Breast cancer screening motivation and behaviours of women aged over 75 years.
behaviour
breast cancer
mammogram
motivation
older women
oncology
qualitative
screening
Journal
Psycho-oncology
ISSN: 1099-1611
Titre abrégé: Psychooncology
Pays: England
ID NLM: 9214524
Informations de publication
Date de publication:
18 Dec 2023
18 Dec 2023
Historique:
revised:
29
11
2023
received:
24
07
2023
accepted:
29
11
2023
medline:
19
12
2023
pubmed:
19
12
2023
entrez:
18
12
2023
Statut:
aheadofprint
Résumé
In Australia, breast screening is offered free every two years to women aged 50-74 years. Women aged ≥75 are eligible to receive a free mammogram but do not receive an invitation. This study aimed to explore the motivations and behaviours of women living in Australia aged ≥75 years regarding ongoing breast cancer screening given the public health guidance. Sixty women aged ≥75 were recruited from metropolitan, regional, and rural areas across Australia to participate in a descriptive qualitative study. Semi-structured interviews were used to seek reflection on women's experience of screening, any advice they had received about screening beyond 75, their understanding of the value of screening and their intention to participate in the future. Thematic analysis of transcripts led to the development of themes. Themes resulting from the study included: reasons to continue and discontinue screening, importance of inclusivity in the health system and availability of information. Regular screeners overwhelmingly wished to continue screening and had strong beliefs in the benefits of screening. Women received limited information about the benefits or harms of screening beyond age 75 and very few had discussed screening with their Primary Healthcare Provider. No longer receiving an invitation to attend screening impacted many women's decision-making. More information via structured discussion with health professionals is required to inform women about the risks and benefits of ongoing screening. No longer being invited to attend screening left many women feeling confused and for some this led to feelings of discrimination.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : Australian Government Department of Health and Aged Care
ID : Health/20-21/E21-10463
Informations de copyright
© 2023 The Authors. Psycho-Oncology published by John Wiley & Sons Ltd.
Références
World Health Organization. Breast Cancer Geneva. WHO; 2021. https://www.who.int/news-room/fact-sheets/detail/breast-cancer#:~:text=Reducing%20global%20breast%20cancer%20mortality,and%20comprehensive%20breast%20cancer%20management
Australian Institute of Health and Welfare. Cancer in Australia 2022; 2022. https://www.aihw.gov.au/reports/cancer/cancer-data-in-australia/contents/summary
Bretthauer M, Wieszczy P, Løberg M, et al. Estimated lifetime gained with cancer screening tests: a meta-analysis of randomized clinical trials. JAMA Intern Med. 2023;183(11):1196-1203. https://doi.org/10.1001/jamainternmed.2023.3798
Ren W, Chen M, Qiao Y, Zhao F. Global guidelines for breast cancer screening: a systematic review. Breast. 2022;64:85-99. https://doi.org/10.1016/j.breast.2022.04.003
Ebell MH, Thai TN, Royalty KJ. Cancer screening recommendations: an international comparison of high income countries. Publ Health Rev. 2018;39(1):7. https://doi.org/10.1186/s40985-018-0080-0
Collins K, Winslow M, Reed MW, et al. The views of older women towards mammographic screening: a qualitative and quantitative study. Br J Cancer. 2010;102(10):1461-1467. https://doi.org/10.1038/sj.bjc.6605662
Schonberg MA, Ramanan RA, McCarthy EP, Marcantonio ER. Decision making and counseling around mammography screening for women aged 80 or older. J Gen Intern Med. 2006;21(9):979-985. https://doi.org/10.1007/bf02743148
Roy S, Moss JL, Rodriguez-Colon SM, et al. Examining older adults’ attitudes and perceptions of cancer screening and overscreening: a qualitative study. J Prim Care Commun Health. 2020;11:2150132720959234. https://doi.org/10.1177/2150132720959234
Schrager S, Ovsepyan V, Burnside E. Breast cancer screening in older women: the importance of shared decision making. J Am Board Fam Med. 2020;33(3):473-480. https://doi.org/10.3122/jabfm.2020.03.190380
Schonberg MA, Breslau ES, McCarthy EP. Targeting of mammography screening according to life expectancy in women aged 75 and older. J Am Geriatr Soc. 2013;61(3):388-395. https://doi.org/10.1111/jgs.12123
Austin JD, Shelton RC, Argov EJL, Tehranifar P. Older women's perspectives driving mammography screening use and overuse: a narrative review of mixed-methods studies. Curr Epidemiol Rep. 2020;7(4):274-289. https://doi.org/10.1007/s40471-020-00244-3
United States Preventive Services Task Force. Screening for breast cancer: US preventive services task force recommendation statement. Ann Intern Med. 2016;164(4):279-296. https://doi.org/10.7326/m15-2886
Schoenborn NL, Xue Q-L, Pollack CE, et al. Demographic, health, and attitudinal factors predictive of cancer screening decisions in older adults. Prev Med Rep. 2019;13:244-248. https://doi.org/10.1016/j.pmedr.2019.01.007
Pappadis MR, Volk RJ, Krishnan S, et al. Perceptions of overdetection of breast cancer among women 70 years of age and older in the USA: a mixed-methods analysis. BMJ Open. 2018;8(6):e022138. https://doi.org/10.1136/bmjopen-2018-022138
Autier P, Boniol M. Mammography screening: a major issue in medicine. Eur J Cancer. 2018;90:34-62. https://doi.org/10.1016/j.ejca.2017.11.002
Adami H-O, Kalager M, Bretthauer M. The future of cancer screening-guided without conflicts of interest. JAMA Intern Med. 2023;183(10):1047-1048. https://doi.org/10.1001/jamainternmed.2023.4064
Swinney Jean E, Dobal May T. Older African American women’s beliefs, attitudes, and behaviors about breast cancer. Res Gerontol Nurs. 2011;4(1):9-18.
