title: Is Canadian women's breast cancer screening behaviour associated with having a family doctor?
abstract: OBJECTIVE
  To assess whether regular care from a family physician is associated with regular participation in screening mammography.
  
  
  METHODS
  Secondary analysis of the 2006 Canadian Community Health Survey data.
  
  
  METHODS
  Canada.
  
  
  METHODS
  Cross-sectional sample of 15 195 Canadian women aged 50 to 69 years.
  
  
  METHODS
  The outcome of interest was screening mammography within the past 2 years; the key explanatory factor was active interaction with a family physician. Control factors included sociodemographic characteristics, other cancer screening behaviour, and other cancer risk habits.
  
  
  RESULTS
  Active interaction with a regular family doctor doubled the odds that a woman had received a recent screening mammogram. Other cancer screening and preventive measures were also strongly associated with that outcome. A woman who had had a recent Papanicolaou test was more than 3 times as likely to have had a recent mammogram; nonsmokers were much more likely to have had a recent mammogram than smokers.
  
  
  CONCLUSIONS
  Adults who receive regular care from family physicians are more likely to participate in screening mammography within the recommended time frames.
authors.affiliation: Cancer Control Research, BC Cancer Agency, 675 W 10th Ave, 2nd Floor, Suite 115, Vancouver, BC V5Z 1L3. bpoole@bccancer.bc.ca
authors.forename: Barbara
authors.initials: B
authors.lastname: Poole
authors.forename: Charlyn
authors.initials: C
authors.lastname: Black
authors.forename: Karen
authors.initials: K
authors.lastname: Gelmon
authors.forename: Lisa
authors.initials: L
authors.lastname: Kan
mesh_terms: D000368:Aged; D001943:Breast Neoplasms / Q000175:diagnosis / Q000517:prevention & control / Q000523:psychology*; D002170:Canada; D003430:Cross-Sectional Studies; D005194:Family Practice; D005260:Female; D015438:Health Behavior; D006801:Humans; D008327:Mammography; D008875:Middle Aged; D017063:Outcome Assessment, Health Care
references.citation: Can Fam Physician. 2001 Jan;47:70-6
references.pmid: 11212436
references.citation: Health Serv Res. 1998 Apr;33(1):29-53
references.pmid: 9566176
references.citation: IARC Monogr Eval Carcinog Risks Hum. 2004;83:1-1438
references.pmid: 15285078
references.citation: Am J Public Health. 2005 Mar;95(3):506-11
references.pmid: 15727985
references.citation: CMAJ. 2007 May 22;176(11):1570-1
references.pmid: 17515577
references.citation: Ann Epidemiol. 1998 Oct;8(7):439-44
references.pmid: 9738690
references.citation: Breast Cancer Res Treat. 1993 Nov;28(2):137-44
references.pmid: 8173066
references.citation: Can Fam Physician. 2005 May;51:640-2, 647-9
references.pmid: 15934260
references.citation: CMAJ. 2006 Mar 14;174(6):761-2
references.pmid: 16534079
references.citation: Aust N Z J Public Health. 1998;22(3 Suppl):307-12
references.pmid: 9629814
references.citation: BMC Public Health. 2006 Nov 07;6:275
references.pmid: 17090313
references.citation: Am J Public Health. 1989 Nov;79(11):1499-502
references.pmid: 2817160
references.citation: Prev Med. 2005 Jun;40(6):822-30
references.pmid: 15850884
references.citation: CMAJ. 2001 Feb 6;164(3):329-34
references.pmid: 11232132