Screening for breast and cervical cancer in a large German city: participation, motivation and knowledge of risk factors
Background: Few data exist on attendance for cervical and breast cancer screening, breast self-examination and knowledge about risk factors for cervical cancer among German women. A population-based survey was performed in the city of Bielefeld in Germany. Method: A questionnaire was mailed to 1500...
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| Veröffentlicht in: | European journal of public health 2005-02, Vol.15 (1), p.70-77 |
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| description | Background: Few data exist on attendance for cervical and breast cancer screening, breast self-examination and knowledge about risk factors for cervical cancer among German women. A population-based survey was performed in the city of Bielefeld in Germany. Method: A questionnaire was mailed to 1500 randomly selected women age 25 to 75. Of those, 540 questionnaires were returned and 532 were analysed. Results: Women participating in the survey considered themselves well informed about possibilities for early detection of breast cancer (84.0%). Most information was received from office-based gynaecologists (82.4%). 82.8% had a breast examination by a medical doctor annually and 43.1% practised breast self-examination every month. 55.5% of the women had had a mammography, 72.5% gave screening as a reason for a mammogram. Age at first mammography was associated with social class (p |
| doi_str_mv | 10.1093/eurpub/cki118 |
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Key points What do German women know about screening for breast and cervical cancer offered annually by health insurances at no cost? Most women participating in the survey considered themselves well informed about possibilities for early detection of breast cancer. Over two third of the women considered themselves insufficiently informed on risk factors for cervical cancer. Only 3.2% of the women knew that infection with human papillomavirus (HPV) is a risk factor for cervical cancer. There is a pressing need in Germany for better education of the general public on risk factors for cervical cancer.</description><identifier>ISSN: 1101-1262</identifier><identifier>EISSN: 1464-360X</identifier><identifier>DOI: 10.1093/eurpub/cki118</identifier><identifier>PMID: 15788807</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Adult ; Aged ; attendance ; Breast cancer ; breast cancer screening ; Breast Neoplasms - diagnosis ; Breast Neoplasms - diagnostic imaging ; Breast Self-Examination - utilization ; Cervical cancer ; cervical cancer screening ; Female ; Germany - epidemiology ; Health Knowledge, Attitudes, Practice ; HPV infection ; Humans ; Mammography ; Mammography - utilization ; Medical screening ; Middle Aged ; Motivation ; Papanicolaou Test ; Papillomaviridae - isolation & purification ; Patient Acceptance of Health Care ; Patient Education as Topic ; Physical Examination ; Public health ; Risk Factors ; Social classes ; Surveys and Questionnaires ; Uterine Cervical Neoplasms - diagnosis ; Vaginal Smears - utilization ; Womens health</subject><ispartof>European journal of public health, 2005-02, Vol.15 (1), p.70-77</ispartof><rights>Copyright Oxford University Press(England) Feb 2005</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c395t-1d6d9ea60e3806b1d9185b72db9b15d4c817629cf0589b90d21bf1855dcf15883</citedby><cites>FETCH-LOGICAL-c395t-1d6d9ea60e3806b1d9185b72db9b15d4c817629cf0589b90d21bf1855dcf15883</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27845,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15788807$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Klug, Stefanie J.</creatorcontrib><creatorcontrib>Hetzer, Melanie</creatorcontrib><creatorcontrib>Blettner, Maria</creatorcontrib><title>Screening for breast and cervical cancer in a large German city: participation, motivation and knowledge of risk factors</title><title>European journal of public health</title><addtitle>Eur J Public Health</addtitle><description>Background: Few data exist on attendance for cervical and breast cancer screening, breast self-examination and knowledge about risk factors for cervical cancer among German women. A population-based survey was performed in the city of Bielefeld in Germany. Method: A questionnaire was mailed to 1500 randomly selected women age 25 to 75. Of those, 540 questionnaires were returned and 532 were analysed. Results: Women participating in the survey considered themselves well informed about possibilities for early detection of breast cancer (84.0%). Most information was received from office-based gynaecologists (82.4%). 82.8% had a breast examination by a medical doctor annually and 43.1% practised breast self-examination every month. 55.5% of the women had had a mammography, 72.5% gave screening as a reason for a mammogram. Age at first mammography was associated with social class (p<0.001). Cytological smears for early detection of cervical cancer were common and obtained frequently. Age at first Pap smear was associated with social class (p<0.001). 69.9% of the women considered themselves insufficiently informed on risk factors for cervical cancer. Women were poorly informed about risk factors for cervical cancer. Only 3.2% knew that infection with human papillomavirus (HPV) is a risk factor for cervical cancer. Giving a correct answer was associated with social class (p<0.001) but not with age. Conclusion: Rates of opportunistic mammography screening were high in the study population. Information on risk factors for cervical cancer was scarce. Efforts should be made to improve women's knowledge about risk factors for cervical cancer.
