[Sociodemographic aspects are associated with breast cancer screening behaviour of female patients: results of a cross-sectional survey]

Gesundheitswesen. 2014 Sep;76(8-9):500-7. doi: 10.1055/s-0033-1349870. Epub 2013 Aug 2.
[Article in German]

Abstract

In Austria, opportunistic mammography screening for detection of early-stages breast cancer is offered for women older than 40 years. In spite of public discussions on the effectiveness of mammography screening, evidence-based educative information material for female patients available online and in print is lacking. The present study describes the influence of the 3 sociodemographic characteristics migration background, education, and age on the individual's breast cancer screening behaviour as well as on the usage of various information sources on breast cancer for patients. In total, 333 outpatients of the Department of Obstetrics and Gynaecology, General Hospital, Vienna, Austria, participated in a monocentric cross-sectional study. Regarding breast cancer screening, 93.4% (n=282) of the female patients had at least one previous mammogram. Furthermore, 86.3% of the participants regularly consulted their gynaecologist, while women with migration background reported less frequent (p=0.02), and well-educated as well as older patients reported more frequent (p<0.02) gynaecological consultations. Higher-educated women (p=0.04) and participants aged between 50 and 69 years (p<0.05) felt better informed on breast cancer-related topics, whereas a migration background was not associated with the perceived level of information. Medical doctors (67.9%) as well as pertinent folders (33%) were the most relevant information sources on breast cancer. Mass media (22.8%) were also a relevant information source on this issue, whereas the Internet (10.5%) was quite rarely referred to for this purpose. The results of the present study show that female patients perceived the medical doctor as the most important source of medical information on breast cancer. The public health-care system could facilitate positive health communication in the doctors/patient relationship by providing homogenous, quality assured educative information material.

MeSH terms

  • Adolescent
  • Adult
  • Age Distribution
  • Aged
  • Aged, 80 and over
  • Austria / epidemiology
  • Breast Neoplasms / diagnosis*
  • Breast Neoplasms / epidemiology*
  • Breast Neoplasms / prevention & control
  • Cross-Sectional Studies
  • Early Detection of Cancer / statistics & numerical data*
  • Educational Status
  • Emigration and Immigration / statistics & numerical data*
  • Female
  • Health Literacy / statistics & numerical data
  • Health Promotion / statistics & numerical data*
  • Humans
  • Mammography / statistics & numerical data*
  • Middle Aged
  • Patient Education as Topic / statistics & numerical data*
  • Socioeconomic Factors
  • Young Adult