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

*Corresponding author for this work

Research output: Contribution to JournalArticleAcademicpeer-review

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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)369-375
Number of pages7
JournalPatient Education and Counseling
Issue number2
Early online date3 Sept 2019
Publication statusPublished - Feb 2020


  • 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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