| Autor: |
Housten, Ashley J., Hoover, Diana S., Britton, Maggie, Bevers, Therese B., Street, Richard L., McNeill, Lorna H., Strong, Larkin L., Hersch, Jolyn, McCaffery, Kirsten, Volk, Robert J. |
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| Zdroj: |
JGIM: Journal of General Internal Medicine; Apr2022, Vol. 37 Issue 5, p1145-1154, 10p, 3 Charts |
| Abstrakt: |
Background: Conflicting breast cancer screening recommendations have the potential to diminish informed decision making about screening. Objective: We examined the knowledge, attitudes, and intentions related to divergent recommendations for breast cancer screening among racially/ethnically diverse women. Design: We used a multimethod study design employing focus groups and questionnaires. Focus groups included: (1) two 10-min presentations on the national screening recommendations and the potential benefits and harms of screening and (2) an interactive discussion. Data were collected: 8/3/2017 to 11/19/2019. Analysis occurred from 1/21/2019 to 7/24/2020. Participants: Participants were (1) women 40–75 years; (2) English or Spanish speaking; (3)self-identified as Latina, Black, or non-Latina White; and (4) no known increased risk for breast cancer. Main Measures: Main outcomes were participants' knowledge and perceptions of benefits and harms of screening mammography and their screening intentions. Focus groups were transcribed and analyzed using a qualitative descriptive approach. Quantitative data were summarized using descriptive statistics. Key Results: One hundred thirty-four women (n=52, 40–49 years; n=82, 50–75 years) participated in 28 focus groups. Participants were Latina (n=44); Black (n=51); and non-Latina White (n=39). Approximately one-quarter (n=32) had limited health literacy and almost one-fifth (n=23) had limited numeracy. In the context of differing national screening recommendations, participants questioned the motives of the recommendation-making agencies, including the role of costs and how costs were considered when making screening recommendations. Participants expressed concern that they were not represented (e.g., race/ethnicity) in the data informing the recommendations. Immediately following the focus groups, most participants expressed intention to screen within the upcoming year (pre n=100 vs. post n=107). Conclusions: Divergent breast cancer screening recommendations may lead to mistrust and paradoxically reinforce high overall enthusiasm for screening. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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