Gram EG, Knudsen SW, Brodersen JB, Jønsson ABR. Women's experiences of age-related discontinuation from mammography screening: a qualitative interview study. Health Expect. 2023;26(3):1096-1106.
Gram EG, Sigrid Walther K, John Brandt B, Alexandra Brandt Ryborg J. Age-related discontinuation as a potential unintended harm of mammography screening. BMJ Evid Based Med. 2022;27(Suppl 1):A24.
Kotwal AA, Walter LC, Lee SJ, Dale W. Are we choosing wisely? Older adults’ cancer screening intentions and recalled discussions with physicians about stopping. J Gen Intern Med. 2019;34(8):1538-1545.
Schoenborn NL, Janssen EM, Boyd CM, Bridges JFP, Wolff AC, Pollack CE. Preferred clinician communication about stopping cancer screening among older US adults: results from a national survey. JAMA Oncol. 2018;4(8):1126-1128.
Richman IB, Long JB, Soulos PR, Wang S-Y, Gross CP. Estimating breast cancer overdiagnosis after screening mammography among older women in the United States. Ann Intern Med. 2023;176(9):1145-1987.
Destounis S, Arieno A, Santacroce A. Screening mammography: there is value in screening women aged 75 years and older. J Breast Imaging. 2019;1(3):182-185.
Schoenborn NL, Bowman TL, Cayea D, II, Pollack CE, Feeser S, Boyd C. Primary care practitioners’ views on incorporating long-term prognosis in the care of older adults. JAMA Intern Med. 2016;176(5):671-678.
Schoenborn NL, Lee K, Pollack CE, et al. Older adults’ preferences for when and how to discuss life expectancy in primary care. J Am Board Fam Med. 2017;30(6):813.
Smith J, Dodd RH, Wallis KA, et al. General practitioners’ views and experiences of communicating with older people about cancer screening: a qualitative study. Fam Pract. 2022;cmac126.
Housten AJ, Pappadis MR, Krishnan S, et al. Resistance to discontinuing breast cancer screening in older women: a qualitative study. Psycho-Oncology. 2018;27(6):1635-1641.
Schoenborn NL, Lee K, Pollack CE, et al. Older adults’ views and communication preferences about cancer screening cessation. JAMA Intern Med. 2017;177(8):1121-1128.
Smith J, Dodd RH, Gainey KM, et al. Patient-reported factors associated with older adults’ cancer screening decision-making: a systematic review. JAMA Netw Open. 2021;4(11):e2133406-e.
El-Zaemey S, Liz W, Hosseinzadeh N, Lund H, Mathieu E, Houssami N. Impact of the age expansion of breast screening on screening uptake and screening outcomes among older women in BreastScreen western. Breast. 2021;56:96-102.
Bradshaw C, Atkinson S, Doody O. Employing a qualitative description approach in health care research. Glob Qual Nurs Res. 2017;4:2333393617742282.
Sandelowski M. What's in a name? Qualitative description revisited. Res Nurs Health. 2010;33(1):77-84.
Patton MQ. Qualitative research and evaluation methods. 3rd ed. Sage Publications; 2002.
Buys DR, Francis SL, Marra MV, Locher JL, Lofgren IE. Lessons learned: recruiting aging adults for research. Top Clin Nutr. 2020;35(1):28-41.
Hennink MM, Kaiser BN, Marconi VC. Code saturation versus meaning saturation: how many interviews are enough? Qual Health Res. 2017;27(4):591-608.
Lumivero. Nvivo14. 2023. https://lumivero.com/products/nvivo/
Braun V, Clarke V. Thematic Analysis: A Practical Guide. SAGE Publications Ltd; 2022.
Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19(6):349-357.
Smith J, Dodd RH, Hersch J, Cvejic E, McCaffery K, Jansen J. Effect of different communication strategies about stopping cancer screening on screening intention and cancer anxiety: a randomised online trial of older adults in Australia. BMJ Open. 2020;10(6):e034061.
Smith J, Dodd RH, Hersch J, et al. Psychosocial and clinical predictors of continued cancer screening in older adults. Patient Educ Couns. 2021;104(12):3093-3096.