- Uptake of breast cancer screening is associated with having health insurance, greater perceived benefits, and motivation toward mammography, among other health factors, according to this meta-analysis of 65 European studies.
Why this matters
- Given that two-thirds of breast cancers are self-detected, understanding what motivates patients to get screened is important.
- Clinician understanding of health and health beliefs about screening can allow them to tap into factors that improve the likelihood that a patient will be screened.
- A meta-analysis of 65 European studies after the search of 5 databases (CINAHL, MEDLINE, PsycINFO, Scopus, and ASSIA).
- Standard mean difference (d) calculated for effect size and interpreted according to Cohen.
- Funding: None disclosed.
- Lower levels of screening attendance were associated (Cohen's d) with:
- Never having had cervical screening: −0.72 (P<.001>
- Higher perceived barriers to mammography: −0.40 (P<.001>
- Having private health insurance: 0.49 (P<.001>
- Greater perceived benefits: 0.31 (P<.001>
- Motivation toward mammography: 0.36 (P=.003).
- Higher perceived seriousness: 0.24 (P=.019).
- Greater perceived susceptibility toward breast cancer: 0.20 (P=.024).
- Heterogeneity across studies.