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Another round in the mammography controversy.

Helen I Meissner1, Barbara K Rimer, William W Davis

  • 1Applied Cancer Screening Research Branch, Behavioral Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, Maryland 20892-7331, USA. hm36d@nih.gov

Journal of Women'S Health (2002)
|June 14, 2003
PubMed
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Controversy over screening mammography did not reduce women's screening intentions. However, many women, particularly those with lower education, need more information to make informed decisions about mammograms.

Area of Science:

  • Public Health
  • Health Communication
  • Medical Decision Making

Background:

  • A 2001 meta-analysis questioned the scientific basis for screening mammography recommendations.
  • This led to renewed controversy regarding mammography's efficacy and benefits.

Purpose of the Study:

  • To assess women's perspectives on the mammography screening controversy.
  • To understand women's beliefs about mammography efficacy and their intentions for future screening.

Main Methods:

  • A national telephone survey was conducted in March 2002 with 733 women aged 40-69.
  • 12 questions assessed reactions to the controversy, beliefs, and screening intentions.
  • Sample was weighted to the U.S. population.

Main Results:

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  • Most women (78%) regularly received mammograms and believed in their effectiveness (>90%).
  • Only 22% reported confusion; however, minority and less educated women were more likely to be confused.
  • Awareness of the controversy varied by education, age, and location.
  • Screening intentions were not demographically differentiated but were higher among women concerned about breast cancer or feeling informed.

Conclusions:

  • The mammography controversy did not appear to lower screening adherence rates.
  • A significant portion of women lack sufficient information for informed decision-making regarding mammography.