Download or read book Factors Influencing the Compliance of Women Age 50 69 Years with Breast Cancer Screening written by Yvonne Lillian Bent-Williams and published by . This book was released on 2003 with total page 146 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Fulfilling the Potential of Cancer Prevention and Early Detection written by National Research Council and published by National Academies Press. This book was released on 2003-05-07 with total page 564 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cancer ranks second only to heart disease as a leading cause of death in the United States, making it a tremendous burden in years of life lost, patient suffering, and economic costs. Fulfilling the Potential for Cancer Prevention and Early Detection reviews the proof that we can dramatically reduce cancer rates. The National Cancer Policy Board, part of the Institute of Medicine, outlines a national strategy to realize the promise of cancer prevention and early detection, including specific and wide-ranging recommendations. Offering a wealth of information and directly addressing major controversies, the book includes: A detailed look at how significantly cancer could be reduced through lifestyle changes, evaluating approaches used to alter eating, smoking, and exercise habits. An analysis of the intuitive notion that screening for cancer leads to improved health outcomes, including a discussion of screening methods, potential risks, and current recommendations. An examination of cancer prevention and control opportunities in primary health care delivery settings, including a review of interventions aimed at improving provider performance. Reviews of professional education and training programs, research trends and opportunities, and federal programs that support cancer prevention and early detection. This in-depth volume will be of interest to policy analysts, cancer and public health specialists, health care administrators and providers, researchers, insurers, medical journalists, and patient advocates.

Download or read book Factors Influencing Compliance with Mammography Screening in Women Over 40 Years Old written by Marie Marcinko and published by . This book was released on 1992 with total page 134 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Factors Influencing Compliance with Mammography Screening Recommendations in an Air Force Population written by Tamara Lou Link and published by . This book was released on 1998 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: What is the rate of compliance with mammography screening recommendations in an Air Force population and what factors influence compliance according to the Theory of Reasoned Action (TRA) model? This descriptive study surveyed 74 Air Force female health care beneficiaries ages 50 to 82 years with a mean age of 64 years old. Data was analyzed using SPSS for Windows version 6.1. This study found that over 80% of respondents indicated their last mammogram was for routine screening purposes as opposed to diagnostic purposes. Most respondents (82%) had had a mammogram within the past year. Only one respondent reported never having had a mammogram. Sixty-one percent of respondents demonstrated high participation in mammography screening according to NCI guidelines. Almost 80% of respondents reported it is extremely likely they will obtain a mammogram in the next year. The most important TRA attitude variable associated with mammography screening was finding cancer the examining provider could not. The most important social norm variable was provider recommendation for mammography screening. In terms of facilitating conditions for mammography screening, 75% of respondents reported their mammograms were easy to schedule. Only 17 women reported barriers to screening, the most frequently reported barrier being appointment availability. Most women used Champus as their health coverage, and 60% of respondents stated they paid nothing out of pocket for their mammogram. Overall, this study showed that the sample population participated in mammography screening more regularly that past studies.

Download or read book Empowering Factors Among Breast Cancer Screening Compliant Underserved Populations written by and published by . This book was released on 2000 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Breast cancer is the second leading cause of cancer deaths in all women. Breast cancer mortality can be reduced by 50% by mammography screening. Unfortunately, mammography usage is still underutilized by all groups especially low income and minority women. With insurance, the most common objective barrier removed, a vast majority of eligible women are not receiving free mammograms. However, 30% of women with comparable backgrounds to the non-compliant group have indeed obtained regular mammograms. The purpose is to study these underserved compliant women who could provide clear insight regarding what triggered their behavior change, despite all barriers. A novel approach is to focus on what empowers these women to be successful. We believe that this research will discover those key factors of the success should be replicable in their non-compliant counterparts. Study participants are being selected from the claims data received from the partner Managed Care Organization, Tennessee Coordinated Care Network (TCCN). Focus group discussions suggest that as a result of their breast cancer prevention knowledge and belief in early detection, compliant women value mammography. These women also share similar characteristics: plan oriented, organized and proactive health seeking attitudes. A questionnaire has been developed to further investigate these initial findings.

