Record number :
598595
Title of article :
Predictive factors of enrollment and adherence in a breast cancer screening program in Barcelona (Spain)
Author/Authors :
Carmen Rodriguez-Naranjo، نويسنده , , Antoni Plasència، نويسنده , , Dirk G. Schroeder، نويسنده ,
Issue Information :
دوهفته نامه با شماره پیاپی سال 1995
Pages :
6
From page :
1155
To page :
1160
Abstract :
This paper study the predictive factors associated to enrollment and adherence in a breast cancer screening program in Barcelona, Spain; the Program is targeted to women 50–70 years of age who are members of a Health Maintenance Organization. Data were collected by personal interview for the attending women and by telephone in the nondashattending group. The questionnaire was focused on knowledge, attitudes and practices related to female cancer prevention and breast cancer risk factors. Data analysis consisted of bivariate and multivariate analysis. Enrolling in a breast cancer screening program was strongly associated with practices related to cancer prevention in the bivariate analysis. Having had a previous mammography was the only behavioral factor that showed an independent relationship with enrollment (OR = 6.45, 95% CI = 3.35−12.42) in the multivariate analysis together with being younger than 55 and having family history of cancer. Adherence was associated with having the best opinion of the program, knowing the preventive role of mammography and performing regular breast self-examination in the bivariate analysis; of these, knowing the preventive role of mammography (OR = 2.66, 95% CI = 1.14−6.18) and performing regular breast self-examination (OR = 1.99, 95% CI = 1.23−3.23) were independently associated in the multivariated analysis. Being a relative of a municipal worker and younger than 55 were also significantly associated with adherence. Getting women to participate in a breast cancer screening program is difficult—mailed invitation letters are not sufficient. It is not the clinical procedure itself that inhibits participation, however, since women who have had a mammography in the past are more likely to both enroll and adhere to the program.
Keywords :
breast cancer screening , predictive factors , Participation
Journal title :
Social Science and Medicine
Serial Year :
1995
Link To Document :
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