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. 2003 Mar;18(3):182–189. doi: 10.1046/j.1525-1497.2003.20112.x

Table 2.

Content Areas and Themes in Women's Decision-making Process Regarding Screening Mammography

Content Areas Themes
Intentions for screening Universal intentions for screening
Screening intervals not clear
Motivating factors
 Role of age 40 Following recommendations
Body changes associated with age
Suspicions of screening controversy
 Media Source of recommendation for screening
Source of information about breast cancer risk
Favorable view of screening mammography
 Others with breast cancer Poignant images of young, deceased women
Vulnerability, fear
 Medical providers Source of recommendation for screening
Limited source of information
Provider characteristics may be a factor
 Psychosocial factors Self-efficacy, personal responsibility
Peace of mind
Proactive attitude
 Other factors Prior breast symptoms somewhat important
Family history generally not important
Cost of mammography not important
Attitudes toward screening mammography Valuable tool for early detection
“Better knowing that something is there”
Need to reach out to African-American and poor communities
Benefits to those 40 and older
Younger women may benefit from screening
No risks associated with mammography
False-positives don't affect future behaviors
Attitudes toward breast cancer Disease is prevalent
Risk factors not always present
Fear of disease
Screening reduces risk of death
Screening decision-making process
 Adequacy of information Many were not adequately informed
 Preferred source of information Medical provider
 Information desired Procedure related
 Preferred role in decision making Risks of false-positives and consequences
Preferences varied