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Title: Breast cancer screening motivation and behaviours of women aged over 75 years.
Austin Authors: Dickson-Swift, Virginia;Adams, Joanne;Spelten, Evelien;Blackberry, Irene;Wilson, Carlene J ;Yuen, Eva Y N 
Affiliation: Violet Vines Marshman Centre for Rural Health Research, La Trobe Rural Health School, La Trobe University, Bendigo, Victoria, Australia.
John Richards Centre for Rural Ageing Research, La Trobe Rural Health School, La Trobe University, Wodonga, Victoria, Australia.
Olivia Newton-John Cancer Wellness and Research Centre
Issue Date: Jan-2024
Date: 2023
Publication information: Psycho-oncology 2024-01; 33(1)
Abstract: In Australia, breast screening is offered free every two years to women aged 50-74 years. Women aged ≥75 are eligible to receive a free mammogram but do not receive an invitation. This study aimed to explore the motivations and behaviours of women living in Australia aged ≥75 years regarding ongoing breast cancer screening given the public health guidance. Sixty women aged ≥75 were recruited from metropolitan, regional, and rural areas across Australia to participate in a descriptive qualitative study. Semi-structured interviews were used to seek reflection on women's experience of screening, any advice they had received about screening beyond 75, their understanding of the value of screening and their intention to participate in the future. Thematic analysis of transcripts led to the development of themes. Themes resulting from the study included: reasons to continue and discontinue screening, importance of inclusivity in the health system and availability of information. Regular screeners overwhelmingly wished to continue screening and had strong beliefs in the benefits of screening. Women received limited information about the benefits or harms of screening beyond age 75 and very few had discussed screening with their Primary Healthcare Provider. No longer receiving an invitation to attend screening impacted many women's decision-making. More information via structured discussion with health professionals is required to inform women about the risks and benefits of ongoing screening. No longer being invited to attend screening left many women feeling confused and for some this led to feelings of discrimination.
DOI: 10.1002/pon.6268
ORCID: 0000-0001-6607-4131
Journal: Psycho-oncology
PubMed URL: 38110243
ISSN: 1099-1611
Type: Journal Article
Subjects: behaviour
breast cancer
older women
Appears in Collections:Journal articles

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