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Shared Decision-Making and Women’s Adherence to Breast and Cervical Cancer Screenings

We examined the effect of shared decision-making (SDM) on women’s adherence to breast and cervical cancer screenings and estimated the prevalence and adherence rate of screenings. The study used a descriptive cross-sectional design using the 2017 Health Information National Trends Survey (HINTS) dat...

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Detalles Bibliográficos
Autores principales: Han, Jayoung, Jungsuwadee, Paiboon, Abraham, Olufunmilola, Ko, Dongwoo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6068979/
https://www.ncbi.nlm.nih.gov/pubmed/30018244
http://dx.doi.org/10.3390/ijerph15071509
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author Han, Jayoung
Jungsuwadee, Paiboon
Abraham, Olufunmilola
Ko, Dongwoo
author_facet Han, Jayoung
Jungsuwadee, Paiboon
Abraham, Olufunmilola
Ko, Dongwoo
author_sort Han, Jayoung
collection PubMed
description We examined the effect of shared decision-making (SDM) on women’s adherence to breast and cervical cancer screenings and estimated the prevalence and adherence rate of screenings. The study used a descriptive cross-sectional design using the 2017 Health Information National Trends Survey (HINTS) data collected by the National Cancer Institute. Adherence was defined based on the guidelines from the American Cancer Society and the composite measure of shared decision-making was constructed using three items in the data. Multivariable logistic regression was performed to examine the association between the SDM and adherence, controlling for cancer beliefs and socio-demographic variables. The analysis included 742 responses. Weighted to represent the U.S. population, 68.1% adhered to both breast and cervical cancer screening guidelines. The composite measure of SDM was reliable (α = 0.85), and a higher SDM score was associated with women’s screening adherence (b = 0.17; p = 0.009). There were still women who did not receive cancer screenings as recommended. The results suggest that the use of the SDM approach for healthcare professionals’ communication with patients can improve screening adherence.
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spelling pubmed-60689792018-08-07 Shared Decision-Making and Women’s Adherence to Breast and Cervical Cancer Screenings Han, Jayoung Jungsuwadee, Paiboon Abraham, Olufunmilola Ko, Dongwoo Int J Environ Res Public Health Article We examined the effect of shared decision-making (SDM) on women’s adherence to breast and cervical cancer screenings and estimated the prevalence and adherence rate of screenings. The study used a descriptive cross-sectional design using the 2017 Health Information National Trends Survey (HINTS) data collected by the National Cancer Institute. Adherence was defined based on the guidelines from the American Cancer Society and the composite measure of shared decision-making was constructed using three items in the data. Multivariable logistic regression was performed to examine the association between the SDM and adherence, controlling for cancer beliefs and socio-demographic variables. The analysis included 742 responses. Weighted to represent the U.S. population, 68.1% adhered to both breast and cervical cancer screening guidelines. The composite measure of SDM was reliable (α = 0.85), and a higher SDM score was associated with women’s screening adherence (b = 0.17; p = 0.009). There were still women who did not receive cancer screenings as recommended. The results suggest that the use of the SDM approach for healthcare professionals’ communication with patients can improve screening adherence. MDPI 2018-07-17 2018-07 /pmc/articles/PMC6068979/ /pubmed/30018244 http://dx.doi.org/10.3390/ijerph15071509 Text en © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Han, Jayoung
Jungsuwadee, Paiboon
Abraham, Olufunmilola
Ko, Dongwoo
Shared Decision-Making and Women’s Adherence to Breast and Cervical Cancer Screenings
title Shared Decision-Making and Women’s Adherence to Breast and Cervical Cancer Screenings
title_full Shared Decision-Making and Women’s Adherence to Breast and Cervical Cancer Screenings
title_fullStr Shared Decision-Making and Women’s Adherence to Breast and Cervical Cancer Screenings
title_full_unstemmed Shared Decision-Making and Women’s Adherence to Breast and Cervical Cancer Screenings
title_short Shared Decision-Making and Women’s Adherence to Breast and Cervical Cancer Screenings
title_sort shared decision-making and women’s adherence to breast and cervical cancer screenings
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6068979/
https://www.ncbi.nlm.nih.gov/pubmed/30018244
http://dx.doi.org/10.3390/ijerph15071509
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