Samiratou Ouédraogo1, Tienhan S Dabakuyo-Yonli2, Philippe Amiel3, Vincent Dancourt4, Agnès Dumas3, Patrick Arveux5. 1. Breast and Gynaecologic Cancer Registry of Cote d'Or, Georges-François Leclerc Comprehensive Cancer Care Centre, Dijon, France; EA 4184, Medical School, University of Burgundy, Dijon, France. Electronic address: samioued@yahoo.fr. 2. EA 4184, Medical School, University of Burgundy, Dijon, France; Biostatistics and Quality of Life Unit, Georges-François Leclerc Comprehensive Cancer Care Centre, Dijon, France. 3. Social and Human Sciences Research Unit, Gustave-Roussy Cancer Institute, Villejuif, France. 4. Inserm U866, Medical School, University of Burgundy, Dijon, France; Association pour le Dépistage des Cancers en Côte d'Or et dans la Nièvre (ADECA 21-58), Dijon, France. 5. Breast and Gynaecologic Cancer Registry of Cote d'Or, Georges-François Leclerc Comprehensive Cancer Care Centre, Dijon, France; EA 4184, Medical School, University of Burgundy, Dijon, France.
Abstract
OBJECTIVE: This study investigated predictive factors of women's participation in organized mammography screening (OrgMS) and/or opportunistic mammography screening (OppMS) when the two screening modes coexist. METHODS: Questionnaires were sent to 6,000 women aged 51-74 years old invited to attend an OrgMS session between 2010 and 2011 in France. Data collected concerned the women's healthcare behaviour and their socioeconomic characteristics. Women without a personal or family history of breast cancer that could explain their participation in OppMS were retained in the generalized logits analysis. RESULTS: The data of 1,202 women were analysed. Of these, 555 (46.2%) had attended OrgMS only, 105 (8.7%) OppMS only and 542 (45.1%) had performed both OrgMS and OppMS. Multivariable analyses showed that women who had regular gynaecological check-ups were more likely to perform OppMS only or both OrgMS and OppMS, OR 95% CI were 2.1 [1.1-3.9], 1.9 [1.4-2.6], respectively. Being employed also increased participation in OppMS only [OR: 2.1 (1.2-3.7)] or both OrgMS and OppMS [OR: 1.5 (1.1-2.05)]. CONCLUSION AND PRACTICE IMPLICATIONS: In countries where OrgMS and OppMS coexist, strategies involving gynaecologists, referring doctors or company doctors and the organization of healthcare services to promote adequate screening round may help to reduce the overuse of mammography.
OBJECTIVE: This study investigated predictive factors of women's participation in organized mammography screening (OrgMS) and/or opportunistic mammography screening (OppMS) when the two screening modes coexist. METHODS: Questionnaires were sent to 6,000 women aged 51-74 years old invited to attend an OrgMS session between 2010 and 2011 in France. Data collected concerned the women's healthcare behaviour and their socioeconomic characteristics. Women without a personal or family history of breast cancer that could explain their participation in OppMS were retained in the generalized logits analysis. RESULTS: The data of 1,202 women were analysed. Of these, 555 (46.2%) had attended OrgMS only, 105 (8.7%) OppMS only and 542 (45.1%) had performed both OrgMS and OppMS. Multivariable analyses showed that women who had regular gynaecological check-ups were more likely to perform OppMS only or both OrgMS and OppMS, OR 95% CI were 2.1 [1.1-3.9], 1.9 [1.4-2.6], respectively. Being employed also increased participation in OppMS only [OR: 2.1 (1.2-3.7)] or both OrgMS and OppMS [OR: 1.5 (1.1-2.05)]. CONCLUSION AND PRACTICE IMPLICATIONS: In countries where OrgMS and OppMS coexist, strategies involving gynaecologists, referring doctors or company doctors and the organization of healthcare services to promote adequate screening round may help to reduce the overuse of mammography.
Authors: Lilu Ding; Svetlana Jidkova; Marcel J W Greuter; Koen Van Herck; Mathieu Goossens; Harlinde De Schutter; Patrick Martens; Guido Van Hal; Geertruida H de Bock Journal: Front Public Health Date: 2021-04-15