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Does health status influence intention regarding screening mammography?
Keeho Park1, Jong-Hyock Park, Jae-Hyun Park
1Cancer Information and Education Branch, National Cancer Center, 809 Madu 1-dong, Ilsandong-gu, Goyang, Gyeonggi-do 410-769, Korea. park.keeho@gmail.com
Japanese Journal of Clinical Oncology
|January 13, 2010
Summary
Women over 40 with poorer health status, especially those with mobility issues or anxiety/depression, show less intention for mammography screening. Health status is a key factor in cancer screening behavior.
Area of Science:
- Public Health
- Preventive Medicine
- Health Behavior Research
Background:
- Screening behaviors like mammography are crucial for early cancer detection in women.
- Understanding factors influencing screening intention is vital for targeted health promotion strategies.
- Korean women over 40 represent a key demographic for breast cancer screening initiatives.
Purpose of the Study:
- To investigate the association between self-reported health status and screening mammography intention among Korean women aged 40 and above.
- To identify specific health-related factors, including co-morbidities, that predict mammography screening behavior.
Main Methods:
- A cross-sectional, population-based study utilizing a geographically stratified household sampling design in Gunpo, Korea.
- A total of 503 women aged 40-69 years were surveyed, assessing health status using the EuroQol (EQ-5D) and intention for mammography.
- Logistic regression analysis was performed to determine the relationship between health status and screening intention, controlling for demographic and clinical factors.
Main Results:
- Worsening health status was significantly associated with decreased intention to undergo screening mammography.
- Women reporting mobility problems or experiencing anxiety/depression demonstrated lower intentions for future mammography screening.
- Anxiety or depression emerged as an independent predictor of reduced screening mammography intention.
Conclusions:
- Self-reported health status is a significant determinant of screening mammography intention in Korean women.
- Healthcare providers should consider patients' overall health status and mental well-being when promoting cancer screening.
- Interventions aimed at increasing mammography use should address potential barriers related to poor health and psychological distress.
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