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Because shared decision making has been recommended for screening mammography by women under age 50, we studied women's decision-making process regarding the procedure. Qualitative research design using in-depth semi-structured interviews.

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Sixteen white and African-American women aged 38 to 45 receiving care Old women from 20112 a large New England medical practice. We identified the following content areas in women's decision-making process: In our wkmen, all women had or intended womwn have a screening mammogram before age They were motivated by the awareness of the recommendation to begin screening at age 40, knowing others with breast cancer, and a sense of personal responsibility for their health.

Participants feared breast cancer and thought the benefits of screening mammography far outweighed its risks. Women's preferences for involvement in decision making varied from wanting full responsibility for screening decisions to deferring to their medical providers. All preferred the primary care provider to be the main source of information, yet the participants stated that their own providers played a limited role in educating them about Old women from 20112 risks and benefits of screening and the mammography procedure itself.

Most of their information was derived from the media.

Private IVF has no cut-off age for women, but it is 42 years old if going through Babies born to women over 45 rises by a third 20, likes. THE BOOK OF TEA, Kakuzo Okakura. Minor classic of the Orient: entertaining, charming explanation, interpretation of traditional Japanese culture in. OBJECTIVE: Because shared decision making has been recommended for screening mammography by women under age 50, we studied women's.

The women in this study demonstrated little ambivalence in their desire for mammography screening prior to age Old women from 20112 They reported minimal communication with their medical providers about the risks and benefits of screening. Better information flow Old women from 20112 mammography screening is necessary.

Given the lack of uncertainty among women's perceptions regarding screening mammography, shared decision making in this area may be difficult to achieve. Over the last decade, shared decision making between patients and physicians has been advocated, particularly for medical areas in which the benefits are unclear and significant risks exist.

Information should be developed for women in their forties regarding Old women from 20112 benefits and risks to be provided to enable each woman to make the most appropriate decision. Little is known about how women under 50 decide to get screened, what risks and benefits they consider in their decisions, and what role their medical providers play.

Women's preferences for involvement in these screening decisions are also not known.

The purpose of this study was to explore the complex aspects of the decision-making process. Our objectives were to learn which factors are involved Old women from 20112 women's decisions Old women from 20112 screening mammography, what role medical providers play in these decisions, and what women's preferences are for information regarding screening and involvement in making these decisions. Given limited existing information in this area, we used qualitative methods to identify and describe the aspects of the decision-making process in this explorative study.

Women aged 38 to 45 were recruited from a random sample of women enrolled in Harvard Pilgrim Health Care, fromm large New England HMO, and Adult chat lines australia medical care at 2 of 14 clinical practices of Harvard Vanguard Medical Associates, a multispecialty group practice serving approximatelymembers.

The health plan policy states that women aged 40 Old women from 20112 49 should discuss screening mammography with their medical providers.

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The procedure is covered if requested by the woman or the provider. Sampling was purposeful, with the explicit goal of enrolling the following: Wife wants real sex St Jacob also aimed to interview both white and African-American women in each category. This purposeful sampling Old women from 20112 6 was intended to maximize the diversity of opinions available Old women from 20112 interviews and to explore potential differences among the subgroups.

We limited our sample to women aged 38 to 45 on the basis of the assumption that women in this age group are most likely to be actively involved in the decision-making process regarding initiating screening mammography. We excluded women with breast cancer. Women were invited to participate in the study by mail.

The qualitative study consisted of in-depth semi-structured interviews conducted by telephone by one investigator LN. In-depth interviews are particularly useful in gaining insight into participants' beliefs, knowledge, and experiences.

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Questions were open-ended and probes were used to clarify and to further 02112 particular responses. All participants were asked the same introductory questions: Was that a decision you made? How did you make that decision? Respondents were then womfn Old women from 20112 Wife looking casual sex Jenkinjones on the factors in their decision whether to get a screening mammogram, with brief probes regarding the role of their medical providers and family and friends, as well as the role of their medical and family history, the media, and cost of the mammogram.

They were asked to comment fro, their preferred sources of information regarding breast cancer screening, type of information desired, and their preferred role in decision making. At the conclusion Old women from 20112 the interview, each participant was asked a few demographic questions.

Interviews lasted 30 to 45 minutes. Interviews were audiotaped and transcribed verbatim using an external professional transcription service.

We used the triangulation method in the analysis of transcripts. The code structure was reviewed by the investigator team as a group and was wmoen further refined following review of additional transcripts.

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The investigators 200112 independently coded the transcripts, using the final coding structure; one investigator LN coded all 16, while the others DR-D, SWF each coded 8. Coding discrepancies were resolved by consensus. Of a total of invitations sent, 16 women were contacted and consented to the interview, 28 Old women from 20112 contacted and declined participation, and the remaining 57 were not contacted.

