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

Achat, Helen, Close, Glenn and Taylor, Richard (2005) Who has regular mammograms? Effects of knowledge, beliefs, socioeconomic status, and health-related factors. Preventive Medicine, 41 1: 312-320. doi:10.1016/j.ypmed.2004.11.016


Author Achat, Helen
Close, Glenn
Taylor, Richard
Title Who has regular mammograms? Effects of knowledge, beliefs, socioeconomic status, and health-related factors
Journal name Preventive Medicine   Check publisher's open access policy
ISSN 0091-7435
1096-0260
Publication date 2005-07
Sub-type Article (original research)
DOI 10.1016/j.ypmed.2004.11.016
Volume 41
Issue 1
Start page 312
End page 320
Total pages 9
Place of publication Maryland Heights, MO, United States
Publisher Academic Press
Language eng
Subject 11 Medical and Health Sciences
1117 Public Health and Health Services
Formatted 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. (c) 2005 Elsevier Inc. All rights reserved.
Keyword Mammography
Socioeconomic Status
No Cost Program
New South Wales
Australia
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
School of Public Health Publications
 
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Created: Mon, 13 Aug 2007, 15:16:10 EST