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Mammography screening after breast cancer diagnosis in a first degree female relative: age group differences (United States)

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Abstract

Objectives

To examine age group differences in predictors of mammography screening in women with a first-degree female relative (FDFR) with recent diagnosis of breast cancer.

Methods

A cohort study of 577 women ages 18 and over with a FDFR diagnosed with incident stage 0-III breast cancer was conducted. Telephone interviews were conducted at baseline, 6 months and 12 months. Logistic regression was used to model factors associated with mammography screening since diagnosis.

Results

Mammography rates were 32%, 71% and 75% for women aged 18–39, 40–49 and 50 and above, respectively. Among the youngest group, belief in cancer screening effectiveness, mammography history and MD recommendation predicted mammography. For those 40–49, excellent self-rated health, perceived similarity of personality to the patient and higher intrusive thoughts predicted mammography. Perceived similarity of health care utilization to the patient and higher risk perceptions were associated with mammography among women aged 50 and above.

Conclusions

Mammography rates were high among women aged 40–49 and 50 and above, and considerable among women aged 18–30, even in view of the lack of evidence-based guidelines. Continued attention should be paid to the 25–30% of older women who do not report screening.

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Acknowledgments

The authors greatly appreciate the contributions of Caroline Cranos, M.P.H., and Christine Foley for preparing the manuscript; Anne Gribauskas, Sharon Jackson, M.Ed., for their assistance with data collection; Lang Lin, M.S., for her assistance with data analysis; Britt Ann Peterson, Ph.D. for her assistance with study conceptualization. This project was funded by Grant Number CA81267 from the National Institutes for Health. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the National Cancer Institute.

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Authors and Affiliations

  1. Division of Preventive and Behavioral Medicine, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA, 01655, UK

    Stephenie C. Lemon & Barbara Estabrook

  2. Department of Biostatistics, Bioinformatics and Epidemiology, Medical University of South Carolina, Charleston, SC, USA

    Jane G. Zapka

  3. Department of Medicine, Columbia University College of Physicians and Surgeons, New York, NY, USA

    Lynn Clemow

  4. Department of Psychiatry, University of Massachusetts Medical School, Worcester, MA, UK

    Ken Fletcher

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  1. Stephenie C. Lemon
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  2. Jane G. Zapka
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  3. Lynn Clemow
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  4. Barbara Estabrook
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  5. Ken Fletcher
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Correspondence to Stephenie C. Lemon.

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Lemon, S.C., Zapka, J.G., Clemow, L. et al. Mammography screening after breast cancer diagnosis in a first degree female relative: age group differences (United States). Cancer Causes Control 17, 1053–1065 (2006). https://doi.org/10.1007/s10552-006-0039-1

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  • DOI: https://doi.org/10.1007/s10552-006-0039-1

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