![[ Visit Client Website ]](images/banner.gif)
Wednesday, April 29, 2009
Sadrivaan A and B (The Hilton Istanbul Hotel )
A 10-year BC screening-project has been implemented in Bahcesehir, Istanbul, Turkey. Before implementing cohort study, in order to know target population well and plan/organize mammography screening program tailor-made, a base-line study was done. The objective was to clarify the knowledge, attitude and behaviors about BC of women.
Cross-sectional, population-based study was carried out in an age-stratified randomly selected sample (1200 women, 40-69 years). Of the 1019 eligible women, 908 (89.1%) agreed to participate. Only 11 women had breast cancer. Data was collected through face to face interviews. T-test, χ2 tests and logistic-regression analysis were done.
Most women (68.1%) had an education over 12 years, 22% had a regular job. While 80.8% of women defined themselves belonging to middle class, only 7% of all women have no health-insurance.
Most women know breast-cancer as the most frequent women cancer, 96.1% know about mammography. Common information sources were physicians (58%), television (35%), newspaper (26.5%) and friend/relative (22.6%). Most women (83%) confirmed frequency of mammography, but 49% declared to have mammography in the last two years. Common reasons not to be screened were “don’t know that it is necessary” (26.8%), “negligence” (15.1%) and difficulties of approach to related health service (8.8%).
For healthy women the risk factors associated with ‘not to have a mammography’ were found such as ‘total delivery number, breast complaints, second degree relatives with breast cancer, alcohol consumption, household size, social security, hearing something about mammography from physician, friend/relative and visiting a gynecologist periodically (Cox-SnellR2: 0,310).
Though the participants belong to a population at high risk age group, higher educated and belonging to middle-upper social class, their compliance to screening test was low. Mammography-screening and compliance rates among this group can be improved by providing health education and counseling about the benefits of mammography by a physician and user friendly screening service.
Cross-sectional, population-based study was carried out in an age-stratified randomly selected sample (1200 women, 40-69 years). Of the 1019 eligible women, 908 (89.1%) agreed to participate. Only 11 women had breast cancer. Data was collected through face to face interviews. T-test, χ2 tests and logistic-regression analysis were done.
Most women (68.1%) had an education over 12 years, 22% had a regular job. While 80.8% of women defined themselves belonging to middle class, only 7% of all women have no health-insurance.
Most women know breast-cancer as the most frequent women cancer, 96.1% know about mammography. Common information sources were physicians (58%), television (35%), newspaper (26.5%) and friend/relative (22.6%). Most women (83%) confirmed frequency of mammography, but 49% declared to have mammography in the last two years. Common reasons not to be screened were “don’t know that it is necessary” (26.8%), “negligence” (15.1%) and difficulties of approach to related health service (8.8%).
For healthy women the risk factors associated with ‘not to have a mammography’ were found such as ‘total delivery number, breast complaints, second degree relatives with breast cancer, alcohol consumption, household size, social security, hearing something about mammography from physician, friend/relative and visiting a gynecologist periodically (Cox-SnellR2: 0,310).
Though the participants belong to a population at high risk age group, higher educated and belonging to middle-upper social class, their compliance to screening test was low. Mammography-screening and compliance rates among this group can be improved by providing health education and counseling about the benefits of mammography by a physician and user friendly screening service.
Learning Objectives: Identify the factors associated with breast cancer screening behavior among women aged 40-69.
Sub-Theme: Social determinants of health and disease
See more of: Poster: Social Determinants of Health and Disease
See more of: Public Health Research & Policy Development
See more of: Public Health Research & Policy Development