Title

Underutilizers of mammography screening today: characteristics of women planning, undecided about, and not planning a mammogram

UMMS Affiliation

Department of Medicine, Division of Hematology/Oncology ; Department of Family Medicine & Community Health

Date

1-2000

Document Type

Article

Subjects

Aged; Aged, 80 and over; *Attitude to Health; Breast Neoplasms; Chi-Square Distribution; Decision Making; Female; Health Maintenance Organizations; Humans; Mammography; Mass Screening; Massachusetts; Middle Aged; *Motivation; Primary Health Care; Questionnaires; Socioeconomic Factors

Disciplines

Life Sciences | Medicine and Health Sciences | Women's Studies

Abstract

Using concepts from the Precaution Adoption Process Model, we identified behavioral factors, sociodemographic and psychosocial variables, and beliefs about breast cancer that discriminated among women at different stages with regard to their intention to obtain mammography screening. An independent survey company conducted telephone interviews with 2,507 women aged 50 to 80 who were identified as underutilizers of mammography screening. Each underutilizer was assigned to one of three stages with regard to intention to get a mammogram: (a) definitely planning, (b) thinking about, and (c) not planning. Estimated actual risk of breast cancer, perceived risk to breast cancer, worry about breast cancer, and fear of learning from a mammogram that one has breast cancer were variables found to be significantly associated with intention to obtain a mammogram for several subgroups of underutilizing women. There are significant behavioral and psychosocial variables, beliefs and feelings about breast cancer, and demographic characteristics that distinguish underutilizing women at various stages with regard to intention to obtain mammography screening. Our findings provide new information that could help the health care professional motivate women who are not planning to utilize this preventive health measure to become regular utilizers.

Rights and Permissions

Citation: Ann Behav Med. 2000 Winter;22(1):80-8.

Related Resources

Link to article in PubMed

PubMed ID

10892532