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. 1991 Aug;41(349):320–322.

Factors affecting women's response to an invitation to attend for a second breast cancer screening examination.

M Orton 1, R Fitzpatrick 1, A Fuller 1, D Mant 1, C Mlynek 1, M Thorogood 1
PMCID: PMC1371753  PMID: 1777275

Abstract

A survey was conducted to study the impact of women's previous experiences of breast cancer screening on their subsequent readiness to reattend. Women aged 45-64 years from three general practices were invited to attend for a second breast cancer screening test at a mobile clinic. Of the 1582 women who were invited, 1408 (89.0%) reattended. A questionnaire about their experience of the previous screening test was completed by 641 women who attended and 124 who did not attend the second test. Twenty six per cent of the women had found the previous test painful, and a minority also reported embarrassment (7%) or distress (6%). Women who did not reattend were significantly more likely than those who did to report the previous screening test as embarrassing or distressing and were significantly less likely to have found the clinic staff helpful or attendance for screening worthwhile or reassuring. No significant difference was found in the reattendance rate of women who had experienced a false positive result at the previous screening test compared with the remaining women. These results show that there may be substantial scope for reducing non-attendance by improving the way the service is provided, thereby enhancing the overall impact of breast cancer screening.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Eardley A., Elkind A. A pilot study of attendance for breast cancer screening. Soc Sci Med. 1990;30(6):693–699. doi: 10.1016/0277-9536(88)90254-7. [DOI] [PubMed] [Google Scholar]
  2. Ellman R., Angeli N., Christians A., Moss S., Chamberlain J., Maguire P. Psychiatric morbidity associated with screening for breast cancer. Br J Cancer. 1989 Nov;60(5):781–784. doi: 10.1038/bjc.1989.359. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Hobbs P., Smith A., George W. D., Sellwood R. A. Acceptors and rejectors of an invitation to undergo breast screening compared with those who referred themselves. J Epidemiol Community Health. 1980 Mar;34(1):19–22. doi: 10.1136/jech.34.1.19. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Hunt S. M., Alexander F., Roberts M. M. Attenders and non-attenders at a breast screening clinic: a comparative study. Public Health. 1988 Jan;102(1):3–10. doi: 10.1016/s0033-3506(88)80004-0. [DOI] [PubMed] [Google Scholar]
  5. Kruse J., Phillips D. M. Factors influencing women's decision to undergo mammography. Obstet Gynecol. 1987 Nov;70(5):744–748. [PubMed] [Google Scholar]
  6. Lerman C., Rimer B., Trock B., Balshem A., Engstrom P. F. Factors associated with repeat adherence to breast cancer screening. Prev Med. 1990 May;19(3):279–290. doi: 10.1016/0091-7435(90)90028-i. [DOI] [PubMed] [Google Scholar]
  7. Maclean U., Sinfield D., Klein S., Harnden B. Women who decline breast screening. J Epidemiol Community Health. 1984 Dec;38(4):278–283. doi: 10.1136/jech.38.4.278. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Mant D., Fitzpatrick R., Hogg A., Fuller A., Farmer A., Verne J., Northover J. Experiences of patients with false positive results from colorectal cancer screening. Br J Gen Pract. 1990 Oct;40(339):423–425. [PMC free article] [PubMed] [Google Scholar]
  9. Marteau T. M. Psychological costs of screening. BMJ. 1989 Aug 26;299(6698):527–527. doi: 10.1136/bmj.299.6698.527. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Roberts M. M., Alexander F. E., Anderson T. J., Chetty U., Donnan P. T., Forrest P., Hepburn W., Huggins A., Kirkpatrick A. E., Lamb J. Edinburgh trial of screening for breast cancer: mortality at seven years. Lancet. 1990 Feb 3;335(8684):241–246. doi: 10.1016/0140-6736(90)90066-e. [DOI] [PubMed] [Google Scholar]
  11. Roghmann K. J., Hengst A., Zastowny T. R. Satisfaction with medical care: its measurement and relation to utilization. Med Care. 1979 May;17(5):461–479. doi: 10.1097/00005650-197905000-00002. [DOI] [PubMed] [Google Scholar]
  12. Stoate H. G. Can health screening damage your health? J R Coll Gen Pract. 1989 May;39(322):193–195. [PMC free article] [PubMed] [Google Scholar]
  13. Stomper P. C., Kopans D. B., Sadowsky N. L., Sonnenfeld M. R., Swann C. A., Gelman R. S., Meyer J. E., Jochelson M. S., Hunt M. S., Allen P. D. Is mammography painful? A multicenter patient survey. Arch Intern Med. 1988 Mar;148(3):521–524. [PubMed] [Google Scholar]
  14. Vernon S. W., Laville E. A., Jackson G. L. Participation in breast screening programs: a review. Soc Sci Med. 1990;30(10):1107–1118. doi: 10.1016/0277-9536(90)90297-6. [DOI] [PubMed] [Google Scholar]
  15. Williams E. M., Vessey M. P. Compliance with breast cancer screening achieved by the Aylesbury Vale mobile service (1984-1988). J Public Health Med. 1990 Feb;12(1):51–55. doi: 10.1093/oxfordjournals.pubmed.a042506. [DOI] [PubMed] [Google Scholar]
  16. Williams E. M., Vessey M. P. Randomised trial of two strategies offering women mobile screening for breast cancer. BMJ. 1989 Jul 15;299(6692):158–159. doi: 10.1136/bmj.299.6692.158. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. de Waard F., Collette H. J., Rombach J. J., Baanders-van Halewijn E. A., Honing C. The DOM project for the early detection of breast cancer, Utrecht, The Netherlands. J Chronic Dis. 1984;37(1):1–44. doi: 10.1016/0021-9681(84)90123-1. [DOI] [PubMed] [Google Scholar]

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