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Explicating perceived barriers to mammography for the USCREEN project: concerns about breast implants, faith violations, and perceived recommendations

Breast Cancer Research and Treatment volume 154, pages 201–207 (2015)Cite this article

Abstract

In line with the health belief model, perceived barriers have proven to be a key determinant of intentions to screen for breast cancer. The standard measure of perceived barriers to breast cancer screening is an 11 item scale developed by Victoria Champion. However, perceived barriers emerge and change over time, and Champion’s perceived barriers scale was last revised in 1999. Moreover, the original scale did not address barriers which may be more pronounced in particular populations, such as congruity of action with faith. As part of the Utah Screening Project, a sample of women 40–74 (N = 341, Mage = 51.19, SD = 8.11) were recruited from four Utah counties in 2014 to complete a survey. The results revealed that the four new perceived barrier items explained 6.4 % of intentions to screen, above and beyond other predictors. In addition to barriers identified in past research, the current study identified several novel barriers including (a) concerns about negative effects to breast implants, (b) perceived conflict with faith, and the (c) perception that mammography is no longer recommended. The new perceived barriers items are useful to researchers interested in exploring barriers not addressed by the original instrument. The barriers also suggest potential belief-based targets and channels (e.g., plastic surgery clinics, faith-based interventions) for delivering mammography interventions.

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Acknowledgments

Jakob D. Jensen is an Associate Professor in the Department of Communication and the Huntsman Cancer Institute at the University of Utah. Chelsea Ratcliff, Jeremy Weaver, William Payton, and Sherrie Loewen are graduate students in the Department of Communication at the University of Utah. Melinda Krakow is a post-doctoral fellow at the National Cancer Institute. This research was funded by a grant from the Utah Department of Health.

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Affiliations

  1. Department of Communication, University of Utah, 2423 LNCO, 255 S. Central Campus Drive, Salt Lake City, UT, 84112, USA

    Jakob D. Jensen, Chelsea Ratcliff, Jeremy Weaver, William Payton & Sherrie Loewen

  2. Huntsman Cancer Institute, Salt Lake City, USA

    Jakob D. Jensen

  3. Division of Cancer Prevention, National Cancer Institute, NIH 9609 Medical Center Drive, Bethesda, 20892-9712, USA

    Melinda M. Krakow

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  1. Jakob D. Jensen
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  2. Chelsea Ratcliff
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  3. Jeremy Weaver
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  4. Melinda M. Krakow
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  5. William Payton
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  6. Sherrie Loewen
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Correspondence to Jakob D. Jensen.

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The authors have no conflicts of interest to report. No author has a financial conflict or incentive related to or influenced by this research.

Appendix

Appendix

See Table 4.

Table 4 Champion’s 11 perceived barrier items
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Jensen, J.D., Ratcliff, C., Weaver, J. et al. Explicating perceived barriers to mammography for the USCREEN project: concerns about breast implants, faith violations, and perceived recommendations. Breast Cancer Res Treat 154, 201–207 (2015). https://doi.org/10.1007/s10549-015-3581-2

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  • DOI: https://doi.org/10.1007/s10549-015-3581-2

Keywords

  • Perceived barriers
  • Health belief model
  • Mammography
  • Breast implants
  • Faith
  • News coverage