Mobile breast screening services in Australia: A qualitative exploration of perceptions and experiences among rural and remote women aged ≥75 years

Author:

Adams Joanne1ORCID,Dickson‐Swift Virginia1ORCID,Spelten Evelien1ORCID,Blackberry Irene23,Wilson Carlene456,Yuen Eva4678

Affiliation:

1. Violet Vines Marshman Centre for Rural Health Research, La Trobe Rural Health School La Trobe University Bendigo Victoria Australia

2. Care Economy Research Institute La Trobe University Wodonga Victoria Australia

3. John Richards Centre for Rural Ageing Research, La Trobe Rural Health School La Trobe University Wodonga Victoria Australia

4. Olivia Newton‐John Cancer Wellness Centre Austin Health Melbourne Victoria Australia

5. Melbourne School of Population and Global Health University of Melbourne Parkville Victoria Australia

6. School of Psychology and Public Health La Trobe University Bundoora Victoria Australia

7. Institute for Health Transformation, School of Nursing and Midwifery Deakin University Burwood Victoria Australia

8. Centre for Quality and Patient Safety – Monash Health Partnership Monash Health Clayton Victoria Australia

Abstract

AbstractObjectiveThis qualitative descriptive study draws on data collected from a sub‐sample of 15 women participating in a national study (n = 60) exploring the breast cancer screening motivations and behaviours of women aged ≥75 years. The study aimed to understand why women living in rural and remote areas might continue accessing mobile breast cancer screening despite being outside the targeted age range.SettingSettings ranged from large towns to very remote communities (according to Monash Modified Model (MMM) classification 3–7) where BreastScreen Australia mobile screening services were available.ParticipantsInterview data from 15 women aged ≥75 years living in rural and remote locations who had used mobile screening services was utilised for this study.DesignIn‐depth individual interviews were conducted via telephone or online platform (Zoom). These were transcribed verbatim and imported into NVivo software to enable thematic analysis to identify key themes.ResultsMany women aged ≥75 years in rural and remote areas expressed clear intentions to continue breast cancer screening, despite no longer being invited to do so. They perceived great value in the mobile service and were highly appreciative for it yet acknowledged limited sources of information about the process of ongoing screening.ConclusionFew women in rural and remote areas had discussed ongoing breast cancer screening with their general practitioner (GP). More information is required to inform women about the risks and benefits of ongoing screening. Without an invitation to attend screening rural women reported difficulty in knowing when the service would be available. Ongoing notification of the availability of mobile services for women aged ≥75 years in rural areas is recommended.

Funder

Department of Health and Aged Care, Australian Government

Publisher

Wiley

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