Anxiety before, during and after screening mammography
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Slide 1 :
Investigating anxiety before, during, and after participating in a national, population-based programme screening for breast cancer in New Zealand Margaret Brunton, Claire Jordan & Ian Campbell. Some extracts drawn from the paper published in: The New Zealand Medical Journal, 118 (1209) 10p, 2005. http://www.nzma.org.nz/journal.
Slide 2 :
Research design Aim: To investigate anxiety levels before, during and after mammography in the Waikato breast cancer screening pilot. Data collection - 3 phases 1. Questionnaire survey (584) 2. Focus group interviews (44) 3. Staff interviews (19) Data analysis Quantitative - SPSS - ?2 analysis Qualitative - Narrative analysis - Ricoeur
Slide 3 :
Respondents Response rate 56% Over 80% had experienced 2 or more screening mammograms 71% of those had their most recent mammogram in the previous 12 months
Slide 4 :
An anxious process? Awaiting appointment (reporting ‘very worried’) Ethnicity ?2 8.09 df3 p=0.041 Maori 6% Pacific 10% NZEur 2% Asian 2%
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An anxious process? Having a mammogram (felt relaxed or stressed) Worry about breast cancer ?2 10.31 df3 p=0.001 ‘very worried’ - stressed 20%, relaxed 10% Pain ?2 59.79 df 4 p=0.000 ‘very painful’ - stressed 62%, relaxed 38% Future mammogram? ?2 30.43 df 2 p=0.000 ‘Yes’ relaxed 96%, stressed 79%
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An anxious process? Waiting for results (reporting ‘very worried’) Ethnicity ?2 8.98 df3 p=0.046 Maori 7%, PI 14%, NZE 3%, A 2% Family history ?2 5.29 df2 p=0.035 ‘No’ (17% ) ‘Yes’ (28%)
Slide 7 :
An anxious process? General level of worry about breast cancer (reporting ‘very worried’) Ethnicity ?2 42.49 df4 p=0.001 Maori 35%, PI 59%, NZE 18%, A 11% Education ?2 24.63 df5 p=0.018 Uni 19%, sec 26%, primary 39% Family history ?2 12.74 df3 p=0.002 No 25%, Yes 48%
Slide 8 :
Key findings Low anxiety overall during physical process of mammogram - related to painful experience Ethnicity, education and family history of breast cancer are significantly related to anxiety while awaiting appointment and results Ethnic minority groups (Maori and Pacific Island) have highest overall levels of anxiety (and highest mortality rates from breast cancer) Highest level of anxiety overall related to possibility of breast cancer
Slide 9 :
Conclusions Majority of respondents (67%) felt reassured once receiving a clear result The reassurance women received from a clear result appeared to outweigh any anxiety they experienced before or during the process of screening mammography
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