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Factors affecting women's participation in mammography screening in Nordic countries: A systematic review
Jönköping University, Sweden.
Jönköping University, Sweden.
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.ORCID iD: 0000-0001-5904-1390
Jönköping University, Sweden.
2023 (English)In: Radiography, ISSN 1078-8174, E-ISSN 1532-2831, Vol. 29, no 5, p. 878-885Article in journal (Refereed) Published
Abstract [en]

Introduction: Mammography screening programs have been implemented in European countries as prevention tools aimed at reducing breast cancer mortality through early detection in asymptomatic women. Nordic countries (Denmark, Finland, Iceland, Norway, Sweden, the Faroe Islands, and Greenland) demonstrated high participation rates; however, breast cancer mortality could be limited by further optimizing screening. This review aimed to explore factors that affect women's participation in mammography screening in Nordic countries. Method: A systematic review of segregated mixed research synthesis using a deductive approach was conducted. The following databases and platforms were searched to identify relevant studies: CINAHL with Full Text (EBSCOHost), MEDLINE (EBSCOHost), PsycInfo (ProQuest), Scopus (Elsevier) and Web of Science Core Collection (SCI-EXPANDED, SSCI, A&HCI, CPCI-S, CPCI-SSH, and ESCI). The Critical Appraisal Skills Program was used for quality assessment. The Health Promotion Model was applied to integrate findings from qualitative and qualitative research. All methodological steps followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Results: The final selection (16 articles) included studies from three Nordic countries: Denmark (four quantitative studies), Norway (one qualitative and four quantitative studies), and Sweden (three qualitative and seven quantitative studies). Sixty-three factors were identified as barriers, facilitators, or factors with no influence. Conclusion: A substantial number of obtained factors, spread across a wide spectrum, describe (non-)participation in mammography screening as a versatile phenomenon. Implications for practice: The findings of this review could benefit the mammography staff and providers regarding possible interventions aimed at improving screening participation rates.

Place, publisher, year, edition, pages
W.B. Saunders Ltd , 2023. Vol. 29, no 5, p. 878-885
Keywords [en]
Barriers, Breast cancer, Facilitators, Mammography screening, Participation
National Category
Nursing
Identifiers
URN: urn:nbn:se:mdh:diva-63889DOI: 10.1016/j.radi.2023.06.010ISI: 001040204200001PubMedID: 37421878Scopus ID: 2-s2.0-85164352704OAI: oai:DiVA.org:mdh-63889DiVA, id: diva2:1783148
Available from: 2023-07-19 Created: 2023-07-19 Last updated: 2023-08-23Bibliographically approved

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