title: Compliance with screening mammography and breast sonography of young Asian women.
abstract: OBJECTIVE
  We evaluated compliance with mammography and breast sonography and the factors related to compliance.
  
  
  METHODS
  From August 2005 through July 2006, 1239 asymptomatic women, aged 40-49 years, were enrolled in the study. Compliance in the second year was calculated. Telephone interviews examined the impact of the women's experience during mammography or sonography on adherence to rescreening.
  
  
  RESULTS
  The rates of compliance with mammography and sonography for breast cancer screening were 73.5% and 80.1%, respectively (p=0.006). More women receiving mammography (12.2%) reported unsatisfactory results (BI-RADS category 0) than those undergoing sonography (6.2%) (p<0.001). During the telephone interview, 74.9% of the women complained of pain during mammography, but none (0%) during sonography (p<0.001); 69.8% felt embarrassed during mammography and 55.6% during sonography (p<0.001). Multivariate logistic regression analysis showed that pain (OR 0.096, 95% CI 0.044-0.213) and unsatisfactory examination results (BI-RADS category 0) (OR 0.042, 95% CI 0.020-0.090) were barriers to not following up mammography. Embarrassment (OR 0.645, 95% CI 0.419-0.994) and unsatisfactory examination results (OR 0.169, 95% CI 0.085-0.336) were barriers to not following up sonography.
  
  
  CONCLUSIONS
  For young Asian women with dense breast tissue, compliance with sonography for breast cancer screening was better than that with mammography.
authors: Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, National Yang-Ming University, Taipei, Taiwan.
authors: Hsiao-Wen
authors: HW
authors: Tsai
authors: Nae-Fang
authors: NF
authors: Twu
authors: Chin-Chu
authors: CC
authors: Ko
authors: Ming-Shyen
authors: MS
authors: Yen
authors: Ming Jie
authors: MJ
authors: Yang
authors: Kuan-Chong
authors: KC
authors: Chao
authors: Lily
authors: L
authors: Wen
authors: Chih-Yao
authors: CY
authors: Chen
authors: Yi Hong
authors: YH
authors: Chou
authors: Yi-Jen
authors: YJ
authors: Chen
mesh_terms: D000328:Adult; D001294:Attitude to Health; D001940:Breast / Q000254:growth & development; D001943:Breast Neoplasms / Q000000981:diagnostic imaging / Q000517:prevention & control* / Q000523:psychology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008327:Mammography / Q000009:adverse effects / Q000523:psychology*; D008403:Mass Screening / Q000009:adverse effects / Q000523:psychology; D008875:Middle Aged; D010147:Pain Measurement; D010349:Patient Compliance / Q000523:psychology*; D017060:Patient Satisfaction; D013624:Taiwan; D016217:Ultrasonography, Mammary / Q000009:adverse effects / Q000523:psychology*