Abstract
Objectives. Community based breast cancer screening has decreased breast cancer mortality in women. This study examined the predictors of nonattendence for invitational breast cancer screening in relation to socioeconomic status in the city of Manisa, in western Turkey. Study Design. For the evaluation of the reasons for refusing to participate in the study, two districts were selected. 446 women aged between 50 and 69 years were selected from the program database by systematic random sampling. Methods. The questionnaire consisted of sociodemographic variables and the adapted version of Champion's Health Belief Model Scale. Univariete and multivariete logistic regression analysis were performed throughout the data analysis. Results. Being from an urban district and being from the western region were the risk factors for not participating in the screening program (P = 0.014, P = 0.023). A statistical significance was found between mammography-benefit, mammography-barrier and program participation (P = 0.044, P = 0.006). Although there were many more barriers for not participating in the screening program for the women of the slum district, the attendence rate of the slum district was higher than that of the urban district. Conclusions. Increased attendance may be achieved through enhancement of breast cancer awareness and by reducing some of the modifiable barriers.
Highlights
Breast cancer (BC) is the most common cancer among women worldwide
This study examined the predictors of nonattendence for invitational breast cancer screening in relation to socioeconomic status in the city of Manisa, in western Turkey
85.5% of women in an urban district were literate, 83.3% came from western Turkey, 84.6% had a sufficient income level, and 76.3% were housewives
Summary
Breast cancer (BC) is the most common cancer among women worldwide. It is the most prevalent cause of cancerrelated death in women in both developed and developing countries [1]. According to the data of the Ministry of Health, breast cancer incidence in Turkey is 35.8 per hundred thousand [2]. International organisations have differing recommendations concerning the age group that should receive mammography and at what frequency; the most appropriate is that every country should develop standards according to its own conditions. The standard developed by the Cancer Control Department of the Ministry of Health for Turkey advises that women of the 50–69 age group have bilateral mammography every two years [4].
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
