Buschmann, Laura and Bonberg, Nadine and Baurecht, Hansjörg and Becher, Heiko and Brenner, Hermann and Harth, Volker and Heise, Jana-Kristin and Holleczek, Bernd and Jaskulski, Stefanie and Kantelhardt, Eva and Keil, Thomas and Klett-Tammen, Carolina J. and Leitzmann, Michael and Meinke-Franze, Claudia and Michels, Karin B. and Mikolajczyk, Rafael and Obi, Nadia and Ostrzinski, Stefan and Peters, Annette and Schikowski, Tamara and Schipf, Sabine and Schmidt, Borge and Schmidt, Matthias Bernd and Stallmann, Christoph and Stang, Andreas and Stubs, Gunthard and Willich, Stefan N. and Haug, Ulrike and Minnerup, Heike and Karch, Andre (2025) Participation in the German Mammography Screening Program An Analysis of Data From the NAKO Health Study. DEUTSCHES ARZTEBLATT INTERNATIONAL, 122 (24). ISSN 1866-0452,
Full text not available from this repository. (Request a copy)Abstract
Background: European guidelines recommend a minimum participation rate of 70% for mammography screening programs (MSP), but the rate in Germany has so far been only 50% per round. In this study, we identify factors associated with non-participation in MSP. Methods: Cross-sectional data on women aged 50 to 69 from the population-based NAKO Health Study (2014-2019) were used to identify factors associated with MSP participation, and dimensions of participatory behavior were derived by principal component analysis (PCA). Results: Of 48 057 women aged 50 to 69, 14.6% had never participated in MSP, 35.3% had participated once, and 50.2% had participated multiple times. Age-adjusted regression analyses of individual factors revealed that the use of other primary and secondary prevention measures was the strongest predictor of MSP participation. Smoking was associated with lower probability of participation (odds ratio [OR]: 0.70; 95% confidence interval: [0.67; 0.75]), and overweight with higher ones (OR: 1.26 [1.19; 1.34]). PCA enabled the aggregation of factors into three dimensions: "use of preventive measures," "socioeconomic status," and "lifestyle factors." Conclusion: In this study, marked differences were found between MSP non-participants and participants, especially with respect to their use of other preventive measures and their socioeconomic status. One limitation of this study was the self-reporting of MSP participation. Its findings nevertheless provide a basis for interventions directed at specific target groups, for example, education about preventive services (and MSP in particular) in the primary care setting.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | BREAST-CANCER; NON-ATTENDANCE; NONPARTICIPATION; PREDICTORS; HISTORY; |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Institut für Epidemiologie und Präventivmedizin |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 27 Mar 2026 07:09 |
| Last Modified: | 27 Mar 2026 07:09 |
| URI: | https://pred.uni-regensburg.de/id/eprint/67960 |
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