PCN8 - Is Depression Related to Underuse of Breast Cancer Screening?

Abstract

1. National Cancer Institute, SEER Stat Fact Sheets: Breast Cancer. Available at: http://seer.cancer.gov/statfacts/html/breast.html, Accessed May 5, 2014. 2. Centers for Disease Control and Prevention, What Screening Tests Are There? Available at: http://www.cdc.gov/cancer/breast/basic_info/screening.htm, Accessed May 5, 2014. 3. Moss SM, Cuckle H, Evans A et al. Trial Management Group. E ect of mammographic screening from age 40 years on breast cancer mortality at 10 years’ follow-up: a randomized controlled trial. Lancet. 2006;368:2053-2060. 4. Kerlikowske K. E cacy of screening mammography among women aged 40 to 49 years and 50 to 69 years: comparison of relative and absolute bene t. J Natl Cancer Inst Monogr. 1997;22:79–86. 5. Pace LE, Keating NL. A systematic assessment of bene ts and risks to guide breast cancer screening decisions. JAMA. 2014;311:1327-1335. 6. Gehi A, Haas D, Pipkin S, Whooley MA. Depression and medication adherence in outpatients with coronary heart disease, Arch Intern Med. 2005;165:2508-2513. 7. Lin EH, Katon W, Von Kor M et al. Relationship of depression and diabetes self-care, medication adherence, and preventive care; Diabetes Care. 2004;27:2154–2160. 8. Ziegelstein RC, Fauerbach JA, Stevens SS et al. Patients with depression are less likely to follow recommendations to reduce cardiac risk during recovery from a myocardial infarction; Arch Intern Med. 2000;160:1818-1823. 9. Manning M, Bettencourt BA. Depression and medication adherence among breast cancer survivors: bridging the gap with the theory of planned behaviour. Psychol Health. 2011;26:1173-1187. 10. Cohen M. First-degree relatives of breast-cancer patients: cognitive perceptions, coping, and adherence to breast self-examination. Behav Med. 2002;28:15-22. 11. Bogner HR, Wittink MN. Depression as a risk factor for underuse of mammography. J Womens Health (Larchmt). 2004;13:739-42. • Summary Depression itself was related to the underuse of mammography in the unadjusted analysis. However, after controlling for demographic and HBM characteristics, depression was not associated with the underuse of mammography. Regarding demographic characteristics, women in the higher level of education and income were more likely to adhere to the U.S. Preventive Services Task Force’s (USPSTF) mammogram guidelines. All HBM constructs were related to mammography use behaviors.