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Assertiveness with physicians: does it predict mammography use?.

M Robyn Andersen1, Katherine A Guthrie

  • 1Fred Hutchinson Cancer Research Center, University of Washington, School of Public Health and Community Medicine, Seattle, WA 98109-1024, USA. rander@fhcrc.org

Women & Health
|May 8, 2004
PubMed
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Women’s assertiveness with doctors predicts regular mammograms. Assertive women, who communicate needs and screening reminders, are more likely to receive timely mammograms, improving preventive care.

Area of Science:

  • Health Services Research
  • Preventive Medicine
  • Patient-Provider Communication

Background:

  • Prior research linked women's assertiveness with healthcare providers to recent mammography use.
  • Assertiveness behaviors include repeating information, seeking clarification, and reminding providers about screenings.

Purpose of the Study:

  • To examine if self-reported assertiveness predicts mammography use three years later.
  • To assess the longitudinal association between patient assertiveness and screening behavior.

Main Methods:

  • Population-based sample of 781 women in rural Washington State.
  • Longitudinal analysis of assertiveness reported in 1994 and mammography use over the subsequent three years.
  • Statistical controls for age, education, income, and marital status.

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Main Results:

  • Assertive women were younger on average.
  • Assertiveness independently predicted regular mammography use over three years (OR 2.1; CI 1.5, 2.9).
  • This association remained significant after controlling for demographic factors.

Conclusions:

  • Self-reported assertiveness is a significant predictor of future mammography use.
  • Promoting patient assertiveness may be a viable strategy to enhance uptake of preventive healthcare services.
  • Further research should explore assertiveness interventions for public health improvement.