The Relationship Between Participation in Mammography Screening Program and Health Literacy

Background/Aim: Breast cancer is the most common type of cancer in women around the world. This study aimed to determine the factors that affect participation in a mammography screening program, and analyze the effect of health literacy on women’s level of participation in this program.Methods: The study was planned as a case-control study. Women aged 40-69 years were included in the study. The cases consisted of women who had never participated in the mammography screening program before, and controls consisted of women who had participated in the mammography screening program in the last two years. The study used Turkey Health Literacy Scale and a data form that included questions about participants’ sociodemographic characteristics and reasons for not having participated in the screening program. The data were collected in a family health center and the Cancer Early Diagnosis Screening and Training Centers (CEDSTC) between April and June 2017 during individual interviews.Results/Findings: A total of 619 individuals (case group: 212; control group: 407) participated in this study. The scores of the women that had not participated in the mammography screening program on health literacy scale (29.2±6.8) were lower than that of the women that had participated in this program (33.7±4.8) (p

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  • 1. Coughlin SS, Ekwueme DU. Breast cancer as a global health concern. Cancer epidemiol 2009; 33(5): 315-318.
  • 2. T.C. Sağlık Bakanlığı Halk Sağlığı Kurumu. Türkiye Kanser İstatistikleri. Ankara, 2017. p.19-20. Web: https://hsgm.saglik.gov.tr/depo/birimler/kanser-db/istatistik/2014-RAPOR._uzuuun.pdf Accessed 14.06.19
  • 3. Ferlay J, Héry C, Autier P, Sankaranarayanan R. Global burden of breast cancer. In: Li C editor. Breast cancer epidemiology. Springer New York, 2010. p.1-19.
  • 4. World Health Organization. Breast cancer: prevention and control. Web: http://www.who.int/cancer/detection/breastcancer/en/. Accessed 10.10.2017
  • 5. Rogers C. IARC Handbooks of Cancer Prevention, Volume 7: Breast Cancer Screening.Lyon, France: lARCPress; 2002. p.171-185.
  • 6. Sankaranarayanan R, Ramadas K, Thara S, Muwonge R, Prabhakar J,Augustine P et al. Clinical breast examination: preliminary results from a randomized controlled trial in India. Jnci-J Natl Cancer I 2011;103:1476-1480.
  • 7. Shapiro S, Coleman EA, Broeders M, Codd M, de Koning H, Fracheboud J et al. Breast cancer screening programmes in 22 countries: current policies, administration and guidelines : Int J Epidemiol 1998; 27(5): 735-742.
  • 8. Kanser Daire Başkanlığı. Meme Kanseri Tarama Programı Ulusal Standartları. p.41. Web: https://hsgm.saglik.gov.tr/depo/birimler/kanser-db/yayinlar/raporlar/Ulusal_Kanser_Kontrol_Plani_2013_2018.pdf. Accessed 14.06.19
  • 9. Lagerlund M, Maxwell AE, Bastani R, Thurfjell E, Ekbom A, Lambe M. Sociodemographic predictors of non-attendance at invitational mammography screening–a population-based register study (Sweden). Cancer Cause Control 2002; 13(1): 73-82.
  • 10. Pagán JA, Brown CJ, Asch DA, Armstrong K, Bastida E, Guerra C. Health literacy and breast cancer screening among Mexican American women in South Texas. J Cancer Educ 2012; 27(1): 132-137.
  • 11. Bare ML, Montes J, Florensa R, Sentis M, Donoso L. Factors related to non-participation in a population-based breast cancer screening programme. Eur J Cancer Prev 2003; 12(6): 487-494. 12. Kickbusch I, Pelikan MJ, Apfel P, Tsouros AD (ed). Health literacy: the solid facts. Geneva: World Health Organization, 2013. p.7-11. Web: http://www.euro.who.int/__data/assets/pdf_file/0008/190655/e96854.pdf Accessed 14.06.19
  • 13. Sorensen K, Van den Broucke S, Fullam J, Doyle G, Pelikan J, Slonska Z et al. Health literacy and public health: a systematic review and integration of definitions and models. BMC public health 2012; 12(1): 80.
