Evidence map›Paper›PMID 24330527›Full record

ArticleBMC public health2013

Women's responses to changes in U.S. Preventive Task Force's mammography screening guidelines: results of focus groups with ethnically diverse women.

Jennifer D Allen, Shirley Morrison Bluethmann, Margaret Sheets, Kelly Morrison Opdyke, Kathryn Gates-Ferris, Marc Hurlbert, Elizabeth Harden

Abstract read
In one paragraph

Article in BMC public health, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Guideline
  3. Trial
  4. Trial
  5. Multicenter Randomized Clinical Trial of a Mailed Outreach Strategy for Hepatocellular Carcinoma Surveillance.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2022
    Trial
  6. Trial
  7. Article
  8. Skeptical reactions to breast cancer screening benefits and harms: Antecedents, consequences, and implications for screening communication.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2025
    Article
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  10. Article
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  20. Challenges to Educating Smokers About Lung Cancer Screening: a Qualitative Study of Decision Making Experiences in Primary Care.Journal of cancer education : the official journal of the American Association for Cancer Education · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Jennifer D AllenDana-Farber Cancer Institute, 450 Brookline Ave, Boston, MA 02215, USA. jennifer_allen@dfci.harvard.edu.
Shirley Morrison Bluethmann
Margaret Sheets
Kelly Morrison Opdyke
Kathryn Gates-Ferris
Marc Hurlbert
Elizabeth Harden

Funding

BEHAVIORAL SCIENCE EDUCATION--CANCER PREVENTION/CONTROLR25CA057712 · NCI · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI MULLEN, PATRICIA DOLAN · 1992 to 2017
$8.6M
HARVARD PREVENTION RESEARCH CENTER ON NUTRITION AND PHYSICAL ACTIVITY-CATEGORY 1U48DP001946 · DP · HARVARD SCHOOL OF PUBLIC HEALTH · PI GORTMAKER, STEVEN L · 2009 to 2013
$7.5M
NCCDPHP CDC HHS U48DP001946NCI NIH HHS R25 CA057712NCI NIH HHS R25T 2R25CA57712
6 · The paper itself

Abstract

backgroundThe 2009 U.S. Preventive Services Task Force (USPSTF) changed mammography guidelines to recommend routine biennial screening starting at age 50. This study describes women's awareness of, attitudes toward, and intention to comply with these new guidelines.

methodsWomen ages 40-50 years old were recruited from the Boston area to participate in focus groups (k = 8; n = 77). Groups were segmented by race/ethnicity (Caucasian = 39%; African American = 35%; Latina = 26%), audio-taped, and transcribed. Thematic content analysis was used.

resultsParticipants were largely unaware of the revised guidelines and suspicious that it was a cost-savings measure by insurers and/or providers. Most did not intend to comply with the change, viewing screening as obligatory. Few felt prepared to participate in shared decision-making or advocate for their preferences with respect to screening.

conclusionsCommunication about the rationale for mammography guideline changes has left many women unconvinced about potential disadvantages or limitations of screening. Since further guideline changes are likely to occur with advances in technology and science, it is important to help women become informed consumers of health information and active participants in shared decision-making with providers. Additional research is needed to determine the impact of the USPSTF change on women's screening behaviors and on breast cancer outcomes.

Indexed as

AdultAttitude to HealthEthnicityFemaleFocus GroupsGuideline AdherenceHealth Knowledge, Attitudes, PracticeHumansMammographyMiddle AgedPractice Guidelines as TopicRacial GroupsUnited States

Identifiers

PMID24330527
PMCPMC3913377

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.