Download or read book Factors Influencing Compliance with Mammography Screening Recommendations in an Air Force Population written by Tamara Lou Link and published by . This book was released on 1998 with total page 71 pages. Available in PDF, EPUB and Kindle. Book excerpt: What is the rate of compliance with mammography screening recommendations in an Air Force population and what factors influence compliance according to the Theory of Reasoned Action (TRA) model? This descriptive study surveyed 74 Air Force female health care beneficiaries ages 50 to 82 years with a mean age of 64 years old. Data was analyzed using SPSS for Windows version 6.1. This study found that over 80% of respondents indicated their last mammogram was for routine screening purposes as opposed to diagnostic purposes. Most respondents (82%) had had a mammogram within the past year. Only one respondent reported never having had a mammogram. Sixty-one percent of respondents demonstrated high participation in mammography screening according to NCI guidelines. Almost 80% of respondents reported it is extremely likely they will obtain a mammogram in the next year. The most important TRA attitude variable associated with mammography screening was finding cancer the examining provider could not. The most important social norm variable was provider recommendation for mammography screening. In terms of facilitating conditions for mammography screening, 75% of respondents reported their mammograms were easy to schedule. Only 17 women reported barriers to screening, the most frequently reported barrier being appointment availability. Most women used Champus as their health coverage, and 60% of respondents stated they paid nothing out of pocket for their mammogram. Overall, this study showed that the sample population participated in mammography screening more regularly that past studies.

Download or read book Breast Cancer Screening what are the Factors Associated with Physician Compliance in Referral of Women for Preventive Care written by Carol L. El-Jabari and published by . This book was released on 1997 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Increasing Adherence to Breast Cancer Screening Guidelines written by Mathijs Goossens and published by . This book was released on 2014 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Exploring Risk Factors for Non adherence to Screening Mammography Among Women Living with Human Immunodeficiency Syndrome HIV written by Janna Gordon and published by . This book was released on 2020 with total page 117 pages. Available in PDF, EPUB and Kindle. Book excerpt: Women living with HIV (WLWH) in the U.S. are more than twice as likely to die of breast cancer compared to women without HIV. Although WLWH are less likely to obtain mammography than women without HIV, research examining risk factors for non-adherence to screening among WLWH is limited, particularly among those aged 50-74 years for whom biennial screening is currently recommended. This project examined risk factors for non-adherence to screening mammography among WLWH aged 50-74 receiving primary care at UC San Diego and UC San Francisco between 2016 and 2018. This study used electronic medical record data to compare rates of adherence to mammography guidelines between WLWH and the general population of women in California (Aim 1). Logistic regression analyses were conducted to evaluate individual (i.e., age, race/ethnicity, medical and psychiatric co-morbidities, smoking status, HIV-related medical characteristics), interpersonal (i.e., marital status, PCP department, PCP relationship length, number of office visits), and organizational (i.e., insurance, healthcare site) factors associated with non-adherence to recommended mammography screening among WLWH (Aims 2, 3, 4). Multiple logistic regression was used to identify the unique contribution of variables identified in Aims 2, 3, and 4 in predicting non-adherence to screening mammography and to determine the influence of individual, interpersonal, and organizational variable(s) on model fit (Aim 5). WLWH (N = 293, mean age = 57.4, 36.2% non-Hispanic White) were significantly less likely to obtain mammography screening than the general population. WLWH at greatest risk for non-adherence to mammography screening included those with mental health or substance use diagnoses, Hispanic women, and women who engaged in fewer office visits. In adjusted analyses, WLWH with a mental health diagnosis were more than twice as likely to be non-adherent with screening recommendations than their peers, and Hispanic women were twice as likely to be non-adherent than non-Hispanic White women. The inclusion of interpersonal, but not organizational, variables significantly improved model fit. Evidence-based interventions are needed to increase adherence to mammography screening among WLWH. Such interventions have the potential to increase the uptake of timely breast cancer screening and decrease breast-cancer related morbidity and mortality among this medically vulnerable population.

Download or read book Women s Breast Cancer Screening Practices Knowledge Attitudes and Decisional Conflict written by Catherine De Grasse and published by . This book was released on 1995 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Morbidity and mortality from breast cancer can be reduced by early detection through screening. Despite recommended guidelines for breast screening since 1988, participation rates have been suboptimal. The objectives of the current study were to describe: (1) changes in breast cancer screening knowledge, attitudes, decisional conflict, intentions and practices among women aged 50-69 years since initiation of a regional mass screening program in Ottawa-Carleton in 1991; and (2) breast cancer screening knowledge attitudes, intentions, and practices among women aged 40-49 years compared to women aged 50-69 years. Among women aged 50-69 years, the percentage ever having had a mammogram increased from 60% in 1991 to 83% in 1994. There were commensurate increases in the percentage reporting mammography within two years from 47% to 74%. There was an insignificant improvement in the annual professional breast examination (PBE) rate from 57% to 59%. A small, but statistically significant increase occurred in monthly breast self-examination (BSE) rate from 46% to 54%. Women in their forties continue to overutilize screening mammography; 63% reported ever having had a mammogram and 44% reported having had a mammogram within the past two years. Reported annual PBE and monthly BSE rates of women aged 40-49 years were comparable to the rates of women aged 50-69 years; 63% versus 59% and 48% versus 54% respectively. Intentions to have mammography every two years once they are 50 years and to have annual PBE were similar to those of women 50-69 years, however, they were more likely to accept an invitation to screening (71% versus 56%). Women 40-49 years were more knowledgeable than women 50-69 years while they had similar concerns about future mammography as the women over 50 years. (Abstract shortened by UMI.).

