Nursing & Care


Factors Influencing Regular Mammography Screening Participation in a Sample of Turkish Women: Cross-Sectional Study

Filiz Okur RN. Zeynep Güneş.

Background: Regular mammography is important for early detection of breast cancer (BC). Women in developing countries haven’t regular mammograms. There is little information about why women do not maintain regular screening schedules.

Objectives: To examine participation in regular mammography screening of women applying to cancer early diagnosis, screening and training center and identify which factors are associated with those women who participate in screening.

Methods: In the study, whose scope is cross-sectional, the archive files (14027 file) of the women applying to cancer early diagnosis center in between the years of 2004 and 2011 were evaluated. We accepted to be inclusion criteria if archives files had mammogram results. In all tests, the level of significance was set at 0.05.

Results: The mean age of participants were 50.50 ± 8.17 years. 91.2% were not working, 74.3% had 11 years and less education. It was determined that 52.8% of women were in menapouse, 27.5% used oral contraseptive, 11.6% used hormone replacement therapy(HRT), 12.7% had a family history of breast cancer. 9,5% of women had regular screening(RS). It was observed a statistically significant difference between women's RS behavior and their age, educations and job status. In further analysis, affecting factors of the RS behavior were using HRT (OR:1,481; 95% CI:1,24-1,76), the presence of family history of BC (OR:1,613; 95% CI:1,37-1,89), breast self-examination (BSE) (OR:1,221; 95% CI:1,07-1,39) and suspicious mass in mammography (OR:1,263; 95% CI:1,09-1,45). Regular mammography uses was lower for university graduates (OR:1, 324; 95% CI:1,02-1,71).

Conclusion: Age, education, family history, received HRT, performed BSE, suspicious mass were the predictor of regular screening.