{"id":1348,"date":"2018-01-28T13:09:37","date_gmt":"2018-01-28T13:09:37","guid":{"rendered":"https:\/\/blogs.bmj.com\/ebn\/?p=1348"},"modified":"2018-01-28T13:09:37","modified_gmt":"2018-01-28T13:09:37","slug":"why-do-some-women-avoid-breast-cancer-screening","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/ebn\/2018\/01\/28\/why-do-some-women-avoid-breast-cancer-screening\/","title":{"rendered":"Why do some women avoid breast cancer screening?"},"content":{"rendered":"

Roberta Heale, Associate Editor EBN, @EBNursingBMJ @robertaheale<\/p>\n

\"\"<\/a>A large percentage of my work in family practice care includes screening for early detection of disease. Cholesterol testing, PAPs, prostate and colon cancer screening are a few examples.\u00a0 Another example is the mammogram which is used to screen for breast cancer. Recommendations vary so that the age to start mammograms is 40 in some countries, and 50 in others. It can be difficult to convince some patients to take part in screening tests and encouraging women to have a mammogram seems to be particularly difficult at times. This is a concern since close to 1 in 8 women will be diagnosed with breast cancer and early detection can save their lives. Why, then, do some women avoid breast cancer screening?<\/p>\n

According to one site, there are many reasons that women don\u2019t have mammograms.\u00a0 Although not an issue in many countries where medical testing is covered under universal health insurance plans, in some countries, women have to pay to have a mammogram and the cost is a barrier.<\/p>\n

Some women are concerned about the radiation from the mammogram, however, the dosage is small, and technology continues to improve to ensure that mammograms are as safe as possible. Time constraints are often a consideration. In this case, I myself, can assure women that mammograms don\u2019t take up a lot of your time.<\/p>\n

Fear that the mammogram will hurt is also an issue. Again, with advances in technology, the procedure itself has improved.\u00a0 It can be a bit uncomfortable, but is quick and well worth the time if the result is early detection of cancer. Abnormalities in mammograms aren\u2019t always cancer.\u00a0 Other issues are things such as cysts.\u00a0 If there is a cancer diagnosis, the earlier a tumour is found, the better outcomes.1<\/p>\n

Knowing that early detection of breast cancer can save lives, health care providers strive to find ways to help women to understand their risk and encourage them to have mammograms.\u00a0 EBN recently published a commentary 2 of an article describing the outcomes of a systematic review of the effectiveness of patient decision aids in the decision to have a mammogram.3 Although the review included women in their 30\u2019s and 40\u2019s (who are not in the ages to be routinely screened in some countries), the results were discouraging in that patient decision aids did not increase the number of women intending to have mammograms.<\/p>\n

Hopefully, more effective tools will come along.\u00a0 Until then, perhaps the best way to increase uptake of mammograms is the straightforward discussion between a woman and her family practice caregiver.\u00a0 I\u2019ll continue to answer questions, provide literature and encourage women to overcome their fears to have breast cancer screening.<\/p>\n

1. https:\/\/www.augustahealth.com\/health-focused\/6-surprising-reasons-why-women-dont-get-mammograms<\/a><\/p>\n

2. Hersch, J. & McCaffery, K. (2017) Using a decision aid may prompt some younger women (38\u201350 years) to rethink breast cancer screening plans. Evidence Based Nursing<\/p>\n

http:\/\/ebn.bmj.com\/content\/21\/1\/10<\/a><\/p>\n

3. Ivlev I, Hickman EN, McDonagh MS,\u00a0et\u00a0al.\u00a0Use of patient decision aids increased younger women\u2019s reluctance to begin screening mammography: a systematic review and meta-analysis.\u00a0J Gen Intern Med\u00a02017;32:802\u201313<\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

Roberta Heale, Associate Editor EBN, @EBNursingBMJ @robertaheale A large percentage of my work in family practice care includes screening for early detection of disease. Cholesterol testing, PAPs, prostate and colon cancer screening are a few examples.\u00a0 Another example is the mammogram which is used to screen for breast cancer. Recommendations vary so that the age […]<\/p>\n

Read More…<\/a><\/p>\n","protected":false},"author":169,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[208],"tags":[],"class_list":["post-1348","post","type-post","status-publish","format-standard","hentry","category-womens-health"],"yoast_head":"\nWhy do some women avoid breast cancer screening? - Evidence-Based Nursing blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/ebn\/2018\/01\/28\/why-do-some-women-avoid-breast-cancer-screening\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Why do some women avoid breast cancer screening? - Evidence-Based Nursing blog\" \/>\n<meta property=\"og:description\" content=\"Roberta Heale, Associate Editor EBN, @EBNursingBMJ @robertaheale A large percentage of my work in family practice care includes screening for early detection of disease. 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