PMID- 35171027
OWN - NLM
STAT- MEDLINE
DCOM- 20220822
LR  - 20230209
IS  - 1931-843X (Electronic)
IS  - 1540-9996 (Linking)
VI  - 31
IP  - 8
DP  - 2022 Aug
TI  - Factors Associated with Mammography Screening Choices by Women Aged 40-49 at 
      Average Risk.
PG  - 1120-1126
LID - 10.1089/jwh.2021.0232 [doi]
AB  - Background: The U.S. Preventive Services Task Force (USPSTF) does not recommend 
      routine mammogram screening for women aged 40-49 years at average risk for breast 
      cancer. We aimed to assess the extent to which women were following guideline 
      recommendations and to examine whether guideline awareness and other 
      individual-level factors were associated with adherence. Materials and Methods: 
      We surveyed a nationally representative panel of 383 U.S. women aged 40-49 years 
      at low risk for hereditary breast cancer in October 2019. Results: Only 29% of 
      women reported not having initiated screening mammography. Most women (80%) were 
      unaware of the USPSTF screening guideline related to age of initiation and 
      frequency of mammography. Being aware of the recommendation to initiate screening 
      at age 50 increased the odds of not initiating screening (odds ratio [OR] = 6.70, 
      p < 0.001), whereas being older than 45 years (OR = 0.22, p < 0.001) and having a 
      primary care doctor decreased the odds of not initiating screening (OR = 0.25, 
      p < 0.001). Conclusions: Mammogram screening in excess of USPSTF recommendations 
      is prevalent among U.S. women aged 40-49 years. Efforts are needed to increase 
      women's awareness of the rationale for guidelines and the opportunities to 
      discuss with providers whether delaying mammograms is appropriate.
FAU - Guan, Yue
AU  - Guan Y
AUID- ORCID: 0000-0001-6377-4626
AD  - Department of Behavioral, Social, and Health Education Sciences, Rollins School 
      of Public Health, Emory University, Atlanta, Georgia, USA.
FAU - Haardorfer, Regine
AU  - Haardorfer R
AD  - Department of Behavioral, Social, and Health Education Sciences, Rollins School 
      of Public Health, Emory University, Atlanta, Georgia, USA.
FAU - McBride, Colleen M
AU  - McBride CM
AD  - Department of Behavioral, Social, and Health Education Sciences, Rollins School 
      of Public Health, Emory University, Atlanta, Georgia, USA.
FAU - Lipscomb, Joseph
AU  - Lipscomb J
AD  - Department of Health Policy and Management, Rollins School of Public Health, 
      Emory University, Atlanta, Georgia, USA.
FAU - Escoffery, Cam
AU  - Escoffery C
AD  - Department of Behavioral, Social, and Health Education Sciences, Rollins School 
      of Public Health, Emory University, Atlanta, Georgia, USA.
LA  - eng
GR  - U48 DP006377/DP/NCCDPHP CDC HHS/United States
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20220215
PL  - United States
TA  - J Womens Health (Larchmt)
JT  - Journal of women's health (2002)
JID - 101159262
SB  - IM
MH  - *Breast Neoplasms/diagnosis/prevention & control
MH  - Early Detection of Cancer
MH  - Female
MH  - Humans
MH  - *Mammography
MH  - Mass Screening
MH  - Middle Aged
MH  - Surveys and Questionnaires
MH  - United States
OTO - NOTNLM
OT  - breast cancer
OT  - cancer screening
OT  - clinical practice guideline
OT  - genetic risk
OT  - health communication
OT  - mammography
OT  - women's health
EDAT- 2022/02/17 06:00
MHDA- 2022/08/23 06:00
CRDT- 2022/02/16 12:14
PHST- 2022/02/17 06:00 [pubmed]
PHST- 2022/08/23 06:00 [medline]
PHST- 2022/02/16 12:14 [entrez]
AID - 10.1089/jwh.2021.0232 [doi]
PST - ppublish
SO  - J Womens Health (Larchmt). 2022 Aug;31(8):1120-1126. doi: 10.1089/jwh.2021.0232. 
      Epub 2022 Feb 15.