Awareness of the 2009 US Preventive Services Task Force recommended changes in mammography screening guidelines, accuracy of awareness, sources of knowledge about recommendations, and attitudes about updated screening guidelines in women ages 40-49 and 50+

Marc T. Kiviniemi, Jennifer L. Hay

Research output: Contribution to journalArticlepeer-review

44 Scopus citations

Abstract

Background: The US Preventive Services Task Force updated mammography recommendations in 2009, recommending against routine screening for women ages 40-49 and reducing recommended frequency for women 50+. The recommendation changes were highly controversial and created conflicting recommendations across professional organizations. This study examines overall awareness of the changes, accuracy of knowledge about changes, factors related to both overall awareness and accuracy, sources of knowledge about changes, and attitudes about the new recommendations. Method. National telephone survey of 508 women, half aged 40-49 and half 50+, conducted one year after the update (November/December 2010; cooperation rate was 36%). Measures include awareness, accuracy, source of knowledge, interactions with providers, and attitudes about the changes. Results: Fewer than half of women were aware of the guideline changes. Younger, more educated, and higher income women were more aware. Of those who were aware, only 12% correctly reported both change in age and frequency. Accuracy was not associated with demographics. The majority learned of changes through the media and the majority had negative attitudes about the changes. Conclusions: Despite widespread coverage of the recommendation changes, overall awareness in the relevant population is low. Increasing awareness and addressing attitudes about the changes is necessary to ensure the use of recommendations to impact screening behavior.

Original languageEnglish
Article number899
JournalBMC Public Health
Volume12
Issue number1
DOIs
StatePublished - 2012

Bibliographical note

Funding Information:
Funding for data collection was provided by the University at Buffalo, SUNY. Preparation of this manuscript was supported by NIH grant CA106225 to MTK, and NIH grants CA133376 and CA137532 to JLH. Neither funder had any involvement in design and conduct of the study; collection, management, analysis, and interpretation of the data; or preparation, review, or approval of the manuscript.

Keywords

  • Attitudes about public health recommendations
  • Awareness of changes
  • Health communication
  • Mammography
  • Screening recommendations

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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