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- Title
The impact of different communication and organizational strategies on mammography screening uptake in women aged 40-45 years.
- Authors
Giordano, Livia; Stefanini, Valeria; Senore, Carlo; Frigerio, Alfonso; Castagno, Roberta; Marra, Vincenzo; Dalmasso, Marco; del Turco, Marco Rosselli; Paci, Eugenio; Segnan, Nereo
- Abstract
Background: Several factors can influence access to population breast cancer screening. The aim of the study was to evaluate the impact of different information approaches, women’s socio-demographic characteristics and organizational factors on mammography screening uptake. Methods: We selected 5744 women aged 40–45 years who were randomly assigned to be given letters with: (i) a pre-fixed appointment plus standard leaflet (Group 1); (ii) a pre-fixed appointment plus a more comprehensive booklet (Group 2); (iii) point (ii) plus the offer of a counselling session (Group 3); and (iv) an invitation to contact the centre to get information and arrange participation (Group 4). Results: Ninety-five women were excluded before the invitation and 5649 were randomized. After excluding undelivered letters (n = 41) and women reporting an exclusion criterion following our invitation (n = 248), the final eligible population was 5360 women. Participation rates following the first contact were 36.5, 39.9, 35.8 and 16.5% for Groups 1–4, respectively. The rates increased to 40.9, 43.6, 40.1 and 35.1% after the reminder letters. Women receiving more complete information had a higher uptake (Group 2), although not statistically significant. Differences among the four groups were maintained by controlling the effect of socio-demographic and attendance determinants. Regardless of intervention, participation was higher among married, higher educated, white-collared women, those born in northern Italy, living closer to the screening unit and with a female-collaborative doctor. Conclusion: Invitation letters with a fixed appointment correlate with a higher attendance rate. Providing women with more information on procedures, risks and benefits of mammography screening does not modify their participation.
- Subjects
ITALY; BREAST tumor diagnosis; COMMUNICATION methodology; MAMMOGRAMS; CANCER; CONFIDENCE intervals; EPIDEMIOLOGY; HEALTH promotion; MEDICAL screening; PAMPHLETS; RESEARCH funding; DATA analysis; RANDOMIZED controlled trials; DATA analysis software; MIDDLE age
- Publication
European Journal of Public Health, 2012, Vol 22, Issue 3, p413
- ISSN
1101-1262
- Publication type
Article
- DOI
10.1093/eurpub/ckr090