ArticleBMC women's health2021
Psychological predictors of intention and avoidance of attending organized mammography screening in Norway: applying the Extended Parallel Process Model.
Article in BMC women's health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Prevalence and predictors of medical information avoidance: a systematic review and meta-analysis.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2025Pooled it
- Factors promoting breast, cervical and colorectal cancer screenings participation: A systematic review.Psycho-oncology · 2022Pooled it
- The Effects of Cancer Fear and Ruminative Thinking Styles on Attitudes Toward Cancer Screening Among Cancer Caregivers.Journal of clinical psychology in medical settings · 2026Article
- Social Media Discourse on Breast Cancer Screening Barriers in Japanese and English: Cross-Sectional Infodemiology Study.Journal of medical Internet research · 2026Article
- Dare to take care of yourself: the relationship between psychological courage and the intention to undergo mammography screening.Frontiers in public health · 2026Article
- Knowledge, attitude, and practice among non-breast cancer women towards breast cancer screening with a focus on economic factors.Scientific reports · 2025Article
- Factors Determining Women's Attitudes and Knowledge Toward Breast Cancer Screening: A Systematic Review.Healthcare (Basel, Switzerland) · 2025Review
- The impact of objective/sensationalist media on young women's concern and misconceptions about breast cancer: an experimental study.BMC women's health · 2025Article
- Evaluation of the Slovenian Breast Cancer Screening Programme: Years of Life Gained and Avoided Deaths.Cancers · 2025Article
- Improving communication to increase uptake of high-risk breast cancer prevention appointments: Building a better letter.PEC innovation · 2024Article
- Intention to have blood-based multi-cancer early detection (MCED) screening: a cross-sectional population-based survey in England.British journal of cancer · 2024Article
- Examining the Role of Information Behavior in Linking Cancer Risk Perception and Cancer Worry to Cancer Fatalism in China: Cross-Sectional Survey Study.Journal of medical Internet research · 2024Article
- The Practice and Willingness of Women Towards Opportunistic Screening for Breast and Cervical Cancers in Sichuan Province, China: A Cross-Sectional Study.Risk management and healthcare policy · 2023Article
- Prognostic factors and outcomes in women with breast cancer in Slovenia in relation to step-wise implementation of organized screening.PloS one · 2022Article
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2 authors.
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Abstract
backgroundMammography screening is the main method for early detection of breast cancer in Norway. Few studies have focused on psychological determinants of both attendance and non-attendance of publicly available mammography screening programs. The aim of the current study, guided by the Extended Parallel Process Model, was to examine how psychological factors influence defensive avoidance of breast cancer screening and intention to attend mammography.
methodsCross-sectional survey data from a community sample of women living in Norway aged ≥ 18 (N = 270), and without a history of breast cancer, was collected from September 2018 to June 2019 and used to investigate the relationships between the Extended Parallel Process Model (EPPM) constructs and two outcomes: defensive avoidance of breast cancer screening and intention to attend mammography within the next two years. After adjusting for confounding factors, the hierarchical multiple linear regression analyses was conducted to assess the ability of the independent variables based on the EPPM to predict the two outcome variables. Significance level was chosen at p < 0.05.
resultsMultivariate analyses showed that defensive avoidance of breast cancer screening was predicted by lower perceived susceptibility to breast cancer (β = - 0.22, p = 0.001), lower response efficacy of mammography screening (β = - 0.33, p = 0.001), higher breast cancer fear (β = 0.15, p = 0.014), and checking breasts for lumps (β = - 0.23, p = 0.001). Intention to attend mammography within the next two years was predicted by higher response efficacy of mammography screening (β = 0.13, p = 0.032), having a lower educational level (β = - 0.10, p = 0.041), and regular previous mammography attendance compared to never attending (β = 0.49, p = 0.001).
conclusionsThe study revealed that defensive avoidance of breast cancer screening and intention to attend mammography were not predicted by the same pattern of psychological factors. Our findings suggest future health promotion campaigns need to focus not only on the psychological factors that encourage women's decision to attend the screening, but also to counter factors that contribute to women's decision to avoid it.
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