| Autor: |
Giordano, Livia, Stefanini, Valeria, Senore, Carlo, Frigerio, Alfonso, Castagno, Roberta, Marra, Vincenzo, Dalmasso, Marco, del Turco, Marco Rosselli, Paci, Eugenio, Segnan, Nereo |
| Předmět: |
|
| Zdroj: |
European Journal of Public Health; Jun2012, Vol. 22 Issue 3, p413-418, 6p |
| Abstrakt: |
Background: Several factors can influence access to population breast cancer screening. The aim of the study was to evaluate the impact of different information approaches, women’s socio-demographic characteristics and organizational factors on mammography screening uptake. Methods: We selected 5744 women aged 40–45 years who were randomly assigned to be given letters with: (i) a pre-fixed appointment plus standard leaflet (Group 1); (ii) a pre-fixed appointment plus a more comprehensive booklet (Group 2); (iii) point (ii) plus the offer of a counselling session (Group 3); and (iv) an invitation to contact the centre to get information and arrange participation (Group 4). Results: Ninety-five women were excluded before the invitation and 5649 were randomized. After excluding undelivered letters (n = 41) and women reporting an exclusion criterion following our invitation (n = 248), the final eligible population was 5360 women. Participation rates following the first contact were 36.5, 39.9, 35.8 and 16.5% for Groups 1–4, respectively. The rates increased to 40.9, 43.6, 40.1 and 35.1% after the reminder letters. Women receiving more complete information had a higher uptake (Group 2), although not statistically significant. Differences among the four groups were maintained by controlling the effect of socio-demographic and attendance determinants. Regardless of intervention, participation was higher among married, higher educated, white-collared women, those born in northern Italy, living closer to the screening unit and with a female-collaborative doctor. Conclusion: Invitation letters with a fixed appointment correlate with a higher attendance rate. Providing women with more information on procedures, risks and benefits of mammography screening does not modify their participation. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
|
