Background
Methods
Study design and setting
Participants
Questionnaire content and development
Data
Statistics
Power calculations
Results
Respondents (n = 2140) | Non-respondents (n = 860) |
P-value | |
---|---|---|---|
n (%) |
n (%) | (Chi2) | |
Age | |||
Mean | 59.7 | 58.3 |
<0.001
a
|
50–54 | 532 (24.9) | 264 (30.7) |
<0.001
|
55–59 | 514 (24.0) | 243 (28.3) | |
60–64 | 512 (23.9) | 193 (22.4) | |
65–69 | 582 (27.2) | 160 (18.6) | |
Ethnicity | |||
Danish | 2079 (97.2) | 805 (93.8) |
<0.001
|
Immigrant (Western country) | 30 (1.4) | 14 (1.6) | |
Immigrant (non-western country) | 29 (1.4) | 39 (4.6) | |
Education | |||
≤ 10 years | 595 (28.1) | 273 (32.3) | 0.073 |
11–15 years | 891 (42.1) | 327 (38.7) | |
> 15 years | 629 (29.7) | 245 (29.0) | |
Marital status | |||
Married/Cohabitant | 1740 (81.4) | 658 (76.6) |
0.012
|
Single | 398 (18.6) | 201 (23.4) | |
Screening result | |||
Positive | 44 (2.1) | 18 (2.1) | 0.949 |
Negative | 2096 (97.9) | 842 (97.9) |
Overall satisfaction, discomfort, and obligations
Satisfaction | Excellent | Fine | Poor | Really poor |
---|---|---|---|---|
% (CI) | % (CI) | % (CI) | % (CI) | |
What was your overall impression of the entire screening process? (n = 2110) | 70.3 (68.3–72.2) | 29.4 (27.5–31.4) | 0.2 (0.1–0.5) | 0.1 (0.0–0.4) |
What was your overall impression of the service offered by phone? (n = 464) | 79.3 (75.4–82.7) | 20.5 (17.0–24.4) | 0.0 | 0.2 (0.0–1.5) |
What was your overall impression of the self-service facility offered? (n = 412) | 72.1 (67.5–76.2) | 24.8 (20.8–29.2) | 1.9 (1.0–3.8) | 1.2 (0.5–2.9) |
Feeling discomfort | To a great extent | To some extent | To a minor extent | Not at all |
Did you feel that your limits of modesty were exceeded…? (n = 2115) | 3.2 (2.5–4.0) | 3.6 (2.9–4.5) | 6.1 (5.1–7.2) | 87.2 (85.7–88.5) |
Did you feel any pain during the examination? (n = 2129) | 3.4 (2.7–4.3) | 14.5 (13.1–16.1) | 44.0 (41.9–46.1) | 38.1 (36.1–40.2) |
Feeling concerns | ||||
Did you have any concerns when receiving the invitation? (n = 2113) | 1.1 (0.8–1.7) | 8.6 (7.5–9.9) | 17.2 (15.6–18.8) | 73.1 (71.1–74.9) |
Did you feel any concern about the screening result from the time of screening until the result of screening was received? (n = 2117) | 4.9 (4.1–5.9) | 20.0 (18.3–21.7) | 41.0 (39.0–43.2) | 34.1 (32.1–36.1) |
More worried | Nothing has changed | Less worried | ||
After having attended the mammography screening do you experience an increased worry for developing breast cancer than before? (n = 2128) | 2.5 (1.9–3.3) | 73.0 (71.1–74.8) | 24.5 (22.7–26.4) | |
Feeling obliged | To a great extent | To some extent | To a minor extent | Not at all |
Did you feel obliged to participate in the mammography screening? (n = 2087) | 36.2 (34.2–38.3) | 12.9 (11.5–14.4) | 4.4 (3.6–5.3) | 46.5 (44.4–48.7) |
Reasons for feeling obliged (n = 1116)a: | ||||
Own expectationsb
| 32.8 (30.8–34.9) | 10.3 (9.1–11.7) | 3.3 (2.6–4.2) | No data |
