"It's something I'll do until I die": A qualitative examination into why older women in the U.S. continue screening mammography.
Cancer Med
; 11(20): 3854-3862, 2022 10.
Article
em En
| MEDLINE
| ID: mdl-35616300
ABSTRACT
BACKGROUND:
Professional guidelines in the U.S. do not recommend routine screening mammography for women ≥75 years with limited life expectancy and/or poor health. Yet, routine mammography remains widely used in older women. We examined older women's experiences, beliefs, and opinions about screening mammography in relation to aging and health.METHODS:
We performed thematic analysis of transcribed semi-structured interviews with 19 women who had a recent screening visit at a mammography clinic in New York City (average age 75 years, 63% Hispanic, 53% ≤high school education).RESULTS:
Three main themes emerged (1) older women typically perceive mammograms as a positive, beneficial, and routine component of care; (2) participation in routine mammography is reinforced by factors at interpersonal, provider, and healthcare system levels; and (3) older women do not endorse discontinuation of screening mammography due to advancing age or poor health, but some may be receptive to reducing screening frequency. Only a few older women reported having discussed mammography cessation or the potential harms of screening with their providers. A few women reported they would insist on receiving mammography even without a provider recommendation.CONCLUSIONS:
Older women's positive experiences and views, as well as multilevel and frequently automated cues toward mammography are important drivers of routine screening in older women. These findings suggest a need for synergistic patient, provider, and system level strategies to reduce mammography overuse in older women.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Contexto em Saúde:
2_ODS3
Problema de saúde:
2_muertes_prematuras_enfermedades_notrasmisibles
Assunto principal:
Neoplasias da Mama
/
Mamografia
Tipo de estudo:
Diagnostic_studies
/
Guideline
/
Prognostic_studies
/
Qualitative_research
/
Screening_studies
Aspecto:
Patient_preference
Limite:
Aged
/
Female
/
Humans
Idioma:
En
Revista:
Cancer Med
Ano de publicação:
2022
Tipo de documento:
Article
País de afiliação:
Estados Unidos