Breast cancer is the most commonly diagnosed tumor in women in the world. Early detection and treatment of breast cancer has an impact on life expectancy, reduced mortality and improved quality of life. The reduction in mortality depends largely on interventions. The objective of this study was to describe the reasons for not participating in breast cancer screening, ways to obtain information and measures to improve participation in screening. The survey was conducted among 1200 women aged 50–69 in Estonia. Statistical data analysis was performed with SPSS 26.0, using descriptive statistics. For comparison of the results with background data, the Mann–Whitney U test and the chi-square test were used. The main reason for not participating in breast cancer screening was the absence of symptoms. Information on breast cancer and breast cancer screening is mostly obtained from friends and acquaintances, and the least from the mobile application on breast cancer screening. The most desirable sources of information about breast cancer are information leaflets and the family doctor, and the internet is the least searched for information. Convenient access to a mammography examination and the family doctor’s initiative provide support, while the information in women’s magazines and social media has low importance for participation. The information channels used were related to age, native language and level of education. Place of residence did not affect access to information. The results show that women seek information primarily from friends and acquaintances, although they are also open to seek information from leaflets or the family doctor, indicating the need for more emphasis on those sources. Different sociodemographic variables should be considered in related communication.
Aasmaa, A. and Mägi, L. 2007. Rinnavähi sõeluuringul mitteosalenud naiste teadlikkus rinnavähist ja rinnavähi sõeluuringust. Sõeluuringul mitteosalemise põhjused (Awareness of breast cancer and breast cancer screening among women who have not undergone breast cancer screening. Reasons for not participating in screening). Eesti Arst, 86(11), 809–813 (in Estonian).
Amasha, H. A. 2013. Breast self-examination and risk factors of breast cancer: awareness of Jordanian nurses. Health Sci. J., 7(3), 303–314.
Ayoub, N. M., Yaghan, R. J., Abdo, N. M., Matalka, I. I., Akhu-Zaheya, L. M. and Al-Mohtaseb, A. H. 2019. Impact of obesity on clinicopathologic characteristics and disease prognosis in pre- and postmenopausal breast cancer patients: a retrospective institutional study. J. Obes., 2019, 3820759.
https://doi.org/10.1155/2019/3820759
Baburin, A., Aareleid, T., Rahu, M., Reedik, L. and Innos, K. 2016. Recent changes in breast cancer incidence and mortality in Estonia: Transition to the west. Acta Oncol., 55(6), 728–733.
https://doi.org/10.3109/0284186X.2015.1125014
Balka, E., Krueger, G., Holmes, B. J. and Stephen, J. E. 2010. Situating internet use: information-seeking among young women with breast cancer. J. Comput.-Mediat. Comm., 15(3), 389–411.
https://doi.org/10.1111/j.1083-6101.2010.01506.x
Gong, J., Kampadellis, G., Kong, Q. and Spijker, W. 2023. Factors determining non-attendance in breast cancer screening among women in the Netherlands: a national study. Health Promot. Int., 38(3), daac009.
https://doi.org/10.1093/heapro/daac009
Hajiebrahimi, Z., Mahmoodi, G. and Abedi, G. 2017. Care management process of breast cancer in primary health-care system, Golestan Province, Iran, 2013–2014. J. Fam. Med. Prim. Care, 6(4), 798–802.
https://doi.org/10.4103/jfmpc.jfmpc_220_16
Horsley, R. K., Kling, J. M., Vegunta, S., Lorans, R., Temkit, H. and Patel, B. K. 2018. Baseline mammography: What is it and why is it important? A cross-sectional survey of women undergoing screening mammography. J. Am. Coll. Radiol., 16(2), 164–169.
https://doi.org/10.1016/j.jacr.2018.07.002
Katz, D., Tengekyon, A. J., Kahan, N. R. and Calderon-Margalit, R. 2018. Patient and physician characteristics affect adherence to screening mammography: A population-based cohort study. PloS ONE, 13(3), e0194409.
https://doi.org/10.1371/journal.pone.0194409
Kiisk, E., Petersen, M., Kuusemäe, K., Padrik, P. and Kiivet, R.-A. 2016. Rinnavähi mammograafiline sõeluuring (Breast cancer mammography screening). Institute of Family Medicine and Public Health, University of Tartu.
https://rahvatervis.ut.ee/bitstream/1/6605/11/TTH22_mammograafia_2.pdf (accessed 2019-05-14).
Koninklijke Philips N. V. 2015. Insights into women’s mammography decisions.
http://incenter.medical.philips.com/doclib/enc/11509564/4522_991_14891_Philips_MicroDose_Patient_Survey_White_Paper.pdf%3
Ffunc%3Ddoc.Fetch%26nodeid%3D11509564 (accessed 2021-04-23).
