title: [Reluctances in organized breast cancer screenig in Yvelines].
abstract: OBJECTIVE
  Women's participation in organized screening of breast cancer was 52% in France and 40% in the Île de France in 2010. We wanted to investigate the reasons for non-participation in the screening program and the reluctance of women to it at the level of a department in Île de France.
  
  
  METHODS
  An anonymous questionnaire was sent to non-respondents in organized screening for breast cancer in the Yvelines department in September 2011 on the occasion of the event "Octobre Rose", month of national mobilization for mass screening for breast cancer. The analysis of these questionnaires was used to determine the causes of non-adherence to organized screening and reluctance to it. We compared the questionnaire responses in the characteristics of patients attending an individual screening with those of patients without any screening.
  
  
  RESULTS
  Two thousand nine hundred and ninety-two questionnaires were sent and 3026 responses received (10%). Two thousand six hundred and fifteen women (86%) reported regular screening and make mammograms every two years while 411 (14%) reported occasional or no screening. About the reluctance to conduct the review, the lack of time, the bad memories of a previous mammogram and the fear of pain were the predominant brakes. Nearly 50% of women do not participate in screening because they did not consider themselves at risk for various reasons (lack of symptoms, healthy lifestyle and no family history) and 22% of women surveyed had an attitude of denial cope with the disease. The typical profile of women performing individual or organized screening of breast cancer was that young, single, working, of low socio-professional category and rarely attending their general practitioner or gynaecologist. Health-care professionals seem most likely to cause adherence to screening for breast cancer.
  
  
  CONCLUSIONS
  Focusing on the poor communication and promote organized screening instead of individual screening by health-care professionals themselves could increase adherence to organized screening in the Yvelines.
authors.affiliation: Service de gynécologie et obstétrique, CHI Poissy-St-Germain, 10, rue du champ Gaillard, BP 3082, 78303 Poissy cedex, France.
authors.forename: M
authors.initials: M
authors.lastname: Tomietto
authors.affiliation: Service de cancérologie, CHI Poissy-St-Germain, 10, rue du Champ Gaillard, BP 3082, 78303 Poissy cedex, France; ADMY (Association de dépistage de masse organisé des cancers dans le département des Yvelines), 18, avenue Dutartre, BP 120, 78153 Le Chesnay cedex, France; Équipe d'accueil EA 7285 « risques, cliniques et sécurité en santé des femmes et en santé périnatale », université Versailles-Saint-Quentin-en-Yvelines, 78000 Versailles, France.
authors.forename: P
authors.initials: P
authors.lastname: Soyer
authors.affiliation: Service de gynécologie et obstétrique, CHI Poissy-St-Germain, 10, rue du champ Gaillard, BP 3082, 78303 Poissy cedex, France.
authors.forename: D
authors.initials: D
authors.lastname: Heitz
authors.affiliation: Service de gynécologie et obstétrique, CHI Poissy-St-Germain, 10, rue du champ Gaillard, BP 3082, 78303 Poissy cedex, France; Équipe d'accueil EA 7285 « risques, cliniques et sécurité en santé des femmes et en santé périnatale », université Versailles-Saint-Quentin-en-Yvelines, 78000 Versailles, France.
authors.forename: A
authors.initials: A
authors.lastname: Fauconnier
authors.affiliation: Service de gynécologie et obstétrique, CHI Poissy-St-Germain, 10, rue du champ Gaillard, BP 3082, 78303 Poissy cedex, France; Équipe d'accueil EA 7285 « risques, cliniques et sécurité en santé des femmes et en santé périnatale », université Versailles-Saint-Quentin-en-Yvelines, 78000 Versailles, France. Electronic address: cyrillehuchon@yahoo.fr.
authors.forename: C
authors.initials: C
authors.lastname: Huchon
mesh_terms: D000368:Aged; D001943:Breast Neoplasms / Q000175:diagnosis; D005260:Female; D005602:France; D006801:Humans; D008327:Mammography / Q000523:psychology / Q000706:statistics & numerical data; D008403:Mass Screening / Q000523:psychology / Q000706:statistics & numerical data; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D011795:Surveys and Questionnaires
keywords: Breast cancer; Cancer du sein; Dépistage individuel; Dépistage organisé; Individual screening; Organized screening