Tolga Özmen1, Salih Yüce2, Tekin Güler3, Canan Ulun4, Nilufer Özaydın5, Sandhya Pruthi6, Nezih Akkapulu7, Koray Karabulut8, Atilla Soran9, Vahit Özmen10. 1. Department of General Surgery, Marmara University School of Medicine, İstanbul, Turkey. 2. Genç Birikim Association, Muş, Turkey. 3. Association for Fight against Cancer, Muş, Turkey. 4. Department of Nurses, Muş Alparslan University High School of Nursing, Muş, Turkey. 5. Department of Public Health, Marmara University School of Medicine, İstanbul, Turkey. 6. Mayo Clinic, Rochester, USA. 7. Clinic of General Surgery, Ordu Training and Research Hospital, Ordu, Turkey. 8. Department of General Surgery, Fırat Universty School of Medicine, Elazığ, Turkey. 9. Magee Womens Hospital of UPMC, Pittsburgh, USA. 10. Department of General Surgery, İstanbul University İstanbul School of Medicine, İstanbul, Turkey.
Abstract
OBJECTIVE: Mammography-screening (MS) rates remain low in underdeveloped populations. We aimed to find the barriers against MS in a low socioeconomic population. MATERIALS AND METHODS: Women aged 40-69 years who lived in the least developed city in Turkey (Mus), were targeted. A survey was used to question breast cancer (BC) knowledge and health practices. RESULTS: In total, 2054 women were surveyed (participation rate: 85%). The MS rate was 35%. Women aged 50-59 years (42%, p<0.001), having annual Obstetric-Gynecology (OB-GYN) visits (42%, p<0.001), reading daily newspaper (44%, p=0.003), having Social Security (39%, p=0.006) had increased MS rates. The most common source of information about BC was TV/radio (36%). Having doctors as main source of information (42%, p<0.001), knowing BC as the most common cancer in females (36%, p=0.024), knowing that BC is curable if detected early (36%, p=0.016), knowing that MS is free (42%, p<0.001) and agreeing to the phrase "I would get mammography (MG), if my doctor referred me" (36%, p=0.015) increased MS rates. Agreeing that MG exposes women to unnecessary radiation decreased MS rate (32%, p=0.002). CONCLUSION: To increase the MS rate in low socioeconomic populations, clear messages about BC being the most common cancer in women, MS after 40 years of age not causing unnecessary radiation but saving lives through enabling early detection, and MS being free of charge should be given frequently on audiovisual media. Uninsured women and women aged 40-49 years should be especially targeted. Physicians from all specialties should inform their patients about BC.
OBJECTIVE: Mammography-screening (MS) rates remain low in underdeveloped populations. We aimed to find the barriers against MS in a low socioeconomic population. MATERIALS AND METHODS:Women aged 40-69 years who lived in the least developed city in Turkey (Mus), were targeted. A survey was used to question breast cancer (BC) knowledge and health practices. RESULTS: In total, 2054 women were surveyed (participation rate: 85%). The MS rate was 35%. Women aged 50-59 years (42%, p<0.001), having annual Obstetric-Gynecology (OB-GYN) visits (42%, p<0.001), reading daily newspaper (44%, p=0.003), having Social Security (39%, p=0.006) had increased MS rates. The most common source of information about BC was TV/radio (36%). Having doctors as main source of information (42%, p<0.001), knowing BC as the most common cancer in females (36%, p=0.024), knowing that BC is curable if detected early (36%, p=0.016), knowing that MS is free (42%, p<0.001) and agreeing to the phrase "I would get mammography (MG), if my doctor referred me" (36%, p=0.015) increased MS rates. Agreeing that MG exposes women to unnecessary radiation decreased MS rate (32%, p=0.002). CONCLUSION: To increase the MS rate in low socioeconomic populations, clear messages about BC being the most common cancer in women, MS after 40 years of age not causing unnecessary radiation but saving lives through enabling early detection, and MS being free of charge should be given frequently on audiovisual media. Uninsured women and women aged 40-49 years should be especially targeted. Physicians from all specialties should inform their patients about BC.
Entities:
Keywords:
Breast cancer; cross-sectional studies; prevention; screening
Authors: Andrew Coldman; Norm Phillips; Christine Wilson; Kathleen Decker; Anna M Chiarelli; Jacques Brisson; Bin Zhang; Jennifer Payne; Gregory Doyle; Rukshanda Ahmad Journal: J Natl Cancer Inst Date: 2014-10-01 Impact factor: 13.506
Authors: Vahit Ozmen; A Nilufer Ozaydin; Neslihan Cabioglu; Bahadir M Gulluoglu; Pemra C Unalan; Serra Gorpe; Birce Rumisa Oner; Erkin Aribal; David B Thomas; Benjamin O Anderson Journal: Breast J Date: 2011-03-31 Impact factor: 2.431
Authors: Terry C Davis; Mark V Williams; Estela Marin; Ruth M Parker; Jonathan Glass Journal: CA Cancer J Clin Date: 2002 May-Jun Impact factor: 508.702