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Barriers and facilitators to breast cancer screening among high-risk women: a qualitative study.
Conley, Claire C; Anderson, Alaina; Rodriguez, Jennifer D; Kang, Hannah; Taylor, Emily P; Luck, Conor; Rosas Torres, Jacqueline; Cheraghi, Nora; Newton, Noelle; Niell, Bethany L; O'Neill, Suzanne C; Vadaparampil, Susan T.
Afiliación
  • Conley CC; Department of Oncology, Georgetown University, Washington, DC, USA. claire.conley@georgetown.edu.
  • Anderson A; Cancer Prevention and Control Program, Georgetown Lombardi Comprehensive Cancer Center, 2115 Wisconsin Ave NW, Suite 300, Washington, DC, 20007, USA. claire.conley@georgetown.edu.
  • Rodriguez JD; Department of Oncology, Georgetown University, Washington, DC, USA.
  • Kang H; Department of Oncology, Georgetown University, Washington, DC, USA.
  • Taylor EP; Department of Oncology, Georgetown University, Washington, DC, USA.
  • Luck C; Department of Oncology, Georgetown University, Washington, DC, USA.
  • Rosas Torres J; Department of Oncology, Georgetown University, Washington, DC, USA.
  • Cheraghi N; Department of Oncology, Georgetown University, Washington, DC, USA.
  • Newton N; Department of Oncology, Georgetown University, Washington, DC, USA.
  • Niell BL; Department of Oncology, Georgetown University, Washington, DC, USA.
  • O'Neill SC; Department of Diagnostic Imaging and Interventional Radiology, Moffitt Cancer Center, Tampa, FL, USA.
  • Vadaparampil ST; Department of Oncologic Sciences, University of South Florida, Tampa, FL, USA.
Breast Cancer Res Treat ; 2024 Aug 27.
Article en En | MEDLINE | ID: mdl-39190231
ABSTRACT

PURPOSE:

Women with greater than 20-25% lifetime breast cancer risk are recommended to have breast cancer screening with annual mammogram and supplemental breast MRI. However, few women follow these screening recommendations. The objective of this study was to identify barriers and facilitators of screening among women at high risk for breast cancer, guided by the Health Services Utilization Model (HSUM).

METHODS:

Unaffected high-risk women (N=63) completed semi-structured qualitative interviews exploring their experiences with breast cancer screening. Interviews were audio recorded, transcribed verbatim, and analyzed using a combined deductive and inductive approach.

RESULTS:

Most participants (84%) had received a screening mammogram; fewer (33%) had received a screening breast MRI. Only 14% had received neither screening. In line with the HSUM, qualitative analysis identified predisposing factors, enabling factors, and need factors associated with receipt of breast cancer screening. Enabling factors - including financial burden, logistic barriers, social support, and care coordination - were most frequently discussed. Predisposing factors included knowledge, health beliefs, and self-advocacy. Need factors included healthcare provider recommendation, family history of breast cancer, and personal medical history. Although HSUM themes were consistent for both mammography and breast MRI, participants did highlight several important differences in barriers and facilitators between the two screening modalities.

CONCLUSION:

Barriers and enabling factors associated with supplemental screening for high-risk women represent possible intervention targets. Future research is needed to develop and test multilevel interventions targeting these factors, with the ultimate goal of increasing access to supplemental screening for high-risk women.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Breast Cancer Res Treat Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Países Bajos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Breast Cancer Res Treat Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Países Bajos