Ladd, D. L. 2016. Information needs and information sources of patients diagnosed with rare cancers. Dissertation. Virginia Commonwealth University, USA.
Larson, K. E., Cowher, M. S., O’Rourke, C., Patel, M. and Pratt, D. 2016. Do primary care physician perform clinical breast exams prior to ordering a mammogram? Breast J., 22(2), 189–193.
https://doi.org/10.1111/tbj.12546
Lubi, K., Sildver, K., Sokolova, D., Savicka, V., Nool, I., Mets-Oja, S. et al. 2022. Existing health practices in shaping the decision to participate during breast cancer screening among 50–69 years old women in Estonia. SAGE Open Nurs., 8, 23779608221124293.
https://doi.org/10.1177/23779608221124293
Marmarà, D., Marmarà, V. and Hubbard, G. 2017. Health beliefs, illness perceptions and determinants of breast screening uptake in Malta: a cross-sectional survey. BMC Public Health, 17, 416.
https://doi.org/10.1186/s12889-017-4324-6
Merakou, K., Papagiannopoulou, A., Chania, M., Vaidakis, D., Zachos, I. and Barbouni, A. 2013. Effectiveness of a brief health education intervention for breast cancer prevention in Greece under economic crisis. Int. J. Caring Sci.,6(2), 170–179.
Oluwatosin, O. 2012. Primary health care nurses’ knowledge practice and client teaching of early detection measures of breast cancer in Ibadan. BMC Nurs., 11(22), 1–8.
https://doi.org/10.1186/1472-6955-11-22
O’Mahony, M., Comber, H., Fitzgerald, T., Corrigan, M. A., Fitzgerald, E., Grunfeld, E. A. et al. 2017. Interventions for raising breast cancer awareness in women. Cochrane Database Syst. Rev., 2.
https://doi.org/10.1002/14651858.CD011396.pub2
Özerdoğan, N., Şahin, B. M., Kösgeroğlu, N., Culha, I., Çelik, N., Sayıner, F. D. et al. 2017. Educational study to increase breast cancer knowledge level and scanning participation among women working at a university. Eur. J. Breast Health, 13(3), 113–116.
https://doi.org/10.5152/ejbh.2017.3457
Pérez-Lacasta, M. J., Martínez-Alonso, M., Garcia, M., Sala, M., Perestelo-Pérez, L., Vidal C. et al. 2019. Effect of information about the benefits and harms of mammography on women’s decision making: The InforMa randomised controlled trial. PloS ONE, 14(3), e0214057.
https://doi.org/10.1371/journal.pone.0214057
Prolla, C. M. D., da Silva, P. S., Netto, C. B. O., Goldim, J. R. and Ashton-Prolla, P. 2015. Knowledge about breast cancer and hereditary breast cancer among nurses in a public hospital. Rev. Lat. Am. Enfermagem, 23(1), 90–97.
https://doi.org/10.1590/0104-1169.0185.2529
Rainey, L., van der Waal, D., Donnelly. L. S., Evans, D. G., Wengström, Y. and Broeders, M. 2018. Women’s decision-making regarding risk-stratified breast cancer screening and prevention from the perspective of international healthcare professionals. PLoS ONE, 13(6), e0197772.
https://doi.org/10.1371/journal.pone.0197772
Sala, D. C. P., Okuno, M. F. P., Taminato, M., de Castro, C. P., Louvison, M. C. P. and Tanaka, O. Y. 2021. Breast cancer screening in primary health care in Brazil: a systematic review. Rev. Bras. Enferm., 74(3), e20200995.
https://doi.org/10.1590/0034-7167-2020-0995
Sandoval, J. L., Himsl, R., Theler, J.‐M., Gaspoz, J.‐M., Joost, S. and Guessous, I. 2018. Spatial distribution of mammography adherence in a Swiss urban population and its association with socioeconomic status. Cancer Med., 7(12), 6299–6307.
https://doi.org/10.1002/cam4.1829
Somayyeh, N. and Aydogdu, N. G. 2019. The effect of breast cancer fear on early detection behaviors of women. Int. J. Caring Sci., 12(2), 649–657.
Suleiman, A. K. 2014. Awareness and attitudes regarding breast cancer and breast self-examination among female Jordanian students. J. Basic Clin. Pharm., 5(3), 74–78.
https://doi.org/10.4103/0976-0105.139730
Watson-Johnson, L. C., DeGroff, A., Steele, C. B., Revels, M., Smith, J. L., Justen, E. et al. 2011. Mammography adherence: A qualitative study. J. Women’s Health, 20(12), 6300–6307.
https://doi.org/10.1089/jwh.2010.2724
Wu, T.-Y. and Chen, S.-L. 2017. Breast cancer screening practices and related health beliefs among Taiwanese nurses. Asia-Pac. J. Oncol Nurs., 4(2), 104–111.
https://doi.org/10.4103/2347-5625.204495
