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Compliance with breast and cervical cancer screening programs in women: results from a population-based study

Abstract

Aims and background.Women’s adherence to mammography and PAP test screening guidelines is a fundamental topic regarding women’s health. The aim of the study was to evaluate the knowledge and compliance to breast and cervical cancer screening programs in women living in three Italian towns, where a public screening program, consisting of free mammography every two years and free PAP test every three years, is ongoing.
Methods. An anonymous survey was mailed to a random sample of women. Eight 120-min focus discussions with groups of women exploring perceptions, knowledge and practices were carried out after analysis of the returned surveys.
Results. Replies were received from 1345 women (response rate, 27%). Almost every woman knew of the screening program, but women’s practice of mammography was age-dependent: up to 72% of the women performed it before the age of 50. Conversely, the age of the first PAP test was rather late: up to 70% of the women performed it at over 30 years of age. Women with a lower educational level reported being screened less than those with a higher level. During the group discussions, women’s perceptions, knowledge and beliefs regarding cancer and screening, together with aspects of the health care system, appeared to strongly influence the preventive practices. Many women deplored being infrequently instructed by health professionals.
Conclusions. Despite the limitations of the study due to the low response rate, we believe that health professionals should invest on encouraging factors and reduce the deterring factors to optimize screening practices.

Tumori 2013; 99(5): 565 - 571

Article Type: ORIGINAL RESEARCH ARTICLE

DOI:10.1700/1377.15303

Authors

Rossana Berardi, Dania Nacciarriti, Tiziana Tamburrano, Giovanna Carbonari, Emanuela Romagnoli, Monia Duca, Michela Burattini, Rosa Rita Silva, Riccardo Cellerino, Stefano Cascinu on behalf of the Women’s Council of the City of Senigallia, Ancona, Ital

Article History

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Authors

  • Berardi, Rossana [PubMed] [Google Scholar]
    Clinica di Oncologia Medica, Università Politecnica delle Marche, Ospedali Riuniti di Ancona, Ancona, Italy
  • Nacciarriti, Dania [PubMed] [Google Scholar]
    Medical Oncology, Ospedale di Macerata, Macerata, Italy
  • Tamburrano, Tiziana [PubMed] [Google Scholar]
    Medical Oncology, Ospedale Santa Croce, Fano, Italy
  • Carbonari, Giovanna [PubMed] [Google Scholar]
    Medical Oncology, Ospedale Civile, Senigallia, Italy
  • Romagnoli, Emanuela [PubMed] [Google Scholar]
    Medical Oncology, Ospedale di Feltre, Feltre, Italy
  • Duca, Monia [PubMed] [Google Scholar]
    Medical Oncology, Ospedale Profili, Fabriano, Italy
  • Burattini, Michela [PubMed] [Google Scholar]
    Clinica di Oncologia Medica, Università Politecnica delle Marche, Ospedali Riuniti di Ancona, Ancona, Italy
  • Silva, Rosa Rita [PubMed] [Google Scholar]
    Medical Oncology, Ospedale Profili, Fabriano, Italy
  • Cellerino, Riccardo [PubMed] [Google Scholar]
    Postgraduate School of Oncology, Università Politecnica delle Marche, Ancona, Italy
  • Cascinu on behalf of the Women’s Council of the City of Senigallia, Ancona, Ital, Stefano [PubMed] [Google Scholar]
    Clinica di Oncologia Medica, Università Politecnica delle Marche, Ospedali Riuniti di Ancona, Ancona, Italy

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