| The gynecologist's role in mammography screening in absence of a public health program. | |
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MedLine Citation:
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PMID: 12768296 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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This study examined the role of the gynecologist in a woman's adoption of mammography screening in a population that does not benefit from an organized program of breast cancer screening. We surveyed 486 women ages 50-69 years, randomly selected from the population of Geneva (Switzerland) about recent mammography use, attitudes toward mammography screening (decisional balance), whether they received a recommendation to undergo mammography from their gynecologist and/or family practitioner, visits to gynecologist and family practitioner, and sociodemographic variables. In multivariate analysis, on-schedule mammography was associated with a recent visit to a gynecologist (odds ratio (OR) 4.8, 95% confidence interval (CI) 2.1-10.9), a gynecologist's recommendation for mammography (OR 15.8, 95% CI 6.5-38.6), a positive attitude toward mammography screening (positive score of decisional balance, OR 1.7, 95% CI 1.0-3.0), and being married (OR 2.0, 95% CI 1.2-3.3). Higher decisional balance scores were associated with a recent visit to a gynecologist ( P=0.001), a gynecologist's recommendation for mammography (P=0.001), and income ( P=0.01). Both a recent visit to a gynecologist and a gynecologist's recommendation for mammography were more frequent in women of higher income. This study suggests that gynecologists--but not family practitioners--play a key role both in referring women for mammography and in fashioning women's perceptions of mammography screening. Our data also indicate that a lack of access to a gynecologist and not receiving a gynecologist's recommendation for mammography may explain why low-income women are less likely to get a screening mammogram. |
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Authors:
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Eric Chamot; Thomas V Perneger |
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Publication Detail:
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Type: Comparative Study; Journal Article; Research Support, Non-U.S. Gov't; Validation Studies Date: 2002-11-07 |
Journal Detail:
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Title: Archives of gynecology and obstetrics Volume: 268 ISSN: 0932-0067 ISO Abbreviation: Arch. Gynecol. Obstet. Publication Date: 2003 Jun |
Date Detail:
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Created Date: 2003-05-27 Completed Date: 2003-11-12 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8710213 Medline TA: Arch Gynecol Obstet Country: Germany |
Other Details:
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Languages: eng Pagination: 88-93 Citation Subset: IM |
Affiliation:
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Institute of Social and Preventive Medicine, University of Geneva, Switzerland. echamot@uab.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Female Gynecology* Health Care Surveys Health Education Humans Mammography / psychology*, utilization* Mass Screening / methods Middle Aged Patient Acceptance of Health Care / psychology* Physician's Role* Physicians, Family Public Health Practice Random Allocation Referral and Consultation Switzerland |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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