Family/friends expectationsb
| 5.6 (4.7–6.6) | 2.2 (1.7–2.9) | 0.5 (0.3–0.9) | No data |
Organizational aspectsb
| 18.4 (16.7–20.1) | 5.7 (4.8–6.8) | 1.4 (1.0–2.0) | No data |
Otherb (n = 63) | 2.1 (1.6–2.8) | 0.5 (0.3–0.9) | 0.3 (0.2–0.7) | No data |
Screening-induced concerns
All (n = 2083) | Neg. screening (n = 2041) | Pos. screening (n = 42) | |
---|---|---|---|
% (95% CI) | % (95% CI) | % (95% CI) | |
Reported no screening induced concernsa
| 72.6 (70.6–74.5) | 73.3 (71.3–75.2) | 38.1 (24.3–54.1) |
Concerns induced “only” at one point | 18.8 (17.2–20.6) | 18.4 (16.8–20.2) | 40.5 (26.3–56.4) |
At the receiving of the invitation |
1.9 (1.4–2.6)
|
2.0 (1.4–2.7)
|
0.0 (−)
|
While waiting for the result |
16.3 (14.8–18.0)
|
16.0 (14.5–17.7)
|
28.6 (16.6–44.6)
|
More concerned after participation |
0.6 (0.3–1.0)
|
0.3 (0.2–0.7)
|
11.9 (4.9–26.4)
|
Concerns induced twice | 7.5 (6.5–8.8) | 7.5 (6.4–8.7) | 9.5 (3.5–23.6) |
At the receiving of the invitation and while waiting for the result |
6.6 (5.6–7.7)
|
6.6 (5.6–7,7)
|
7.1 (2.2–20.7)
|
At the receiving of the invitation and more concerned after participation |
0.2 (0.1–0.5)
|
0.2 (0.1–0.5)
|
0.0 (−)
|
While waiting for the result and more concerned after participation |
0.8 (0.5–1.3)
|
0.7 (0.4–1.2)
|
2.4 (0.3–16.2)
|
Screening induced concerns at all points | 1.1 (0.7–1.6) | 0.8 (0.5–1.3) | 11.9 (4.9–26.3) |
Factors associated with satisfaction
Unadjusted PR (CI) | Adjusteda PR (CI) | |
---|---|---|
Age | ||
50–54 years | 1 (ref) | 1 (ref) |
55–59 years |
0.93 (0.89–0.98)
‡
|
0.94 (0.90–0.99)
‡
|
60–64 years |
0.93 (0.88–0.98)
‡
|
0.92 (0.87–0.97)
‡
|
65–70 years | 0.94 (0.86–1.03) | 0.94 (0.86–1.04) |
Marital status | ||
Married/Cohabitant | 1 (ref) | 1 (ref) |
Single | 1.03 (0.96–1.11) | 1.03 (0.96–1.11) |
Ethnicity | ||
Danish | 1 (ref) | 1 (ref) |
Immigrant (Western) | 1.08 (0.91–1.27) | 1.03 (0.85–1.25) |
Immigrant (non-western) |
0.71 (0.56–0.90)
‡
|
0.75 (0.58–0.97)
‡
|
Education | ||
≤ 10 years |
0.92 (0.89–0.96)
|
0.93 (0.90–0.96)
|
11–15 years | 1 (ref) | 1 (ref) |
> 15 years | 0.96 (0.92–1.01) | 0.96 (0.91–1.01) |
Discomfort | ||
Pain (2) | ||
No | 1 (ref) | 1 (ref) |
Yes |
0.83 (0.75–0.92)
‡
|
0.82 (0.74–0.91)
‡
|
Limits of modesty exceeded (2) | ||
No | 1 (ref) | 1 (ref) |
Yes |
0.79 (0.70–0.89)
|
0.79 (0.71–0.88)
|
Feeling obliged (2) | ||
No | 1 (ref) | 1 (ref) |
Yes |
0.94 (0.91–0.98)
‡
|
0.96 (0.92–0.99)
‡
|
Being concerned | ||
At invitation (2) | ||
No | 1 (ref) | 1 (ref) |
Yes |
0.66 (0.51–0.86)
‡
|
0.67 (0.52–0.85)
‡
|
Waiting for result(2) | ||
No | 1 (ref) | 1 (ref) |
Yes |
0.84 (0.77–0.92)
‡
|
0.85 (0.78–0.93)
‡
|
More concerns after screening (3) | ||
No | 1 (ref) | 1 (ref) |
Yes |
0.71 (0.50–0.99)
‡
|
0.70 (0.50–1.00)
‡
|
Concerns at any time | ||
No | 1 (ref) | 1 (ref) |
Yes |
0.83 (0.76–0.91)
|
0.84 (0.77–0.91)
|
Screening test | ||
Positive | 1 (ref) | 1 (ref) |
Negative | 1.04 (0.87–1.26) | 1.02 (0.83–1.26) |