Academic Journal
Determinants of mammography screening uptake among women attending family health centers in Ankara, Türkiye: a cross-sectional study.
| Τίτλος: | Determinants of mammography screening uptake among women attending family health centers in Ankara, Türkiye: a cross-sectional study. |
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| Συγγραφείς: | Topcu FB; Division of Occupational Medicine, Department of Public Health, Faculty of Medicine, Gazi University, Ankara, Türkiye. fatimabetultopcu@gazi.edu.tr., Çetintepe SP; Division of Occupational Medicine, Department of Public Health, Faculty of Medicine, Gazi University, Ankara, Türkiye., Baysan C; Department of Public Health, School of Medicine, Ege University, İzmir, Türkiye., Türk KN; Department of Public Health, Faculty of Medicine, Gazi University, Ankara, Türkiye., Özkan S; Department of Public Health, Faculty of Medicine, Gazi University, Ankara, Türkiye. |
| Πηγή: | BMC health services research [BMC Health Serv Res] 2026 Aug 07; Vol. 26 (1). Date of Electronic Publication: 2026 Aug 07. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: BioMed Central Country of Publication: England NLM ID: 101088677 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6963 (Electronic) Linking ISSN: 14726963 NLM ISO Abbreviation: BMC Health Serv Res Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: London : BioMed Central, [2001- |
| Ιατρικοί όροι (MeSH): | Mammography*/statistics & numerical data , Breast Neoplasms*/diagnosis , Early Detection of Cancer*/statistics & numerical data , Patient Acceptance of Health Care*/statistics & numerical data , Health Knowledge, Attitudes, Practice*, Humans ; Female ; Cross-Sectional Studies ; Middle Aged ; Adult ; Turkey ; Aged ; Adolescent ; Young Adult ; Surveys and Questionnaires ; Socioeconomic Factors ; Sociodemographic Factors |
| Περίληψη: | Objective: This study aimed to assess sociodemographic characteristics, health-seeking behaviors, and breast cancer screening beliefs among women aged 18-69 years attending Family Health Centers (FHCs) in Ankara, Türkiye, and to determine predictors of participation in mammography screening. It is design as a descriptive, cross-sectional study. Methods: Between April 2024 and January 2025, data were collected from 718 women using a sociodemographic questionnaire and the Turkish-adapted Breast Cancer Screening Beliefs Scale (originally developed by Kwok et al., validated by Türkoğlu et al.). Descriptive analyses, Chi-square tests, and binary logistic regression were performed with IBM SPSS 25.0. Variables with p < 0.20 in univariate analyses were entered into multivariate modeling, and statistical significance was defined as p < 0.05. Results: Statistically significant differences were found between age groups in terms of marital status, education level, housing situation, presence of chronic disease, general health perception, and history of non-breast cancer screening (p < 0.001). According to the logistic regression analysis, women who are aware of screening programs are 8.50 times more likely to have a mammogram, those who have undergone non-breast cancer screening are 5.52 times more likely, those with chronic diseases are 1.98 times more likely, and those who describe their health perception as "good/very good" are 1.90 times more likely. (Nagelkerke R² = 0.465). Conclusion: Mammography participation is influenced by both structural and personal determinants. Enhancing awareness, strengthening primary-care education, and addressing financial barriers could substantially improve screening uptake and facilitate earlier breast cancer diagnosis among Turkish women. (© 2026. The Author(s).) |
| Competing Interests: | Declarations. Ethics approval and consent to participate: This study was conducted in accordance with the Declaration of Helsinki. Ethical approval was granted by the Gazi University Human Research Ethics Committee (approval no: 2025 − 612), and written informed consent was obtained from all individual participants included in the study. Consent for publication: Informed consent was obtained from all participants for the publication of their individual details and accompanying images in this manuscript. Patient and public involvement: Patients and/or the public were not involved in the design, conduct, reporting, or dissemination plans of this research. Patient consent for publication: Not applicable. Provenance and peer review: Not commissioned; externally peer reviewed. Competing interests: The authors declare no competing interests. |
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| Contributed Indexing: | Keywords: Attitudes; Breast neoplasms prevention; Early detection of cancer; Health knowledge; Health services accessibility; Practice; Primary health care |
| Entry Date(s): | Date Created: 20260808 Date Completed: 20260808 Latest Revision: 20260813 |
| Update Code: | 20260814 |
| PubMed Central ID: | PMC13453084 |
| DOI: | 10.1186/s12913-026-15334-z |
| PMID: | 42571012 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1472-6963 |
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| DOI: | 10.1186/s12913-026-15334-z |