Women’s responses to changes in U.S. preventive task force’s mammography screening guidelines: results of focus groups with ethnically diverse womenReport as inadecuate




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BMC Public Health

, 13:1169

Health behavior, health promotion and society

Abstract

BackgroundThe 2009 U.S. Preventive Services Task Force USPSTF changed mammography guidelines to recommend routine biennial screening starting at age 50. This study describes women’s awareness of, attitudes toward, and intention to comply with these new guidelines.

MethodsWomen ages 40–50 years old were recruited from the Boston area to participate in focus groups k = 8; n = 77. Groups were segmented by race-ethnicity Caucasian = 39%; African American = 35%; Latina = 26%, audio-taped, and transcribed. Thematic content analysis was used.

ResultsParticipants were largely unaware of the revised guidelines and suspicious that it was a cost-savings measure by insurers and-or providers. Most did not intend to comply with the change, viewing screening as obligatory. Few felt prepared to participate in shared decision-making or advocate for their preferences with respect to screening.

ConclusionsCommunication about the rationale for mammography guideline changes has left many women unconvinced about potential disadvantages or limitations of screening. Since further guideline changes are likely to occur with advances in technology and science, it is important to help women become informed consumers of health information and active participants in shared decision-making with providers. Additional research is needed to determine the impact of the USPSTF change on women’s screening behaviors and on breast cancer outcomes.

KeywordsMammography Screening guidelines Health communication Electronic supplementary materialThe online version of this article doi:10.1186-1471-2458-13-1169 contains supplementary material, which is available to authorized users.

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Author: Jennifer D Allen - Shirley Morrison Bluethmann - Margaret Sheets - Kelly Morrison Opdyke - Kathryn Gates-Ferris - Marc Hu

Source: https://link.springer.com/







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