Knowledge about mammography screening in Germany by education and migrant status – results of a cross-sectional study (InEMa)

Springer Science and Business Media LLC - Tập 39 - Trang 1-8 - 2019
Eva-Maria Berens1, Simone Kaucher2, Sandra van Eckert3, Maren Reder4,5, Petra Kolip4, Jacob Spallek3
1Department of Health Services Research and Nursing Science, Interdisciplinary Center for Health Literacy Research, School of Public Health, Bielefeld University, Bielefeld, Germany
2Unit of Epidemiology and Biostatistics, Institute of Global Health, University Hospital Heidelberg, Heidelberg, Germany
3Department of Public Health, Brandenburg University of Technology, Senftenberg, Germany
4Department of Prevention and Health Promotion, School of Public Health, Bielefeld University, Bielefeld, Germany
5Institute of Psychology, University of Hildesheim, Hildesheim, Germany

Tóm tắt

The population-based mammography screening program (MSP) is aimed to reduce breast cancer mortality, to detect breast cancer at an early stage, and to allow for less invasive treatment. However, it also has some potential harms, such as overdiagnosis and overtreatment. Therefore, it is necessary that women receive sufficient and balanced information to enable informed decision-making. We examined knowledge about benefits and harms of the MSP in Germany among first-time invitees of different socio-demographic backgrounds. This observational study assessed knowledge about benefits and harms of the MSP among women who were invited to the MSP for the first time by six multiple choice items, using a postal survey. We investigated (i) single items of knowledge, (ii) the distribution of sufficient knowledge stratified by education, migration status and invitation, and (iii) possible determinants of sufficient knowledge by analyzing Odds Ratios (ORs) using bivariate and multivariate logistic regression. In total, 5397 women included in the analyses. 46.1% of the study population had sufficient knowledge about benefits and harms of the MSP. However, women with low educational level and migration background had higher proportions of insufficient knowledge and used most frequently the option “don’t know”. Women had the most difficulties answering the numeric question and the question about the target group correctly. Results from the logistic regression showed that the odds of having sufficient knowledge were higher among well-educated women (OR 3.84, 95%CI 3.24–4.55), among women who already received the MSP invitation (OR 1.38, 95%CI 1.20–1.59) and lowest among Turkish women (OR 0.14, 95%CI 0.07–0.25). Women with low education and migration background need adapted information regarding benefits and harms of the MSP and are important target groups for further developing the information material about mammography screening to reduce disparities in knowledge and enable informed decision-making.

Tài liệu tham khảo

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