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Screening mammography: factors associated with adherence to recommended age/frequency guidelines
J L Hitchcock1, M J Steckevicz, W D Thompson
1Lewiston-Auburn College, University of Southern Maine, Lewiston 04240, USA.
Women'S Health (Hillsdale, N.J.)
|October 1, 1995
Summary
Younger women with a family history of breast cancer and annual clinical breast exams are more likely to get regular screening mammograms. Breast self-exams did not impact mammogram frequency.
Area of Science:
- Oncology
- Preventive Medicine
- Public Health
Background:
- Screening mammography is crucial for early breast cancer detection.
- Understanding factors influencing mammogram utilization is key for targeted interventions.
Purpose of the Study:
- To identify demographic, health care, and health practice variables associated with regular screening mammogram use.
- To determine predictors of adherence to National Cancer Institute mammography guidelines.
Main Methods:
- Cross-sectional study involving 350 women aged 40-69 via telephone interviews.
- Logistic regression analysis to identify independent predictors of mammogram utilization.
Main Results:
- Younger age, family history of breast cancer, and annual clinical breast exams were significant predictors of regular mammogram use.
- Regular clinical breast exams strongly influenced the likelihood of having any mammograms and the recommended number.
- Breast self-examination frequency was not associated with mammogram frequency.
Conclusions:
- Clinical breast examinations and a family history of breast cancer are important factors in promoting mammography screening.
- Interventions should consider these factors to improve adherence to breast cancer screening guidelines.