Key points What do German women know about screening for breast and cervical cancer offered annually by health insurances at no cost? Most women participating in the survey considered themselves well informed about possibilities for early detection of breast cancer. Over two third of the women considered themselves insufficiently informed on risk factors for cervical cancer. Only 3.2% of the women knew that infection with human papillomavirus (HPV) is a risk factor for cervical cancer. There is a pressing need in Germany for better education of the general public on risk factors for cervical cancer.</description><subject>Adult</subject><subject>Aged</subject><subject>attendance</subject><subject>Breast cancer</subject><subject>breast cancer screening</subject><subject>Breast Neoplasms - diagnosis</subject><subject>Breast Neoplasms - diagnostic imaging</subject><subject>Breast Self-Examination - utilization</subject><subject>Cervical cancer</subject><subject>cervical cancer screening</subject><subject>Female</subject><subject>Germany - epidemiology</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>HPV infection</subject><subject>Humans</subject><subject>Mammography</subject><subject>Mammography - utilization</subject><subject>Medical screening</subject><subject>Middle Aged</subject><subject>Motivation</subject><subject>Papanicolaou Test</subject><subject>Papillomaviridae - isolation & purification</subject><subject>Patient Acceptance of Health Care</subject><subject>Patient Education as Topic</subject><subject>Physical Examination</subject><subject>Public health</subject><subject>Risk Factors</subject><subject>Social classes</subject><subject>Surveys and Questionnaires</subject><subject>Uterine Cervical Neoplasms - diagnosis</subject><subject>Vaginal Smears - utilization</subject><subject>Womens health</subject><issn>1101-1262</issn><issn>1464-360X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7TQ</sourceid><recordid>eNpdkU1rFTEUhoMotlaXbiW4cNWxOTOTTOJOim2FgoJaipuQrynpnUmmSaa2_96092LB1XkhTx4O50XoLZCPQER35Na0rPrIbDwAf4b2oWd90zFy-bxmINBAy9o99Crna0IIHXj7Eu1BnZyTYR_d_TDJueDDFR5jwjo5lQtWwWLj0q03asJGhZqxD1jhSaUrh09dmlXAxpf7T3hRqXjjF1V8DId4jsXfPuZHyybEP5Oz9VMccfJ5g0dlSkz5NXoxqim7N7t5gH6dfPl5fNacfzv9evz5vDGdoKUBy6xwihHXccI0WAGc6qG1WmigtjccBtYKMxLKhRbEtqDHilBrRqCcdwfow9a7pHizulzk7LNx06SCi2uWbKD1Yh2p4Pv_wOu4plB3kyB6TgkjD7ZmC5kUc05ulEvys0r3Eoh86ENu-5DbPir_bidd9ezsE70r4Enoc3F3_95V2tTNuoHKs8vf8oJ_71tGLqTo_gJd8Zgv</recordid><startdate>200502</startdate><enddate>200502</enddate><creator>Klug, Stefanie J.</creator><creator>Hetzer, Melanie</creator><creator>Blettner, Maria</creator><general>Oxford University Press</general><general>Oxford Publishing Limited (England)</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T2</scope><scope>7TQ</scope><scope>C1K</scope><scope>DHY</scope><scope>DON</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>200502</creationdate><title>Screening for breast and cervical cancer in a large German city: participation, motivation and knowledge of risk factors</title><author>Klug, Stefanie J. ; Hetzer, Melanie ; Blettner, Maria</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c395t-1d6d9ea60e3806b1d9185b72db9b15d4c817629cf0589b90d21bf1855dcf15883</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adult</topic><topic>Aged</topic><topic>attendance</topic><topic>Breast cancer</topic><topic>breast cancer screening</topic><topic>Breast Neoplasms - diagnosis</topic><topic>Breast Neoplasms - diagnostic imaging</topic><topic>Breast Self-Examination - utilization</topic><topic>Cervical cancer</topic><topic>cervical cancer screening</topic><topic>Female</topic><topic>Germany - epidemiology</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>HPV infection</topic><topic>Humans</topic><topic>Mammography</topic><topic>Mammography - utilization</topic><topic>Medical screening</topic><topic>Middle Aged</topic><topic>Motivation</topic><topic>Papanicolaou Test</topic><topic>Papillomaviridae - isolation & purification</topic><topic>Patient Acceptance of Health Care</topic><topic>Patient Education as Topic</topic><topic>Physical Examination</topic><topic>Public health</topic><topic>Risk Factors</topic><topic>Social classes</topic><topic>Surveys and Questionnaires</topic><topic>Uterine Cervical Neoplasms - diagnosis</topic><topic>Vaginal Smears - utilization</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Klug, Stefanie J.