  • 14. Berkman ND, Sheridan SL, Donahue KE, Halpern DJ, Crotty K. Low health literacy and health outcomes: an updated systematic review. Ann Intern Med 2011; 155(2): 97-107.
  • 15. Waldrop-Valverde D, Jones DL, Jayaweera D, Gonzalez P, Romero J, Ownby RL. Gender differences in medication management capacity in HIV infection: The role of health literacy and numeracy. AIDS Behav 2009; 13(1): 46-52.
  • 16. Estrada CA, Martin-Hryniewicz M, Peek BT, Collins C, Byrd JC. Literacy and numeracy skills and anticoagulation control. Am J Med Sci 2004; 328(2): 88-93.
  • 17. Davis TC, Wolf MS, Bass PF, Middlebrooks M, Kennen E, Baker DW et al. Low literacy impairs comprehension of prescription drug warning labels. J Gen Intern Med 2006; 21(8): 847–851.
  • 18. White S, Chen J, Atchison R. Relationship of preventive health practices and health literacy: a national study. Am J Health Behav 2008; 32(3): 227-242.
  • 19. Guerra CE, Krumholz M, Shea JA. Literacy and knowledge, attitudes and behavior about mammography in Latinas. J Health Care Poor U 2005; 16(1): 152-166.
  • 20. Cho YI, Lee SY, Arozullah AM, Crittenden KS. Effects of health literacy on health status and health service utilization amongst the elderly. Soc Sci Med 2008; 66(8): 1809-1816.
  • 21. Schlesselman JJ. Case-control studies: design, conduct, analysis. Oxford University Press.1982. p.145
  • 22. Durusu-Tanrıöver M, Yıldırım HH, Demiray-Ready FN, Çakır B ve Akalın HE, editors. Türkiye Sağlık Okuryazarlığı Araştırması. 1. Baskı. Ankara: Sağlık-Sen Yayınları, Aralık 2014. p.55.
  • 23. Fernandez DM, Larson JL, Zikmund-Fisher BJ. Associations between health literacy and preventive health behaviors among older adults: findings from the health and retirement study. BMC public health 2016; 16(1): 596-603.
  • 24. Komenaka IK, Nodora JN, Hsu CH, Martinez ME, Gandhi SG, Bouton ME et al. Association of health literacy with adherence to screening mammography guidelines. Obstet Gynecol 2015; 125(4): 852-859.
  • 25. Scott TL, Gazmararian JA, Williams MV, Baker DW. Health literacy and preventive health care use among Medicare enrollees in a managed care organization. Med Care 2002; 40(5): 395-404.
  • 26. Andersen R. Revisiting the behavioral model and access to medical care:Does it matter? J Health Soc Behav 1995; 36(1): 1-10.
  • 27. Luengo S, Lazaro P, Azcona B, Madero R, Fitch K. Use of mammography among women residing in Spanish provinces with breast cancer screening programmes. Eur J Cancer Prev 1999; 8(6): 517-524.
  • 28. Duport N, Ancelle-Park R. Do socio-demographic factors influence mammography use of French women? Analysis of a French cross-sectional survey. Eur J Cancer Prev 2006; 15(3): 219-224.
  • 29. Rahman SM, Dignan MB, Shelton BJ. Factors influencing adherence to guidelines for screening mammography among women aged 40 years and older. Ethn Dis. 2003; 13(4): 477–484.
  • 30. Aro AR, De Koning HJ, Absetz P, Schreck M. Psychosocial predictors of first attendance for organised mammography screening. J Med Screen 1999; 6(2): 82-88.
  • 31. McNoe B, Richardson AK, Elwood JM. Factors affecting participation in mammography screening. New Zeal Med J 1996; 109: 359-361.
  • 32. Yıldırım DA, Özaydın NA. Sources of breast cancer knowledge of women living in Moda/İstanbul and their attendance to breast cancer screening. J Breast Health 2014; 10: 47-56.
  • 33. Leong HS, Heng R, Emmanuel SC. Survey on mammographic screening among women aged 40 to 65 years old at polyclinics. Singapore Med J 2007; 48: 34-40.