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    <title>UTas ePrints - Trusting Technology: women aged 40-49 years participating in screening for breast cancer - an exploratory study</title>
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    <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" />
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<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" />
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<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.
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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
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screening mammography: a meta-analysis. J Am Med Assoc 1994;273(2):149-
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13. Smart CR, Henrick RE, Rutledge JH, Smith RA. Benefits of mammography
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women aged under 50. A quality assessment and meta-analysis. Med J Aust
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15. Turnbull D, Adelson P, Irwig L. Evaluating the impact of a promotional
campaign for screening mammography: women’s knowledge and sources of
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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.
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communicated to women: analysis of 58 pamphlets. Br Med J 1998;317(July
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19. Gregg J, Curry RH. Explanatory models for cancer among African-American
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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.
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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.
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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.
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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" />
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<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" />
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    <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&#13;
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.&#13;
Methods: Semi-structured interviews were conducted with a small sample of women aged between 40 and 49 years in rural&#13;
Tasmania who had participated in mammography screening.&#13;
Results: Key ideas that appeared to shape participation included the fear of breast cancer, trust in technology, and taking responsibility for health. Information&#13;
provision is also an important factor in shaping participation patterns. Conclusions and implications: In order to facilitate informed consent, information&#13;
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,&#13;
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&amp;eprintid=2106">item control page</a></p>
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