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Barriers to screening for breast cancer
Cancer
|April 1, 1992
Summary
Most US women are not screened for breast cancer despite evidence showing screening saves lives. Addressing barriers to mammography and clinical breast exams is crucial for improving adherence to recommended guidelines.
Area of Science:
- Oncology
- Public Health
- Preventive Medicine
Background:
- Epidemiologic evidence supports mammography and clinical breast exams for breast cancer mortality reduction.
- Despite clear guidelines and communication efforts, suboptimal screening rates persist among US women.
Purpose of the Study:
- To review trends in breast cancer screening utilization.
- To identify factors influencing physicians' and women's knowledge, attitudes, and practices regarding mammography.
- To highlight impediments to achieving recommended screening rates.
Main Methods:
- Literature review focusing on mammography use trends.
- Analysis of factors affecting physician and patient behaviors related to screening.
- Examination of barriers to routine breast cancer screening participation.
Main Results:
- Mammography use has increased, but significant gaps remain in adherence to guidelines.
- Physician and patient knowledge, attitudes, and practices are key factors influencing screening.
- Numerous impediments hinder widespread adoption of recommended screening practices.
Conclusions:
- Achieving high breast cancer screening rates requires addressing identified barriers.
- Continued efforts are needed to improve women's and healthcare providers' engagement with screening guidelines.
- Overcoming obstacles is essential for maximizing the public health benefits of breast cancer screening.