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Confusion about mammography: prevalence and consequences.
B K Rimer1, S Halabi, T S Strigo
1Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, Maryland 20892, USA.
Journal of Women'S Health & Gender-Based Medicine
|June 6, 2000
Summary
Conflicting mammogram guidelines confuse many women, especially those in their 40s. Healthcare providers should assess patient understanding and provide clear information to ensure women stay on schedule for breast cancer screenings.
Area of Science:
- Public Health
- Medical Screening
- Health Communication
Background:
- Mammogram screening guidelines for women aged 40-49 have been controversial.
- The 1997 National Institutes of Health Consensus Development Conference generated debate regarding screening schedules.
Purpose of the Study:
- To assess confusion among women in their 40s and 50s regarding mammography schedules.
- To determine if confusion was linked to being off-schedule for mammograms.
Main Methods:
- Analysis of baseline telephone interview data from 1287 women.
- Inclusion of sociodemographic, medical, belief, and behavioral variables.
Main Results:
- 28% of women reported confusion; 35% were off-schedule for mammograms.
- Women in their 40s experienced more confusion, while women in their 50s were more often off-schedule.
- Confusion significantly predicted being off-schedule; predictors included beliefs, risk perception, age, physician relationship, and information access.
Conclusions:
- Confusion about mammography schedules is prevalent and linked to adherence.
- Healthcare providers play a crucial role in addressing patient confusion and information needs.
- Targeted communication strategies are needed to improve adherence to recommended breast cancer screening.