model

Health Educ Q

Regular Article
Attitudes, Beliefs, and Knowledge as Predictors of Nonattendance in a Swedish Population-Based Mammography Screening Program☆,☆☆