Mammography perceptions and practices among women aged 30–49: The role of screening programme availability and cultural affiliation

Nanon H.M. Labrie, Ramona A. Ludolph, Peter J. Schulz

Research output: Contribution to JournalArticleAcademicpeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)1-7
Number of pages7
JournalPatient Education and Counseling
DOIs
Publication statusE-pub ahead of print - 3 Sep 2019

Fingerprint

Mammography
Linguistics
Breast Neoplasms
Health Communication
Decision Making
Cross-Sectional Studies
Communication

Keywords

  • Attitudes and behaviours
  • Breast cancer
  • Cross-sectional survey
  • Cultural differences
  • Mammography screening
  • Switzerland
  • Systematic screening programme availability
  • Women aged 30–49

Cite this

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title = "Mammography perceptions and practices among women aged 30–49: The role of screening programme availability and cultural affiliation",
abstract = "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.",
keywords = "Attitudes and behaviours, Breast cancer, Cross-sectional survey, Cultural differences, Mammography screening, Switzerland, Systematic screening programme availability, Women aged 30–49",
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Mammography perceptions and practices among women aged 30–49 : The role of screening programme availability and cultural affiliation. / Labrie, Nanon H.M.; Ludolph, Ramona A.; Schulz, Peter J.

In: Patient Education and Counseling, 03.09.2019, p. 1-7.

Research output: Contribution to JournalArticleAcademicpeer-review

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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.

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