</creatorcontrib><creatorcontrib>Hetzer, Melanie</creatorcontrib><creatorcontrib>Blettner, Maria</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>PAIS Index</collection><collection>Environmental Sciences and Pollution Management</collection><collection>PAIS International</collection><collection>PAIS International (Ovid)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Klug, Stefanie J.</au><au>Hetzer, Melanie</au><au>Blettner, Maria</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Screening for breast and cervical cancer in a large German city: participation, motivation and knowledge of risk factors</atitle><jtitle>European journal of public health</jtitle><addtitle>Eur J Public Health</addtitle><date>2005-02</date><risdate>2005</risdate><volume>15</volume><issue>1</issue><spage>70</spage><epage>77</epage><pages>70-77</pages><issn>1101-1262</issn><eissn>1464-360X</eissn><abstract>Background: Few data exist on attendance for cervical and breast cancer screening, breast self-examination and knowledge about risk factors for cervical cancer among German women. A population-based survey was performed in the city of Bielefeld in Germany. Method: A questionnaire was mailed to 1500 randomly selected women age 25 to 75. Of those, 540 questionnaires were returned and 532 were analysed. Results: Women participating in the survey considered themselves well informed about possibilities for early detection of breast cancer (84.0%). Most information was received from office-based gynaecologists (82.4%). 82.8% had a breast examination by a medical doctor annually and 43.1% practised breast self-examination every month. 55.5% of the women had had a mammography, 72.5% gave screening as a reason for a mammogram. Age at first mammography was associated with social class (p<0.001). Cytological smears for early detection of cervical cancer were common and obtained frequently. Age at first Pap smear was associated with social class (p<0.001). 69.9% of the women considered themselves insufficiently informed on risk factors for cervical cancer. Women were poorly informed about risk factors for cervical cancer. Only 3.2% knew that infection with human papillomavirus (HPV) is a risk factor for cervical cancer. Giving a correct answer was associated with social class (p<0.001) but not with age. Conclusion: Rates of opportunistic mammography screening were high in the study population. Information on risk factors for cervical cancer was scarce. Efforts should be made to improve women's knowledge about risk factors for cervical cancer.
Key points What do German women know about screening for breast and cervical cancer offered annually by health insurances at no cost? Most women participating in the survey considered themselves well informed about possibilities for early detection of breast cancer. Over two third of the women considered themselves insufficiently informed on risk factors for cervical cancer. Only 3.2% of the women knew that infection with human papillomavirus (HPV) is a risk factor for cervical cancer. There is a pressing need in Germany for better education of the general public on risk factors for cervical cancer.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>15788807</pmid><doi>10.1093/eurpub/cki118</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; PAIS Index; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Oxford Journals Open Access Collection; Alma/SFX Local Collection |
| subjects | Adult Aged attendance Breast cancer breast cancer screening Breast Neoplasms - diagnosis Breast Neoplasms - diagnostic imaging Breast Self-Examination - utilization Cervical cancer cervical cancer screening Female Germany - epidemiology Health Knowledge, Attitudes, Practice HPV infection Humans Mammography Mammography - utilization Medical screening Middle Aged Motivation Papanicolaou Test Papillomaviridae - isolation & purification Patient Acceptance of Health Care Patient Education as Topic Physical Examination Public health Risk Factors Social classes Surveys and Questionnaires Uterine Cervical Neoplasms - diagnosis Vaginal Smears - utilization Womens health |
| title | Screening for breast and cervical cancer in a large German city: participation, motivation and knowledge of risk factors |
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