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March 2005, Vol 95, No. 3 | American Journal of Public Health 506-511
© 2005 American Public Health Association
DOI: 10.2105/AJPH.2003.032656


RESEARCH AND PRACTICE

The Influence of Breast Self-Examination on Subsequent Mammography Participation

Susan E. Jelinski, PhD, Colleen J. Maxwell, PhD, Jay Onysko, MA and Christina M. Bancej, MSc

At the time the study was completed, Susan E. Jelinski was with the Department of Community Health Sciences, University of Calgary, Alberta. Colleen J. Maxwell was with the departments of Community Health Sciences and Medicine, University of Calgary, and a fellow with the Institute of Health Economics, Edmonton, Alberta. Jay Onysko and Christina M. Bancej were with the Chronic Disease Prevention Division, Health Canada, Ottawa, Ontario.

Correspondence: Requests for reprints should be sent to Colleen J. Maxwell, PhD, Department of Community Health Sciences, Faculty of Medicine, University of Calgary, 3330 Hospital Dr NW, Calgary, Alberta, Canada T2N 4N1 (e-mail: maxwell{at}ucalgary.ca).

Objectives. We evaluated whether breast self-examination (BSE) influences subsequent mammography participation.

Methods. We evaluated associations between BSE and subsequent mammography participation, adjusting for baseline screening behaviors and sociodemographic, health, and lifestyle characteristics, among women aged 40 years and older using data from the longitudinal Canadian National Population Health Survey.

Results. Regular performance of BSE at baseline was not associated with receipt of a recent mammogram at follow-up among all women (adjusted odds ratio [OR]=1.01; 95% confidence interval [CI]= 0.75, 1.35) or with mammography uptake among the subgroup of women reporting never use at baseline (adjusted OR=0.78; 95% CI=0.50, 1.22).

Conclusions. The lack of association between performance of BSE and subsequent mammography participation suggests that not recommending BSE is unlikely to influence mammography participation.







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