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The politicians’ perspectives on participation in mammographic screening:: an interview-based study from a region in Sweden
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. (LIVSSTIL)ORCID iD: 0000-0002-4629-7781
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. (LIVSSTIL)ORCID iD: 0000-0002-3787-1040
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. (CAREHEL)ORCID iD: 0000-0002-3307-6779
2021 (English)In: Archives of Public Health, ISSN 0778-7367, E-ISSN 2049-3258, Vol. 79, no 1, article id 52Article in journal (Refereed) Published
Abstract [en]

Breast cancer is the most common cancer type among women globally. To facilitate early detection,all 40–74-year-old female residents of Sweden are invited to participate in a population-based mammographic screening programme. Approximately 20% of all invited women decline the offer, and if this is due to systematic differences that can be adjusted, it can indicate inequity in healthcare. Assessment of and being updated about the health and healthcare of the residents are largely the responsibilities of the self-governed regions in Sweden. The understanding of the residents’ health serves as a basis for decision making and priority setting. This study aims todescribe how politicians representing a region in Sweden perceive women’s participation in mammographic screening and the politicians’ own possibility to promote such participation.Methods: Qualitative thematic analysis was conducted on the data obtained from individual semi-structured interviews held in 2019. The interviewees comprised ten politicians (six women and four men, 38–71 years old) representing a sub-committee focusing on public health and healthcare issues.Results: Two main themes have been identified: 1) expected actions and 2) expected conditions for acting,including a total of four sub-themes. According to the politicians, the expected actions, such as obtaining information and being updated about matters regarding mammographic screening, concern both the women invited to the screening and the politicians themselves. Additionally, for both the individual and the healthcare organisation, here represented by the politicians, expected actions entail a shared commitment to maintain health.The expected conditions for acting refer to the politician’s awareness of the factors influencing the women’s decision to undergo or refuse the screening and having the resources to enable taking actions to facilitate participation. Conclusions: Expected actions and expected conditions for acting are tightly connected and entail some form of prioritisation by the politicians. Setting the priorities can be based on information about the purpose of thescreening and an understanding of social determinants’ impacts on women’s decision to refrain frommammographic screening, as well as available resources.

Place, publisher, year, edition, pages
BMC , 2021. Vol. 79, no 1, article id 52
Keywords [en]
Decision making, Mammographic screening, Participation, Politicians, Prioritisation, Public health, Social determinants
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Public Health Sciences
Identifiers
URN: urn:nbn:se:mdh:diva-53907DOI: 10.1186/s13690-021-00576-6ISI: 000640866500001PubMedID: 33865449Scopus ID: 2-s2.0-85104511275OAI: oai:DiVA.org:mdh-53907DiVA, id: diva2:1545380
Available from: 2021-04-19 Created: 2021-04-19 Last updated: 2022-09-02Bibliographically approved

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Norfjord van Zyl, MariaTillgren, PerAsp, Margareta

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