title: Factors associated with adherence to breast cancer screening among working women.
abstract: This study identified sociodemographic, knowledge, attitude, and social influence correlates of obtaining mammograms among employed women age 40 and over. Telephone interviews were conducted with 798 women who worked at 39 different work sites. Eighty-four percent of respondents had ever had a mammogram, and 72% had had one at the recommended interval for their age group. The only personal characteristic that was associated with past mammography use was having a co-worker, friend, or relative with a history of breast cancer. Logistic regression analyses indicated that a doctor's advice to have a mammogram, knowledge of screening guidelines, knowing someone with breast cancer, and the beliefs that mammography is effective and that mammography is necessary in the absence of symptoms were associated independently with past use of mammography. Three factors contributed independently to explaining adherence to mammography guidelines: younger age, knowledge of guidelines for one's own age group, and the belief that breast cancer is curable. The findings suggest that emphasizing the recommended guidelines, the need for and benefits of mammography in educational programs, and offering low-cost or free mammography at the workplace, can further increase appropriate utilization among working women.
authors.affiliation: Division of Behavioral Research, Fox Chase Cancer Center, Philadelphia, PA.
authors.forename: K
authors.initials: K
authors.lastname: Glanz
authors.forename: N
authors.initials: N
authors.lastname: Resch
authors.forename: C
authors.initials: C
authors.lastname: Lerman
authors.forename: A
authors.initials: A
authors.lastname: Blake
authors.forename: P M
authors.initials: PM
authors.lastname: Gorchov
authors.forename: B K
authors.initials: BK
authors.lastname: Rimer
mesh_terms: D000367:Age Factors; D001294:Attitude to Health; D001943:Breast Neoplasms / Q000517:prevention & control*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008327:Mammography / Q000706:statistics & numerical data; D008403:Mass Screening / Q000706:statistics & numerical data; D008962:Models, Theoretical; D009515:New Jersey; D010349:Patient Compliance; D010414:Pennsylvania; D012044:Regression Analysis; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D013689:Telephone; D014931:Women, Working / Q000706:statistics & numerical data