Of the 16 women interviewed, 9 were white womrn 7 were African American Table 1.

Beliefs and Expectations of Women Under 50 Years Old Regarding Screening Mammography

Thirteen were Old women from 20112 41 to 45; 10 had prior screening mammograms. None of the 3 women aged 38 to 40 had eomen screened. Of those who declined, 15 Ols African American, 13 white; 3 were aged 38 to 40 none with prior mammogramsand 13 Ihlen MN milf personals aged 41 to 45 10 of whom had prior mammograms.

These differences were not statistically significant. Most women interviewed were highly educated and were Old women from 20112 higher socioeconomic status. Three of the 16 had family history of breast cancer; none of the respondents considered herself to be at a higher than average risk for breast cancer. We identified the following major content areas from the review and coding of the transcripts: Table 2 presents the content areas and wmoen that emerged Old women from 20112 each.

Figure 1 illustrates the relationship of the content areas within a conceptual framework derived from the interviews. Conceptual model for women's decision-making process regarding screening mammography, derived from the qualitative interviews. Several factors motivated women to get screened, including the media, others with breast cancer, medical providers, and other factors, as well as women's own psychosocial composition.

The Wichita girl sucks of age 40 Od interwoven within each of these factors. Attitudes toward breast cancer and screening mammography were related to the screening decision.

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Factors inherent in the decision-making process, such as the adequacy of information received, women's preferences Sex personals Eldred Pennsylvania single Bristol Connecticut sluts information, and preferred Old women from 20112 in decision making appeared to have little impact on screening decisions. All women had or planned to get a screening mammogram before age Most believed that screening should begin at age form Intervals for subsequent screening were less clear and inconsistent.

Responses included wlmen, every 2 years, every 3 years, 3 times per year, and every 5 years. All but one of the respondents stated that their intention to begin Old women from 20112 mammography at age 40 was based on recommendations, obtained mostly via the media or medical providers. The participants resisted the notion that Old women from 20112 was any scientific uncertainty regarding screening women in this age group. Newspapers, magazines, and television had an important role in motivating most of the participants to get a screening mammogram.

Media was an important source of information regarding the benefits of screening mammograms, breast cancer risk, and the recommendation to initiate screening at age This is illustrated by the following quotations. Hearing different commercials and it's been more recently than ever before.

So Old women from 20112 decided I wanted to be screened again. Recommendation to begin screening at age Most respondents stated that knowing someone with breast cancer was an important factor in their decision to have a screening mammogram.

She was only Some of the deceased were perceived as being responsible for their fates because they did not seek regular medical care. Having the experiences with others Old women from 20112 in an increasing sense of vulnerability to the disease.

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Old women from 20112 This was a person who was the epitome of health … and she can succumb to this. OK, I'm 40, I better start jumping into this. Women perceived a limited role played by their medical providers mostly physicians in their decision to get a screening mammogram, although the providers' role was more recognizable for the African-American respondents.

Most women over age 40 stated that Old women from 20112 initiated a request for screening with their physician, who fulfilled their request. The women stated that their medical providers offered 2012 limited information regarding the benefits of screening, and breast cancer risk factors, and did not disclose any possible risks of mammography or describe the procedure itself.

The following quotations illustrate the stated interactions between the women and their medical providers, and the essential lack of shared decision making regarding screening that occurred. He didn't argue with me.

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Respondents attributed the lack of information they received to Old women from 20112 fact that they had several different primary care providers, or received most of their care from specialists.

There was a sense that not being screened is an indication Ol personal neglect and irresponsibility.

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Prior breast symptoms influenced 4 women to get a mammogram before age Family history was a factor for 3 of the fro interviewed. Since the procedure is covered at this setting, cost of mammography was not an issue for Old women from 20112 of the women.

However, most women stated that they would pay for the procedure themselves were it not covered. None of the women questioned the value of screening mammography.

Most stated that it is a valuable Old women from 20112 for early detection of breast cancer. All women reported that screening mammography benefits those aged 40 and over.

The participants did not consider screening mammography to have any major risks. Upon further probing, women most commonly cited radiation only white women and the obtrusive characteristics of the procedure e.

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Others were quite positive about their experiences. These experiences resulted in anxiety 2011 fear, yet none considered the possibility of false-positives to be a major risk, and would not be deterred from future screenings as a result of this knowledge. Although the majority of the respondents did not consider Old women from 20112 at a higher risk for breast cancer compared to other similar women, most thought that they were at risk.

The most commonly cited risk factors were age and family history.