Understanding women's breast screening behaviour: a study carried out in South East London, with women aged 50-64 years

Barter-Godfrey, Sarah and Taket, Ann 2007, Understanding women's breast screening behaviour: a study carried out in South East London, with women aged 50-64 years, Health Education Journal, vol. 66, no. 4, pp. 335-346, doi: 10.1177/0017896907083155.

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Title Understanding women's breast screening behaviour: a study carried out in South East London, with women aged 50-64 years
Author(s) Barter-Godfrey, Sarah
Taket, AnnORCID iD for Taket, Ann orcid.org/0000-0002-0971-5884
Journal name Health Education Journal
Volume number 66
Issue number 4
Start page 335
End page 346
Publisher Sage Publications Ltd.
Place of publication United Kingdom
Publication date 2007
ISSN 0017-8969
Summary Objective To understand low uptake of breast cancer screening through exploring the personal reasoning underlying women's attendance or non-attendance, and identifying differences between those who attend and those who decline.

Design Cross-sectional survey.

Setting Community and home environments of women eligible for breast screening aged 50—64 years, living in South East London. Method Structured, self-completed or assisted-completion questionnaires.

Results The decision to attend or decline screening is rational and personally justifiable, engaging factors linked to emotions and attitude. Attitudes about breast screening and perceived personal importance of breast screening are the strongest predictors of attendance and non-attendance. There are differences between ethnic groups in perceptions of breast screening. Regular attendance at screening is associated with ethnicity, although consistent avoidance of mammography is not. Inconvenience is an important factor in missing appointments, and tends to be prolonged rather than specific to the time or day of the pre-booked invitation. GP and health worker advice are good persuaders towards attendance. Pain and anxiety during mammography are notable dissuaders against re-attending.

Conclusion Appropriate service provision requires consideration of local factors, as well as the medical needs of the population eligible for breast screening. Lay perceptions of potential personal costs of attending or not attending breast screening are important for guiding health promotion. Information providers should consider the language needs of a culturally and educationally mixed community. Health care professionals are well placed to encourage uptake of breast screening through disseminating information that promotes attendance, both within and outside the breast screening service.
Language eng
DOI 10.1177/0017896907083155
Field of Research 111712 Health Promotion
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ┬ęSAGE, 2007
Persistent URL http://hdl.handle.net/10536/DRO/DU:30007715

Document type: Journal Article
Collections: Faculty of Health
School of Health and Social Development
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