ArticleArchives of public health = Archives belges de sante publique2022
Factors affecting intention to screen after being informed of benefits and harms of breast cancer screening: a study in 5 European countries in 2021.
Article in Archives of public health = Archives belges de sante publique, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Integrating the Health Belief Model and the Theory of Planned Behavior to Decode Willingness to Pay for Cancer Screening: Evidence From Community-Based Cross-Sectional Surveys in China.Cancer medicine · 2026Article
- Trust in the healthcare system declines after exposure to information about the harms and benefits of breast cancer screening.Journal of health psychology · 2025Article
- The association between health literacy and cancer screening participation: A cross-sectional study across three organised screening programmes in Denmark.Preventive medicine reports · 2025Article
- Determinants and barriers to women's participation in breast cancer screening activities in Jordan: an in-depth study.BMC public health · 2025Article
- The triad of knowledge, regular medical consultation, and recommendations for enhanced breast cancer screening intention in Morocco.Journal of cancer research and clinical oncology · 2024Article
- Intention to Undergo Clinical Breast Examination and Its Associated Factors among Women Attending Rural Primary Healthcare Facilities in South Central Ethiopia.Breast care (Basel, Switzerland) · 2023Article
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Authors and funding
3 authors.
Funding
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Abstract
backgroundParticipation in mammography screening comes with harms alongside benefits. Information about screening provided to women should convey this information yet concerns persist about its effect on participation. This study addressed factors that may influence the intention to screen once a woman has been informed about benefits and harms of participation.
methodsA cross-sectional survey of women from five countries (Belgium, France, Italy, Spain, and the United Kingdom) was performed in January 2021. The survey contained a statement regarding the benefits and harms of mammography screening along with items to measure cognitive variables from the theory of planned behaviour and health belief model and the 6-item version of the European Health Literacy Survey Questionnaire (HLS-EU-Q6). Logistic regression and mediation analysis were performed to investigate the effect of cognitive and sociodemographic variables.
resultsA total of 1180 participants responded to the survey. 19.5% of participants (n = 230) were able to correctly identify that mammography screening carries both benefits and harms. 56.9% of participants (n = 672) responded that they would be more likely to participate in screening in the future after being informed about the benefits and harms of mammography screening. Perceived behavioural control and social norms demonstrated were significant in predicting intention, whereas, the effect of health literacy was limited.
conclusionsInforming women about the presence of benefits and harms of in mammography screening participation did not negatively impact upon intention to be screened. Information should also address perception on implementation factors alongside messages on benefits and harms. Overall, screening programme managers should not be discouraged by the assumption of decreased participation through increasing efforts to address the lack of knowledge on benefits and harms.
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