Understanding the Acceptance of Mammography by Women

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Abstract
Mammography use is increasing—a 1990 survey showed that nearly two-thirds of U.S. women reported ever having had mammograms. Yet, mammography screening still is not a habit for most women. The barriers and facilitators to acceptance of mammography by women include a variety of adherence variables (e.g. sociodemographic factors, knowledge, beliefs, access factors, and physician recommendation or lack thereof). A number of reports in the literature show that the combination of mass media, health education, physician education, and access-enhancing interventions can increase utilization. Unfortunately, minorities and older women remain under-utilizers. To increase mammography use, interventions should be directed at women, health professionals, and the health care system. Without such efforts, the goal of reducing breast cancer mortality through regular screening is unlikely to be achieved.

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