PMID- 24330527
OWN - NLM
STAT- MEDLINE
DCOM- 20140928
LR  - 20211203
IS  - 1471-2458 (Electronic)
IS  - 1471-2458 (Linking)
VI  - 13
DP  - 2013 Dec 12
TI  - Women's responses to changes in U.S. Preventive Task Force's mammography 
      screening guidelines: results of focus groups with ethnically diverse women.
PG  - 1169
LID - 10.1186/1471-2458-13-1169 [doi]
AB  - BACKGROUND: The 2009 U.S. Preventive Services Task Force (USPSTF) changed 
      mammography guidelines to recommend routine biennial screening starting at age 
      50. This study describes women's awareness of, attitudes toward, and intention to 
      comply with these new guidelines. METHODS: Women ages 40-50 years old were 
      recruited from the Boston area to participate in focus groups (k = 8; n = 77). 
      Groups were segmented by race/ethnicity (Caucasian = 39%; African American = 35%; 
      Latina = 26%), audio-taped, and transcribed. Thematic content analysis was used. 
      RESULTS: Participants were largely unaware of the revised guidelines and 
      suspicious that it was a cost-savings measure by insurers and/or providers. Most 
      did not intend to comply with the change, viewing screening as obligatory. Few 
      felt prepared to participate in shared decision-making or advocate for their 
      preferences with respect to screening. CONCLUSIONS: Communication about the 
      rationale for mammography guideline changes has left many women unconvinced about 
      potential disadvantages or limitations of screening. Since further guideline 
      changes are likely to occur with advances in technology and science, it is 
      important to help women become informed consumers of health information and 
      active participants in shared decision-making with providers. Additional research 
      is needed to determine the impact of the USPSTF change on women's screening 
      behaviors and on breast cancer outcomes.
FAU - Allen, Jennifer D
AU  - Allen JD
AD  - Dana-Farber Cancer Institute, 450 Brookline Ave, Boston, MA 02215, USA. 
      jennifer_allen@dfci.harvard.edu.
FAU - Bluethmann, Shirley Morrison
AU  - Bluethmann SM
FAU - Sheets, Margaret
AU  - Sheets M
FAU - Opdyke, Kelly Morrison
AU  - Opdyke KM
FAU - Gates-Ferris, Kathryn
AU  - Gates-Ferris K
FAU - Hurlbert, Marc
AU  - Hurlbert M
FAU - Harden, Elizabeth
AU  - Harden E
LA  - eng
GR  - R25 CA057712/CA/NCI NIH HHS/United States
GR  - U48DP001946/DP/NCCDPHP CDC HHS/United States
GR  - R25T 2R25CA57712/CA/NCI NIH HHS/United States
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
PT  - Research Support, Non-U.S. Gov't
PT  - Research Support, U.S. Gov't, P.H.S.
DEP - 20131212
PL  - England
TA  - BMC Public Health
JT  - BMC public health
JID - 100968562
SB  - IM
MH  - Adult
MH  - Attitude to Health
MH  - Ethnicity
MH  - Female
MH  - Focus Groups
MH  - Guideline Adherence
MH  - Health Knowledge, Attitudes, Practice
MH  - Humans
MH  - Mammography/psychology/*standards
MH  - Middle Aged
MH  - Practice Guidelines as Topic
MH  - Racial Groups
MH  - United States
PMC - PMC3913377
EDAT- 2013/12/18 06:00
MHDA- 2014/10/01 06:00
PMCR- 2013/12/12
CRDT- 2013/12/17 06:00
PHST- 2013/07/24 00:00 [received]
PHST- 2013/12/03 00:00 [accepted]
PHST- 2013/12/17 06:00 [entrez]
PHST- 2013/12/18 06:00 [pubmed]
PHST- 2014/10/01 06:00 [medline]
PHST- 2013/12/12 00:00 [pmc-release]
AID - 1471-2458-13-1169 [pii]
AID - 10.1186/1471-2458-13-1169 [doi]
PST - epublish
SO  - BMC Public Health. 2013 Dec 12;13:1169. doi: 10.1186/1471-2458-13-1169.