Document Detail

The impact of different communication and organizational strategies on mammography screening uptake in women aged 40-45 years.
MedLine Citation:
PMID:  21746751     Owner:  NLM     Status:  MEDLINE    
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.
Livia Giordano; Valeria Stefanini; Carlo Senore; Alfonso Frigerio; Roberta Castagno; Vincenzo Marra; Marco Dalmasso; Marco Rosselli del Turco; Eugenio Paci; Nereo Segnan
Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't     Date:  2011-07-11
Journal Detail:
Title:  European journal of public health     Volume:  22     ISSN:  1464-360X     ISO Abbreviation:  Eur J Public Health     Publication Date:  2012 Jun 
Date Detail:
Created Date:  2012-05-24     Completed Date:  2012-10-01     Revised Date:  2014-07-31    
Medline Journal Info:
Nlm Unique ID:  9204966     Medline TA:  Eur J Public Health     Country:  England    
Other Details:
Languages:  eng     Pagination:  413-8     Citation Subset:  IM    
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MeSH Terms
Appointments and Schedules
Breast Neoplasms / diagnosis*,  prevention & control,  radiography
Early Detection of Cancer / methods,  statistics & numerical data*
Mammography / methods,  statistics & numerical data*
Middle Aged
Patient Education as Topic / methods,  statistics & numerical data*
Socioeconomic Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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