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Attitudes, beliefs, and knowledge as predictors of nonattendance in a Swedish population-based mammography screening program
Södertörn University, Avdelning 4, SCOHOST (Stockholm Centre on Health of Societies in Transition). Karolinska Institute.
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2000 (English)In: Preventive Medicine, ISSN 0091-7435, E-ISSN 1096-0260, Vol. 31, no 4, 417-428 p.Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
2000. Vol. 31, no 4, 417-428 p.
National Category
Medical and Health Sciences
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URN: urn:nbn:se:sh:diva-15735DOI: 10.1006/pmed.2000.0723ISI: 000089566300017PubMedID: 11006068Scopus ID: 2-s2.0-0033810433OAI: oai:DiVA.org:sh-15735DiVA: diva2:508067
Available from: 2012-03-07 Created: 2012-03-07 Last updated: 2014-04-10Bibliographically approved

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CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf