<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd"> <html> <head> <title>UTas ePrints - Trusting Technology: women aged 40-49 years participating in screening for breast cancer - an exploratory study</title> <script type="text/javascript" src="http://eprints.utas.edu.au/javascript/auto.js"><!-- padder --></script> <style type="text/css" media="screen">@import url(http://eprints.utas.edu.au/style/auto.css);</style> <style type="text/css" media="print">@import url(http://eprints.utas.edu.au/style/print.css);</style> <link rel="icon" href="/images/eprints/favicon.ico" type="image/x-icon" /> <link rel="shortcut icon" href="/images/eprints/favicon.ico" type="image/x-icon" /> <link rel="Top" href="http://eprints.utas.edu.au/" /> <link rel="Search" href="http://eprints.utas.edu.au/cgi/search" /> <meta content="Willis, K.F." name="eprints.creators_name" /> <meta content="Baxter, J." name="eprints.creators_name" /> <meta content="K.Willis@utas.edu.au" name="eprints.creators_id" /> <meta content="" name="eprints.creators_id" /> <meta content="article" name="eprints.type" /> <meta content="2007-10-11 05:47:30" name="eprints.datestamp" /> <meta content="2008-01-08 15:30:00" name="eprints.lastmod" /> <meta content="show" name="eprints.metadata_visibility" /> <meta content="Trusting Technology: women aged 40-49 years participating in screening for breast cancer - an exploratory study" name="eprints.title" /> <meta content="pub" name="eprints.ispublished" /> <meta content="220000" name="eprints.subjects" /> <meta content="restricted" name="eprints.full_text_status" /> <meta content="Adult,Breast Neoplasms/diagnosis, Female, Humans, Mammography, Mass Screening, Middle Aged, Patient Participation, Rural Population, Social Support, Tasmania" name="eprints.keywords" /> <meta content="The definitive version is available at www.blackwell-synergy.com" name="eprints.note" /> <meta content="Objective: This paper reports key findings from an exploratory study of factors associated with women’s decision to participate in mass mammography screening in Tasmania. In particular, we explored factors that contribute to the choice to participate in screening by women who are outside the primary target group, and for whom the evidence of benefit remains contentious. Methods: Semi-structured interviews were conducted with a small sample of women aged between 40 and 49 years in rural Tasmania who had participated in mammography screening. Results: Key ideas that appeared to shape participation included the fear of breast cancer, trust in technology, and taking responsibility for health. Information provision is also an important factor in shaping participation patterns. Conclusions and implications: In order to facilitate informed consent, information provision in this area should take account of the dominant ideas that shape the decision to participate in breast cancer screening." name="eprints.abstract" /> <meta content="2003-06" name="eprints.date" /> <meta content="published" name="eprints.date_type" /> <meta content="Australian and New Zealand Journal of Public Health" name="eprints.publication" /> <meta content="27" name="eprints.volume" /> <meta content="3" name="eprints.number" /> <meta content="282-286" name="eprints.pagerange" /> <meta content="10.1111/j.1467-842X.2003.tb00395.x" name="eprints.id_number" /> <meta content="TRUE" name="eprints.refereed" /> <meta content="http://dx.doi.org/10.1111/j.1467-842X.2003.tb00395.x" name="eprints.official_url" /> <meta content="1. Barratt AL, Cockburn J, Redman S, Paul C, Perkins J. Mammographic screening: Results from the 1996 National Breast Health Survey. Med J Aust 1997;167:521-4. 2. Breast Cancer Screening and Treatment in Australia. Canberra: Senate Standing Committee on Community Affairs Secretariat; 1994. p. 51. 3. BreastScreen Australia. Policy on Screening Women Aged 40-49 Years. Canberra: Population Health Division, Commonwealth Department of Health and Ageing; 1998 June. p. 2. 4. Elwood JM. Breast cancer screening in younger women: the need for evidence based medicine. N Z Med J 1995;108(1002):239-41. 5. Feig SA. Mammographic screening of women aged 40-49 years. Benefit, risk, and cost considerations. Cancer 1995;76(10 Suppl):2097-106. 6. Kopans DB. Mammography screening and the controversy concerning women aged 40-49. Radiol Clin North Am 1995;33(6):1273-90. 7. Sickles EA, Kopans DB. Mammographic screening for women aged 40-49 years: the primary care practitioner’s dilemma. Ann Intern Med 1995;122(7):534-8. 8. Ernster VL. Mammography screening for women aged 40 through 49 – A guidelines saga and a clarion call for informed decision making. Am J Public Health 1997;87(7):1103-6. 9. Miller AB, Baines CJ, To T, Wall C. Canadian National Breast Screening Study: 1. Breast cancer detection and death rates among women aged 40-49 years. Can Med Assoc J 1992;157(10):1477-88. 10. Wright CJ, Mueller CB. Screening mammography and public health policy: the need for perspective. Lancet 1995;456(July 1):29-31. 11. Elwood JM, Cox B, Richardson AK. The effectiveness of breast cancer screening by mammography in younger women. Online J Curr Clin Trials 1993;2:Doc no.32. paragraph 1-195. 12. Kerlikowske K, Grady D, Rubin SM, Sandrock C, Ernster VL. Efficacy of screening mammography: a meta-analysis. J Am Med Assoc 1994;273(2):149- 3. 13. Smart CR, Henrick RE, Rutledge JH, Smith RA. Benefits of mammography screening in women aged 40-49 years. Current evidence from randomized controlled trials. Cancer 1995;75(7):1619-26. 14. Glasziou PP, Woodward AJ, Mahon CM. Mammographic screening trials for women aged under 50. A quality assessment and meta-analysis. Med J Aust 1995;162(12):625-9. 15. Turnbull D, Adelson P, Irwig L. Evaluating the impact of a promotional campaign for screening mammography: women’s knowledge and sources of awareness. Aust J Public Health 1992;16(1):72-8. 16. Turnbull D, Irwig L. Ineffective recruitment strategies for screening mammography: letterbox drops and invitations for friends. Aust J Public Health 1992;16(1):103-4. 17. Cockburn J, Pitt S. Perceptions of Screening Mammography Amongst Women Aged 40-49. Sydney: National Health and Medical Research Centre, National Breast Cancer Centre; 1998. 18. Slaytor EK, Ward JE. How risks of breast cancer and benefits of screening are communicated to women: analysis of 58 pamphlets. Br Med J 1998;317(July 25):263-4. 19. Gregg J, Curry RH. Explanatory models for cancer among African-American women at two Atlanta neighborhood health centers: the implications for a cancer screening program. Soc Sci Med 1994;39(4):519-26. 20. Bortorff JL, Johnson JL, Bhagat R, Grewal S, Balneaves LG, Clarke H, et al. Beliefs related to breast health practices: the perceptions of South Asian women living in Canada. Soc Sci Med 1998;47(12):2075-85. 21. Husini BA, Sherkat DE, Bragg R, Levine R, Emerson JS, Mentes CM, et al. Predictors of breast cancer screening in a panel study of African American women. Women Health 2001;34(3):35-51. 22. Meystre-Agustoni G, Dubois-Arber F, De-Landstheer JP, Paccaud F. Exploring the reasons for non-participation of women in a breast cancer screening campaign. Eur J Public Health 1998;8(2):143-5. 23. Pelfrene ER, Bleyen L, De-Backer G. Uptake in breast cancer screening: a sociogeographical analysis. Eur J Public Health 1998;8(2):146-9. 24. Hagoel L, Ore L, Neter E, Shifroni G, Rennert G. The gradient in mammography screening behavior: a lifestyle marker. Soc Sci Med 1999;48:1281-90. 25. Aiken LS, West SG, Woodward CK, Reno RR, Reynolds KD. Increasing screening mammography in asymptomatic women: evaluation of a secondgeneration, theory-based program. Health Psychol 1994;13(6):526-38. 26. Kreitler S, Chaitchik S, Kreitler H, Weissler K. Who will attend tests for the early detection of breast cancer. Psychol Health 1994;9:463-83. 27. Speedy S, Hase S. Health beliefs and perceptions of women presenting or not presenting for mammographic screening in a rural health setting. Aust J Rural Health 2000;8:208-13. 28. Siegler ID, Feaganes JR, Rimer BK. Predictors of adoption of mammography in women under age 50. Health Psychol 1995;14(3):274-8. 29. Nettleton S. The Sociology of Health and Illness. Cambridge: Polity Press; 1995. 30. Calnan M. The health belief model and participation in programmes for the early detection of breast cancer: a comparative analysis. Soc Sci Med 1985;19(8):823-30. 31. Twenty-seven Month Participation Rate by Postcode: 1 October 1996 – 31 December 1998 [internal policy document]. Hobart: BreastScreen Tasmania; 1999. Personal communication. 32. BreastScreen Victoria. 1997 Annual Statistical Report. Victoria: BreastScreen Victoria; 1999. 33. Patton MQ. Qualitative Evaluation and Research Methods, 2nd ed. California: Sage; 1990. 34. Rice P, Ezzy D. Qualitative Research Methods: A Health Focus. Melbourne: Oxford University Press; 1999. 35. Ezzy D. Qualitative Analysis: Practice and Innovation. New South Wales: Allen Unwin; 2002. 36. Wardle J, Pope R. The psychological costs of screening for cancer. J Psychosomatic Res 1992;36(7):609-24. 37. Woloshin S, Schwartz LM, Byram SJ, Sox HC, Fischhoff B, Welch HG.Women’s understanding of the mammography screening debate. Arch Int Med 2000;160(10):1434-40. 38. Kaufert P. Women and the debate over mammography: An economic, political and moral history. In: Sargent CF, Brettell CB, editors. Gender and Health: An International Perspective. New Jersey: Prentice Hall; 1996. p. 287-309. 39. Barger-Lux MJ, Heaney RP. For better and worse: the technological imperative in health care. Soc Sci Med 1986;22(12):1313-20. 40. Yadlon S. Skinny women and good mothers: the rhetoric of risk, control, and culpability in the production of knowledge about breast cancer. Feminist Stud 1997;22(3):645-77. 41. Kavanagh AM, Broom DH. Embodied risk: My body, myself? Soc Sci Med 1998;46(3):437-44. 42. Lupton D. Femininity, responsibility, and the technological imperative: discourses on breast cancer in the Australian Press. Int J Health Serv 1994;24(1):73-89. 43. Lantz PM, Booth KM. The social construction of the breast cancer epidemic. Soc Sci Med 1998;46(7):907-18." name="eprints.referencetext" /> <meta content="Willis, K.F. and Baxter, J. (2003) Trusting Technology: women aged 40-49 years participating in screening for breast cancer - an exploratory study. Australian and New Zealand Journal of Public Health, 27 (3). pp. 282-286." name="eprints.citation" /> <meta content="http://eprints.utas.edu.au/2106/1/willis.pdf" name="eprints.document_url" /> <link rel="schema.DC" href="http://purl.org/DC/elements/1.0/" /> <meta content="Trusting Technology: women aged 40-49 years participating in screening for breast cancer - an exploratory study" name="DC.title" /> <meta content="Willis, K.F." name="DC.creator" /> <meta content="Baxter, J." name="DC.creator" /> <meta content="220000 Social Sciences, Humanities and Arts - General" name="DC.subject" /> <meta content="Objective: This paper reports key findings from an exploratory study of factors associated with women’s decision to participate in mass mammography screening in Tasmania. In particular, we explored factors that contribute to the choice to participate in screening by women who are outside the primary target group, and for whom the evidence of benefit remains contentious. Methods: Semi-structured interviews were conducted with a small sample of women aged between 40 and 49 years in rural Tasmania who had participated in mammography screening. Results: Key ideas that appeared to shape participation included the fear of breast cancer, trust in technology, and taking responsibility for health. Information provision is also an important factor in shaping participation patterns. Conclusions and implications: In order to facilitate informed consent, information provision in this area should take account of the dominant ideas that shape the decision to participate in breast cancer screening." name="DC.description" /> <meta content="2003-06" name="DC.date" /> <meta content="Article" name="DC.type" /> <meta content="PeerReviewed" name="DC.type" /> <meta content="application/pdf" name="DC.format" /> <meta content="http://eprints.utas.edu.au/2106/1/willis.pdf" name="DC.identifier" /> <meta content="http://dx.doi.org/10.1111/j.1467-842X.2003.tb00395.x" name="DC.relation" /> <meta content="Willis, K.F. and Baxter, J. (2003) Trusting Technology: women aged 40-49 years participating in screening for breast cancer - an exploratory study. 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border: solid 1px #ccc; padding: 3px"><tr> <td align="left"><a href="http://eprints.utas.edu.au/cgi/users/home">Login</a> | <a href="http://eprints.utas.edu.au/cgi/register">Create Account</a></td> <td align="right" style="white-space: nowrap"> <form method="get" accept-charset="utf-8" action="http://eprints.utas.edu.au/cgi/search" style="display:inline"> <input class="ep_tm_searchbarbox" size="20" type="text" name="q" /> <input class="ep_tm_searchbarbutton" value="Search" type="submit" name="_action_search" /> <input type="hidden" name="_order" value="bytitle" /> <input type="hidden" name="basic_srchtype" value="ALL" /> <input type="hidden" name="_satisfyall" value="ALL" /> </form> </td> </tr></table></td></tr> <tr> <td class="toplinks"><!-- InstanceBeginEditable name="content" --> <div align="center"> <table width="720" class="ep_tm_main"><tr><td align="left"> <h1 class="ep_tm_pagetitle">Trusting Technology: women aged 40-49 years participating in screening for breast cancer - an exploratory study</h1> <p style="margin-bottom: 1em" class="not_ep_block"><span class="person_name">Willis, K.F.</span> and <span class="person_name">Baxter, J.</span> (2003) <xhtml:em>Trusting Technology: women aged 40-49 years participating in screening for breast cancer - an exploratory study.</xhtml:em> Australian and New Zealand Journal of Public Health, 27 (3). pp. 282-286.</p><p style="margin-bottom: 1em" class="not_ep_block"></p><table style="margin-bottom: 1em" class="not_ep_block"><tr><td valign="top" style="text-align:center"><a href="http://eprints.utas.edu.au/2106/1/willis.pdf"><img alt="[img]" src="http://eprints.utas.edu.au/style/images/fileicons/application_pdf.png" class="ep_doc_icon" border="0" /></a></td><td valign="top"><a href="http://eprints.utas.edu.au/2106/1/willis.pdf"><span class="ep_document_citation">PDF</span></a> - Full text restricted - Requires a PDF viewer<br />48Kb</td><td><form method="get" accept-charset="utf-8" action="http://eprints.utas.edu.au/cgi/request_doc"><input accept-charset="utf-8" value="2645" name="docid" type="hidden" /><div class=""><input value="Request a copy" name="_action_null" class="ep_form_action_button" onclick="return EPJS_button_pushed( '_action_null' )" type="submit" /> </div></form></td></tr></table><p style="margin-bottom: 1em" class="not_ep_block">Official URL: <a href="http://dx.doi.org/10.1111/j.1467-842X.2003.tb00395.x">http://dx.doi.org/10.1111/j.1467-842X.2003.tb00395.x</a></p><div class="not_ep_block"><h2>Abstract</h2><p style="padding-bottom: 16px; text-align: left; margin: 1em auto 0em auto">Objective: This paper reports key findings from an exploratory study of factors associated with women’s decision to participate in mass mammography screening in Tasmania. In particular, we explored factors that contribute to the choice to participate in screening by women who are outside the primary target group, and for whom the evidence of benefit remains contentious. Methods: Semi-structured interviews were conducted with a small sample of women aged between 40 and 49 years in rural Tasmania who had participated in mammography screening. Results: Key ideas that appeared to shape participation included the fear of breast cancer, trust in technology, and taking responsibility for health. Information provision is also an important factor in shaping participation patterns. Conclusions and implications: In order to facilitate informed consent, information provision in this area should take account of the dominant ideas that shape the decision to participate in breast cancer screening.</p></div><table style="margin-bottom: 1em" cellpadding="3" class="not_ep_block" border="0"><tr><th valign="top" class="ep_row">Item Type:</th><td valign="top" class="ep_row">Article</td></tr><tr><th valign="top" class="ep_row">Additional Information:</th><td valign="top" class="ep_row">The definitive version is available at www.blackwell-synergy.com</td></tr><tr><th valign="top" class="ep_row">Keywords:</th><td valign="top" class="ep_row">Adult,Breast Neoplasms/diagnosis, Female, Humans, Mammography, Mass Screening, Middle Aged, Patient Participation, Rural Population, Social Support, Tasmania</td></tr><tr><th valign="top" class="ep_row">Subjects:</th><td valign="top" class="ep_row"><a href="http://eprints.utas.edu.au/view/subjects/220000.html">220000 Social Sciences, Humanities and Arts - General</a></td></tr><tr><th valign="top" class="ep_row">ID Code:</th><td valign="top" class="ep_row">2106</td></tr><tr><th valign="top" class="ep_row">Deposited By:</th><td valign="top" class="ep_row"><span class="ep_name_citation"><span class="person_name">Dr Karen Willis</span></span></td></tr><tr><th valign="top" class="ep_row">Deposited On:</th><td valign="top" class="ep_row">11 Oct 2007 16:47</td></tr><tr><th valign="top" class="ep_row">Last Modified:</th><td valign="top" class="ep_row">09 Jan 2008 02:30</td></tr><tr><th valign="top" class="ep_row">ePrint Statistics:</th><td valign="top" class="ep_row"><a target="ePrintStats" href="/es/index.php?action=show_detail_eprint;id=2106;">View statistics for this ePrint</a></td></tr></table><p align="right">Repository Staff Only: <a href="http://eprints.utas.edu.au/cgi/users/home?screen=EPrint::View&eprintid=2106">item control page</a></p> </td></tr></table> </div> <!-- InstanceEndEditable --></td> </tr> <tr> <td><!-- #BeginLibraryItem "/Library/footer_eprints.lbi" --> <table width="795" border="0" align="left" cellpadding="0" class="footer"> <tr valign="top"> <td colspan="2"><div align="center"><a href="http://www.utas.edu.au">UTAS home</a> | <a href="http://www.utas.edu.au/library/">Library home</a> | <a href="/">ePrints home</a> | <a href="/contact.html">contact</a> | <a href="/information.html">about</a> | <a href="/view/">browse</a> | <a href="/perl/search/simple">search</a> | <a href="/perl/register">register</a> | <a href="/perl/users/home">user area</a> | <a href="/help/">help</a></div><br /></td> </tr> <tr><td colspan="2"><p><img src="/images/eprints/footerline.gif" width="100%" height="4" /></p></td></tr> <tr valign="top"> <td width="68%" class="footer">Authorised by the University Librarian<br /> © University of Tasmania ABN 30 764 374 782<br /> <a href="http://www.utas.edu.au/cricos/">CRICOS Provider Code 00586B</a> | <a href="http://www.utas.edu.au/copyright/copyright_disclaimers.html">Copyright & Disclaimers</a> | <a href="http://www.utas.edu.au/accessibility/index.html">Accessibility</a> | <a href="http://eprints.utas.edu.au/feedback/">Site Feedback</a> </td> <td width="32%"><div align="right"> <p align="right" class="NoPrint"><a href="http://www.utas.edu.au/"><img src="http://www.utas.edu.au/shared/logos/unioftasstrip.gif" alt="University of Tasmania Home Page" width="260" height="16" border="0" align="right" /></a></p> <p align="right" class="NoPrint"><a href="http://www.utas.edu.au/"><br /> </a></p> </div></td> </tr> <tr valign="top"> <td><p> </p></td> <td><div align="right"><span class="NoPrint"><a href="http://www.eprints.org/software/"><img src="/images/eprintslogo.gif" alt="ePrints logo" width="77" height="29" border="0" align="bottom" /></a></span></div></td> </tr> </table> <!-- #EndLibraryItem --> <div align="center"></div></td> </tr> </table> </body> </html>