Download or read book Mammogram Compliance Among Low Income Middle Aged Women in Puerto Rico written by and published by . This book was released on 2000 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Despite evidence in favor of breast cancer screening with mammograms and that screening has increased in the last years, mammogram compliance among low-income, minority and women over 50 years of age has been slow. This three-year project contemplates a study of women's compliance with 1997 NIH screening mammogram guidelines and physicians' observance of NIH guidelines in Puerto Rico. Two-hundred low-income women age 40 to 64 in Puerto Rico will be interviewed to assess factors that affect compliance with screening mammogram in order to determine self- assessment cancer risks. Fifty clinicians will be interviewed to obtain data about mammogram referral patterns. Physicians will be asked permission to examine a random number of records to document referral patterns and select potential survey participants. The first stage of the project was directed to obtain qualitative data to develop the instruments to be administered to the physicians and the women. Focus groups were conducted for this purpose. The women's focus groups served to incorporate pertinent issues and appropriate vocabulary. The physicians' focus group was directed to assess an instrument developed by the research team consisting of case-studies by which to probe if physicians were familiar with 1997 NIH screening mammogram guidelines.

Download or read book Screening for Breast Cancer written by and published by . This book was released on 2009 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: BACKGROUND: This systematic review is an update of new evidence since the 2002 U.S. Preventive Services Task Force recommendation on breast cancer screening. PURPOSE: To determine the effectiveness of mammography screening in decreasing breast cancer mortality among average-risk women age 40-49 years and 70 years and older; the effectiveness of clinical breast examination (CBE) and breast self examination (BSE) in decreasing breast cancer mortality among women of any age; and harms of screening with mammography, CBE, and BSE. DATA SOURCES: The Cochrane Central Register of Controlled Trials and Cochrane Database of Systematic Reviews (through the fourth quarter of 2008), MEDLINE(r) searches (January 2001 to December 2008), reference lists, and Web of Science(r) searches for published studies and Breast Cancer Surveillance Consortium for screening mammography data. STUDY SELECTION: Randomized, controlled trials with breast cancer mortality outcomes for screening effectiveness, and studies of various designs and multiple data sources for harms. DATA EXTRACTION: Relevant data were abstracted, and study quality was rated by using established criteria. DATA SYNTHESIS: Mammography screening reduces breast cancer mortality by 15% for women age 39-49 (relative risk [RR] 0.85; 95% credible interval [CrI], 0.75-0.96; 8 trials). Results are similar to those for women age 50-59 years (RR 0.86; 95% CrI, 0.75-0.99; 6 trials), but effects are less than for women age 60-69 years (RR 0.68; 95% CrI, 0.54-0.87; 2 trials). Data are lacking for women age 70 years and older. Radiation exposure from mammography is low. Patient adverse experiences are common and transient and do not affect screening practices. Estimates of overdiagnosis vary from 1-10%. Younger women have more false-positive mammography results and additional imaging but fewer biopsies than older women. Trials of CBE are ongoing; trials of BSE showed no reductions in mortality but increases in benign biopsy results. LIMITATIONS: Studies of older women, digital mammography, and magnetic resonance imaging are lacking. CONCLUSIONS: Mammography screening reduces breast cancer mortality for women age 39-69 years; data are insufficient for women age 70 years and older. False-positive mammography results and additional imaging are common. No benefit has been shown for CBE or BSE.

Download or read book Screening written by Angela E. Raffle and published by Oxford University Press. This book was released on 2019-06-06 with total page 368 pages. Available in PDF, EPUB and Kindle. Book excerpt: Screening programmes involve the systematic offer of testing for populations or groups of apparently healthy people to identify individuals who may be at future risk of a particular medical condition or disease, with the aim of offering intervention to reduce their risk. For many years, screening was practised without debate, and without evidence, but in the 1960s serious challenges were raised about many of the screening procedures then being practised. Benefits and harms of screening must be measured in high quality trials, and the benefits of screening must be weighed alongside the negative side-effects. Concerns were raised about potential and actual harm arising when people without a health problem received dangerous and unnecessary investigations and treatments as a result of routine screening tests. Controversy raged, and it took some 50 years to achieve widespread recognition that evidence-based and quality assured programme delivery was essential, coupled with provision of balanced informed to enable informed choice for potential participants. Commercially motivated provision of poor quality and non-evidence based screening tests is increasing and screening remains a highly contested topic that has relevance in all health systems including for the general public and media. This book serves as a practical and comprehensive guide to all aspects of screening. Following the international success of the first edition, this second edition brings extensive updates and new case study material. The first section deals with concepts, methods, and evidence, charts the story of screening back to 1861, and covers all aspects of a screening programme and how to research the full consequences. The second section is a practical guide to sound policy-making and to high quality delivery of best value screening. The controversies, paradoxes, uncertainties, and ethical dilemmas of screening are explained, and each chapter is packed with examples, real-life case histories, helpful summary points, and self-test questions. Reference is made to the NHS, a leader in screening, but the primary focus is on universal principles, making the book highly relevant across the globe.

