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“It's something I'll do until I die”: A qualitative examination into why older women in the U.S. continue screening mammography

BACKGROUND: Professional guidelines in the U.S. do not recommend routine screening mammography for women ≥75 years with limited life expectancy and/or poor health. Yet, routine mammography remains widely used in older women. We examined older women's experiences, beliefs, and opinions about scr...

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Detalles Bibliográficos
Autores principales: Brotzman, Laura E., Shelton, Rachel C., Austin, Jessica D., Rodriguez, Carmen B., Agovino, Mariangela, Moise, Nathalie, Tehranifar, Parisa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9582674/
https://www.ncbi.nlm.nih.gov/pubmed/35616300
http://dx.doi.org/10.1002/cam4.4758
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author Brotzman, Laura E.
Shelton, Rachel C.
Austin, Jessica D.
Rodriguez, Carmen B.
Agovino, Mariangela
Moise, Nathalie
Tehranifar, Parisa
author_facet Brotzman, Laura E.
Shelton, Rachel C.
Austin, Jessica D.
Rodriguez, Carmen B.
Agovino, Mariangela
Moise, Nathalie
Tehranifar, Parisa
author_sort Brotzman, Laura E.
collection PubMed
description BACKGROUND: Professional guidelines in the U.S. do not recommend routine screening mammography for women ≥75 years with limited life expectancy and/or poor health. Yet, routine mammography remains widely used in older women. We examined older women's experiences, beliefs, and opinions about screening mammography in relation to aging and health. METHODS: We performed thematic analysis of transcribed semi‐structured interviews with 19 women who had a recent screening visit at a mammography clinic in New York City (average age: 75 years, 63% Hispanic, 53% ≤high school education). RESULTS: Three main themes emerged: (1) older women typically perceive mammograms as a positive, beneficial, and routine component of care; (2) participation in routine mammography is reinforced by factors at interpersonal, provider, and healthcare system levels; and (3) older women do not endorse discontinuation of screening mammography due to advancing age or poor health, but some may be receptive to reducing screening frequency. Only a few older women reported having discussed mammography cessation or the potential harms of screening with their providers. A few women reported they would insist on receiving mammography even without a provider recommendation. CONCLUSIONS: Older women's positive experiences and views, as well as multilevel and frequently automated cues toward mammography are important drivers of routine screening in older women. These findings suggest a need for synergistic patient, provider, and system level strategies to reduce mammography overuse in older women.
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spelling pubmed-95826742022-10-21 “It's something I'll do until I die”: A qualitative examination into why older women in the U.S. continue screening mammography Brotzman, Laura E. Shelton, Rachel C. Austin, Jessica D. Rodriguez, Carmen B. Agovino, Mariangela Moise, Nathalie Tehranifar, Parisa Cancer Med RESEARCH ARTICLES BACKGROUND: Professional guidelines in the U.S. do not recommend routine screening mammography for women ≥75 years with limited life expectancy and/or poor health. Yet, routine mammography remains widely used in older women. We examined older women's experiences, beliefs, and opinions about screening mammography in relation to aging and health. METHODS: We performed thematic analysis of transcribed semi‐structured interviews with 19 women who had a recent screening visit at a mammography clinic in New York City (average age: 75 years, 63% Hispanic, 53% ≤high school education). RESULTS: Three main themes emerged: (1) older women typically perceive mammograms as a positive, beneficial, and routine component of care; (2) participation in routine mammography is reinforced by factors at interpersonal, provider, and healthcare system levels; and (3) older women do not endorse discontinuation of screening mammography due to advancing age or poor health, but some may be receptive to reducing screening frequency. Only a few older women reported having discussed mammography cessation or the potential harms of screening with their providers. A few women reported they would insist on receiving mammography even without a provider recommendation. CONCLUSIONS: Older women's positive experiences and views, as well as multilevel and frequently automated cues toward mammography are important drivers of routine screening in older women. These findings suggest a need for synergistic patient, provider, and system level strategies to reduce mammography overuse in older women. John Wiley and Sons Inc. 2022-05-26 /pmc/articles/PMC9582674/ /pubmed/35616300 http://dx.doi.org/10.1002/cam4.4758 Text en © 2022 The Authors. Cancer Medicine published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle RESEARCH ARTICLES
Brotzman, Laura E.
Shelton, Rachel C.
Austin, Jessica D.
Rodriguez, Carmen B.
Agovino, Mariangela
Moise, Nathalie
Tehranifar, Parisa
“It's something I'll do until I die”: A qualitative examination into why older women in the U.S. continue screening mammography
title “It's something I'll do until I die”: A qualitative examination into why older women in the U.S. continue screening mammography
title_full “It's something I'll do until I die”: A qualitative examination into why older women in the U.S. continue screening mammography
title_fullStr “It's something I'll do until I die”: A qualitative examination into why older women in the U.S. continue screening mammography
title_full_unstemmed “It's something I'll do until I die”: A qualitative examination into why older women in the U.S. continue screening mammography
title_short “It's something I'll do until I die”: A qualitative examination into why older women in the U.S. continue screening mammography
title_sort “it's something i'll do until i die”: a qualitative examination into why older women in the u.s. continue screening mammography
topic RESEARCH ARTICLES
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9582674/
https://www.ncbi.nlm.nih.gov/pubmed/35616300
http://dx.doi.org/10.1002/cam4.4758
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