A national cross-sectional study of adherence to timely mammography use in Malta

Autor: Danika Marmarà, Gill Hubbard, Vincent Marmarà
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Cancer Research
medicine.medical_specialty
Health Knowledge
Attitudes
Practice
Advance Directive Adherence
Cross-sectional study
Recent
Breast -- Cancer -- Malta -- Statistics
Diseases
Breast Neoplasms
lcsh:RC254-282
03 medical and health sciences
0302 clinical medicine
Public health surveillance
Surveys and Questionnaires
Genetics
medicine
Mammography
Humans
Mass Screening
Public Health Surveillance
030212 general & internal medicine
Medical screening -- Malta -- Statistics
Mass screening
Health beliefs
medicine.diagnostic_test
Descriptive statistics
business.industry
Malta
Attendance
Breast -- Examination -- Statistics
Middle Aged
lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens
Test (assessment)
Cross-Sectional Studies
Oncology
Socioeconomic Factors
Adherence
030220 oncology & carcinogenesis
Family medicine
Mann–Whitney U test
Female
Breast -- Radiography -- Malta
business
Illness perceptions
Health Belief Model
Research Article
Zdroj: BMC Cancer
BMC Cancer, Vol 18, Iss 1, Pp 1-12 (2018)
ISSN: 1471-2407
Popis: Background: Routine mammography improves survival. To achieve health benefits, women must attend breast screening regularly at recommended time intervals. Maltese women are routinely invited to undergo mammography at three-year intervals at an organized breast screening programme (MBSP) or can opt to attend a private clinic. Previous research shows that health beliefs, particularly perceived barriers, were the most significant predictors of uptake to the first MBSP invitation. Whether these beliefs and other factors are predictive of adherence with recommended time intervals for mammography at organized or private screening in Malta is unknown. For the first time, this paper explores the predictors for Maltese women screened within or exceeding the recommended three-year frequency in organized or private screening in Malta. Methods: Information was obtained from a cross-sectional survey of 404 women, aged 50 to 60 years at the time of their first MBSP invitation, where women’s characteristics, knowledge, health beliefs and illness perceptions were compared. The main variable of interest was women’s mammography attendance within a three-year interval (ADHERENT) or exceeding three years (NON-ADHERENT). Data were analysed using descriptive statistics, chi-square test, Mann Whitney test, Independent Samples t-test and Shapiro Wilk test. Results: At the time of the survey, 80.2% (n = 324) had been screened within three years (ADHERENT), 5.9% (n =24) had exceeded the three-year frequency (NON-ADHERENT) while 13.9% (n = 56) never had a mammogram. No significant associations were found between ADHERENT or NON-ADHERENT women in relation to sociodemographic or health status variables (p> 0.05). Knowledge of screening frequency was significantly associated with women’s mammography adherence (χ2 = 5.5, p = 0.020). Health beliefs were the strongest significant predictors to describe the variance between ADHERENT and NON-ADHERENT screeners. When Mann Whitney test and Independent Samples t-test were applied on mammography adherence, perceived barriers and cues to action were found to be the most important predictors (p = 0.000, p = 0.039 respectively). Conclusions: To increase routine and timely mammography practices, women who are non-adherent to recommended time frequency guidelines should be targeted, together with their health beliefs, predominantly perceived barriers and cues to action.
peer-reviewed
Databáze: OpenAIRE
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