Download or read book The Family Health Decision making Model Family Influence on Breast Cancer Screening Adherence written by Paula Toviessi and published by . This book was released on 2007 with total page 121 pages. Available in PDF, EPUB and Kindle. Book excerpt: Breast cancer is the second most deadly cancer among women (American Cancer Society, 2005). However, woman can reduce their chances of surviving this disease if they detect the cancer early on through breast screening. This study will evaluate the Family Health Decision-Making Model (FHDMM) as it relates to partner influence on breast cancer screening adherence. The FHDMM proposes a decision-making process that incorporates the concepts of differentiation, monitoring style, coping, and the interactions between these concepts. Health, a critical component to quality of life, directly influences family functioning and interactions. For this reason, health decisions made by families are a significant predictor of family health. Participants in this study include women from a larger study and their family members. The women attended a presentation about breast cancer awareness, risk factors, and prevention. Data for this study was analyzed using correlations, t-tests, regressions, and a structural equation model with the SPSS 14.0 and LISREL 8.72 software packages. Research hypothesis one examined differentiation and monitoring, and this hypothesis was supported. This suggests that there is a relationship between differentiation and monitoring and that those reporting lower differentiation scores also reported higher monitoring. Findings from research hypothesis two revealed that there was not a significant difference on instrumental coping based on level of differentiation. Results from research hypothesis three revealed that differentiation did not directly influence the family dyad's decision to engage in breast cancer screening behaviors although it is believed that differentiation has an indirect relationship to breast cancer-screening behaviors. This study did not support the full Family Health Decision Making Model, which stated that differentiation is related to coping, which is related to monitoring, and participant's adherence to breast cancer screenings. Due to the large sample size, the model did not have a significant fit to the data. Limitations and clinical implications are further discussed in this paper.

Download or read book Examining Factors Associated with Utilization of Mammography Screening for Women of Age 40 74 Years in Washington State written by Abhishek Savant and published by . This book was released on 2009 with total page 75 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Breast Cancer written by I. Craig Henderson and published by Oxford University Press, USA. This book was released on 2015 with total page 257 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume provides an in-depth understanding of the biology of breast cancer, the natural history of the disease, the use of molecular markers, the interpretation of clinical trial data, and the integration of multiple therapeutic modalities. Outcomes of clinical trials and details about commonly used drug regimens, drug dosage, and the expected side effects are summarised.

Download or read book A Comparative Case Study of Resource Structures information and Service for Korean American Women s Breast Cancer Screenings in Atlanta and Chicago Metropolitan Areas written by Jun Hoe Kim and published by . This book was released on 2016 with total page 266 pages. Available in PDF, EPUB and Kindle. Book excerpt: The purpose of the three studies in this dissertation is to provide the foundation of the research study "A Comparative Case Study of Resource Structures for Korean American Women's Breast Cancer Screenings in Atlanta and Chicago Metropolitan Areas" for further analysis on the current information and service systems for Korean American women's breast cancer screenings and their screening status in Atlanta and Chicago metropolitan areas. In Study One, through reviewing previous research studies on Korean American women's breast cancer screening, it was found that theoretical approaches were biased toward the Health Belief Model. This study attempts to bridge the gap between micro and macro perspectives by extending HBM with habitus, a concept of Pierre Bourdieu. In Study Two, exploratory statistical analysis was performed to examine the factors influencing Korean American women's breast cancer screening practice, with a sample of 274 Korean American women, from 40 to 65 years of age. Data were collected through a self-administrated survey in Atlanta and Chicago metropolitan areas to confirm the revised framework of Study One. In addition to that, the functionality of two different types of response items about the status of breast cancer screening is examined using binary and Likert five-point scales. Compared with the findings of research studies before 2014, the rate of Korean American women with health insurance in both regions has increased but the rate of Korean American women having a mammogram in the past two years was still low, especially in Chicago. The response items using a Likert five-point scale had significant relations with more factors than binary response items. In Study Three, the scale of information and service resources, medical dependency on S. Korea, social barriers, and breast cancer screening behavior pattern was developed to explain the Korean American women's breast cancer screening practice through the extended Health Belief Model within the social structures, and their reliability and construct validity were tested. After the deleting, summating, and redefining process, the sensitivity of the new variables was checked through logistic regression, resulting in significant results. Eventually, the findings will provide a critical foundation for future research studies.