Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/27036
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dc.contributor.authorMarmara, Danikaen_UK
dc.contributor.authorMarmara, Vincenten_UK
dc.contributor.authorHubbard, Gillen_UK
dc.date.accessioned2018-05-05T00:24:58Z-
dc.date.available2018-05-05T00:24:58Z-
dc.date.issued2018-03-27en_UK
dc.identifier.other346en_UK
dc.identifier.urihttp://hdl.handle.net/1893/27036-
dc.description.abstractBackground:  Routine mammography improves survival. To achieve health benefits, women must attend breast screening regularly at recommended time intervals. Maltese women are routinely invited to undergo mammography at three-year intervals at an organized breast screening programme (MBSP) or can opt to attend a private clinic. Previous research shows that health beliefs, particularly perceived barriers, were the most significant predictors of uptake to the first MBSP invitation. Whether these beliefs and other factors are predictive of adherence with recommended time intervals for mammography at organized or private screening in Malta is unknown. For the first time, this paper explores the predictors for Maltese women screened within or exceeding the recommended three-year frequency in organized or private screening in Malta.  Methods:  Information was obtained from a cross-sectional survey of 404 women, aged 50 to 60 years at the time of their first MBSP invitation, where women's characteristics, knowledge, health beliefs and illness perceptions were compared. The main variable of interest was women's mammography attendance within a three-year interval (ADHERENT) or exceeding three years (NON-ADHERENT). Data were analysed using descriptive statistics, chi-square test, Mann Whitney test, Independent Samples t-test and Shapiro Wilk test.  Results:  At the time of the survey, 80.2% (n = 324) had been screened within three years (ADHERENT), 5.9% (n = 24) had exceeded the three-year frequency (NON-ADHERENT) while 13.9% (n = 56) never had a mammogram. No significant associations were found between ADHERENT or NON-ADHERENT women in relation to sociodemographic or health status variables (p > 0.05). Knowledge of screening frequency was significantly associated with women's mammography adherence (χ2 = 5.5, p = 0.020). Health beliefs were the strongest significant predictors to describe the variance between ADHERENT and NON-ADHERENT screeners. When Mann Whitney test and Independent Samples t-test were applied on mammography adherence, perceived barriers and cues to action were found to be the most important predictors (p = 0.000, p = 0.039 respectively).  Conclusions:  To increase routine and timely mammography practices, women who are non-adherent to recommended time frequency guidelines should be targeted, together with their health beliefs, predominantly perceived barriers and cues to action.en_UK
dc.language.isoenen_UK
dc.publisherBioMed Centralen_UK
dc.relationMarmara D, Marmara V & Hubbard G (2018) A national cross-sectional study of adherence to timely mammography use in Malta. BMC Cancer, 18 (1), Art. No.: 346. https://doi.org/10.1186/s12885-018-4278-9en_UK
dc.rights© The Author(s). 2018 This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.en_UK
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en_UK
dc.subjectMammographyen_UK
dc.subjectAttendanceen_UK
dc.subjectAdherenceen_UK
dc.subjectRecenten_UK
dc.subjectHealth beliefsl Illness perceptionsen_UK
dc.titleA national cross-sectional study of adherence to timely mammography use in Maltaen_UK
dc.typeJournal Articleen_UK
dc.identifier.doi10.1186/s12885-018-4278-9en_UK
dc.identifier.pmid29587678en_UK
dc.citation.jtitleBMC Canceren_UK
dc.citation.issn1471-2407en_UK
dc.citation.volume18en_UK
dc.citation.issue1en_UK
dc.citation.publicationstatusPublisheden_UK
dc.citation.peerreviewedRefereeden_UK
dc.type.statusVoR - Version of Recorden_UK
dc.citation.date27/03/2018en_UK
dc.contributor.affiliationHealth Sciences Stirlingen_UK
dc.contributor.affiliationUniversity of Maltaen_UK
dc.contributor.affiliationHealth Sciencesen_UK
dc.identifier.isiWOS:000429823400026en_UK
dc.identifier.scopusid2-s2.0-85044516577en_UK
dc.identifier.wtid877711en_UK
dc.contributor.orcid0000-0003-2165-5770en_UK
dc.date.accepted2018-03-21en_UK
dcterms.dateAccepted2018-03-21en_UK
dc.date.filedepositdate2018-04-16en_UK
rioxxterms.apcpaiden_UK
rioxxterms.typeJournal Article/Reviewen_UK
rioxxterms.versionVoRen_UK
local.rioxx.authorMarmara, Danika|en_UK
local.rioxx.authorMarmara, Vincent|en_UK
local.rioxx.authorHubbard, Gill|0000-0003-2165-5770en_UK
local.rioxx.projectInternal Project|University of Stirling|https://isni.org/isni/0000000122484331en_UK
local.rioxx.freetoreaddate2018-04-16en_UK
local.rioxx.licencehttp://creativecommons.org/licenses/by/4.0/|2018-04-16|en_UK
local.rioxx.filenames12885-018-4278-9.pdfen_UK
local.rioxx.filecount1en_UK
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