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Factors associated with the incompliance with mammogram screening among individuals with a family history of breast cancer or ovarian cancer

  • Epidemiology
  • Published:
Breast Cancer Research and Treatment Aims and scope Submit manuscript

Abstract

Objective

The national guidelines recommend more intensive screening for breast cancer for women with a family history of breast or ovarian cancer. Using the data from the 2000 National Health Interview Survey (NHIS), we examined factors related to the underuse of mammogram in this population.

Method

The study subjects were 1,215 women aged 30–79 who had a family history of breast or ovarian cancer in their first-degree relatives. According to the American Cancer Society’s guidelines for breast cancer screening, having no mammogram in last year was used as an outcome for this study. Socio-demographic characteristics, health-related conditions, lifestyle factors, health behaviors, menstrual/reproductive information and health care access and utilization were analyzed to assess their relations to mammogram underuse using unconditional logistic regression method.

Results

The results showed that younger age, having no place to go when sick (OR = 2.2, 95% CI, 1.2–4.0), having no visits to a general doctor (OR = 1.7, 95% CI, 1.2–2.4) or medical specialist (OR = 2.2, 95% CI, 1.6–3.1) and having no influenza shot in last year (OR = 1.7, 95% CI, 1.2–2.3) increased the risk of underusing mammography screening among women who had a family history of breast or ovarian cancer. Women who had no home care from health professionals in the last year were less likely to underuse mammogram with an OR of 0.3 (95% CI, 0.1–0.6), compared with women who had.

Conclusion

Medical care-related factors may affect the use of mammography screening in women with a family history of breast or ovarian cancer.

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Author information

Authors and Affiliations

  1. United States Military Cancer Institute, Walter Reed Army Medical Center, 6900 Georgia Ave., NW Building 1, Suite E-111, Washington, DC, 20307-5001, USA

    Hongyu Wu, Kangmin Zhu, Mona Shah & John Potter

  2. Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda, MD, 20814, USA

    Ismail Jatoi

  3. Comprehensive Breast Center, Walter Reed Army Medical Center, Washington, DC, 20307, USA

    Craig D. Shriver

Authors
  1. Hongyu Wu
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  2. Kangmin Zhu
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  3. Ismail Jatoi
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  4. Mona Shah
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  5. Craig D. Shriver
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  6. John Potter
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Correspondence to Kangmin Zhu.

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The views expressed in this article are those of the author and do not reflect the official policy of the department of Army, Department of Defense, or U.S. Government.

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Wu, H., Zhu, K., Jatoi, I. et al. Factors associated with the incompliance with mammogram screening among individuals with a family history of breast cancer or ovarian cancer. Breast Cancer Res Treat 101, 317–324 (2007). https://doi.org/10.1007/s10549-006-9298-5

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  • DOI: https://doi.org/10.1007/s10549-006-9298-5

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