title: Working women identify influences and obstacles to breast health practices.
abstract: OBJECTIVE
  To identify factors contributing to participation in breast screening in working women to drive health education planning and implementation.
  
  
  METHODS
  Survey.
  
  
  METHODS
  Automotive plants in southern Canada.
  
  
  METHODS
  Union and nonunion women working in the plants.
  
  
  METHODS
  Survey using "Health Care Practices: A Worksite Survey," modified for Canadian population.
  
  
  METHODS
  Age, education, breast health practices, influences on decision to participate in breast screening, and physician gender.
  
  
  RESULTS
  Differences were noted among three age groups (under 30 years, 30-49 years, 50 years or older) in terms of influences and perceived barriers to the different modalities of breast screening. For clinical breast exams, women preferred an expert in breast health, regardless of whether the professional was a physician or a nurse. In all groups, the physician was noted as being very influential; however, perceptions of encouragement from the physician varied across the age groups. Perceptions of barriers to breast screening differed among the age groups and between women with male physicians and those with female physicians. Coworkers were identified as being a strong influence in the older group, whereas friends and family were identified as being more influential in the younger groups.
  
  
  CONCLUSIONS
  Health promotion and education strategies may need to be stratified for different age groups.
  
  
  CONCLUSIONS
  Breast health education may need to be seen as an ongoing educational process, with the target groups being both the women and the primary healthcare professionals. The worksite has strong potential as a setting for health promotion activities.
authors.affiliation: School of Nursing, University of Windsor, Ontario, Canada. stamler@uwindsor.ca
authors.forename: L L
authors.initials: LL
authors.lastname: Stamler
authors.forename: B
authors.initials: B
authors.lastname: Thomas
authors.forename: K
authors.initials: K
authors.lastname: Lafreniere
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000704:Analysis of Variance; D001943:Breast Neoplasms / Q000517:prevention & control*; D016504:Breast Self-Examination / Q000706:statistics & numerical data*; D002170:Canada; D004651:Employment; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008403:Mass Screening / Q000706:statistics & numerical data*; D008875:Middle Aged; D010820:Physicians; D012737:Sex Factors