@article{97ebbb68a2aa4cd69c1d058735c3a2b4,
title = "Resistance to discontinuing breast cancer screening in older women: A qualitative study",
abstract = "Objective: Screening mammography is associated with reduced breast cancer-specific mortality; however, among older women, evidence suggests that the potential harms of screening may outweigh the benefits. We used a qualitative approach to examine the willingness of older women from different racial/ethnic groups to discontinue breast cancer screening. Methods: Women ≥70 years of age who reported having a screening mammogram in the past 3 years and/or reported that they intended to continue screening in the future were recruited for in-depth interviews. Participants who intended to continue screening were asked to describe how the following hypothetical scenarios would impact a decision to discontinue screening: health concerns or limited life expectancy, a physician's recommendation to discontinue, reluctance to undergo treatment, and recommendations from experts or governmental panels to stop screening. Semi-structured, face-to-face interviews were audio-recorded. Data coding and analysis followed inductive and deductive approaches. Results: Regardless of the scenario, participants (n = 29) expressed a strong intention to continue screening. Based on the hypothetical physician recommendations, intentions to continue screening appeared to remain strong. They did not envision a change in their health status that would lead them to discontinue screening and were skeptical of expert/government recommendations. There were no differences observed according to age, race/ethnicity, or education. Conclusions: Among older women who planned to continue screening, intentions to continue breast cancer screening appear to be highly resilient and resistant to recommendations from physicians or expert/government panels.",
keywords = "aged, breast, cancer, cancer, cultural diversity, early detection of cancer, oncology, qualitative, race/ethnicity, women",
author = "Housten, {Ashley J.} and Pappadis, {Monique R.} and Shilpa Krishnan and Weller, {Susan C.} and Giordano, {Sharon H.} and Bevers, {Therese B.} and Volk, {Robert J.} and Hoover, {Diana S.}",
note = "Funding Information: This research was supported by the Agency for Healthcare Research and Quality [R24 HS022134 to J.S.G.]; the Claude D. Pepper Older Americans Independence Center award [P30 AG024832 (PI: Elena Volpi) to M.R.P.] from the National Institute on Aging; the National Cancer Institute at the National Institutes of Health [P30 CA016672 to University of Texas MD Anderson Cancer Center as a Cancer Center Support Grant and R25T CA57730 (PI: Shine Chang) to A.J.H.]; National Institute on Minority Health and Health Disparities of the National Institutes of Health [K99MD011485 to A.J.H.; contract L60MD009326 to M.R.P.]; The University of Texas MD Anderson Cancer Center's Duncan Family Institute for Cancer Prevention and Risk Assessment; and the National Institute on Drug Abuse at the National Institutes of Health [K23 DA040933 to D.S.H.]; and National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR) [90SFGE0002 to S.K.]. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. Funding Information: Agency for Healthcare Research and Quality, Grant/Award Number: R24 HS022134; Claude D. Pepper Older Americans Independence Center award from the National Institute on Aging, Grant/Award Number: P30 AG024832; National Cancer Institute, Grant/ Award Number: P30 CA016672 and R25T CA57730; National Institute on Minority Health and Health Disparities, Grant/Award Numbers: K99MD011485 and L60MD009326; The University of Texas MD Anderson Cancer Center's Duncan Family Institute for Cancer Prevention and Risk Assessment; National Institute on Drug Abuse, Grant/Award Number: K23 DA040933; National Institute on Disability, Independent Living, and Rehabilitation Research, Grant/ Award Number: 90SFGE0002 Publisher Copyright: Copyright {\textcopyright} 2018 John Wiley & Sons, Ltd.",
year = "2018",
month = jun,
doi = "10.1002/pon.4708",
language = "English (US)",
volume = "27",
pages = "1635--1641",
journal = "Psycho-Oncology",
issn = "1057-9249",
publisher = "John Wiley and Sons Ltd",
number = "6",
}