A Population Survey on Barriers and Facilitators to Breast Cancer Screening Based on the Theoretical Domains Framework
Background: In the UK, breast cancer affects 1 in 8 women, accounting for 31% of cancers and 15% of cancer-related deaths in women. In 2023, London’s breast screening coverage was 56%, falling below the NHS target of 70%. This survey assesses psychological and behavioural factors impacting screening...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2025-02-01
|
| Series: | Behavioral Sciences |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2076-328X/15/2/209 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849722485054898176 |
|---|---|
| author | Sarah Huf Ada Humphrey Ara Darzi Deborah Cunningham Dominic King Gaby Judah |
| author_facet | Sarah Huf Ada Humphrey Ara Darzi Deborah Cunningham Dominic King Gaby Judah |
| author_sort | Sarah Huf |
| collection | DOAJ |
| description | Background: In the UK, breast cancer affects 1 in 8 women, accounting for 31% of cancers and 15% of cancer-related deaths in women. In 2023, London’s breast screening coverage was 56%, falling below the NHS target of 70%. This survey assesses psychological and behavioural factors impacting screening attendance. Methods: Using the Theoretical Domains Framework, an online survey including 15 behavioural factors was distributed through a market research company to women eligible for breast screening (aged 47–73) across London and Southeast and West England. Logistic regression was used to predict the impact of behavioural variables on history of attendance and intention to attend future screening opportunities. Results: Of the 922 respondents who returned the full survey, 88.6% intended to attend future screenings, and 88.1% reported previously attending screenings regularly. ‘Behavioural regulation’ had the strongest influence on past attendance (OR = 1.92, <i>p</i> < 0.001) and future intent (OR = 1.56, <i>p</i> = 0.003). Not intending to attend was linked to emotional consequences (OR = 0.68, <i>p</i> = 0.003) and environmental barriers (OR = 0.66, <i>p</i> < 0.001), where OR—Odds Ratio. Conclusions: This survey identifies behavioural factors influencing breast screening participation and screening intention, providing insights that may help design interventions to increase attendance rates. |
| format | Article |
| id | doaj-art-ac0a88279c0b43e486e9f6f7dea66da7 |
| institution | DOAJ |
| issn | 2076-328X |
| language | English |
| publishDate | 2025-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Behavioral Sciences |
| spelling | doaj-art-ac0a88279c0b43e486e9f6f7dea66da72025-08-20T03:11:20ZengMDPI AGBehavioral Sciences2076-328X2025-02-0115220910.3390/bs15020209A Population Survey on Barriers and Facilitators to Breast Cancer Screening Based on the Theoretical Domains FrameworkSarah Huf0Ada Humphrey1Ara Darzi2Deborah Cunningham3Dominic King4Gaby Judah5Department of Surgery and Cancer, Imperial College London, London SW7 2AZ, UKDepartment of Surgery and Cancer, Imperial College London, London SW7 2AZ, UKDepartment of Surgery and Cancer, Imperial College London, London SW7 2AZ, UKDepartment of Surgery and Cancer, Imperial College London, London SW7 2AZ, UKDepartment of Surgery and Cancer, Imperial College London, London SW7 2AZ, UKDepartment of Surgery and Cancer, Imperial College London, London SW7 2AZ, UKBackground: In the UK, breast cancer affects 1 in 8 women, accounting for 31% of cancers and 15% of cancer-related deaths in women. In 2023, London’s breast screening coverage was 56%, falling below the NHS target of 70%. This survey assesses psychological and behavioural factors impacting screening attendance. Methods: Using the Theoretical Domains Framework, an online survey including 15 behavioural factors was distributed through a market research company to women eligible for breast screening (aged 47–73) across London and Southeast and West England. Logistic regression was used to predict the impact of behavioural variables on history of attendance and intention to attend future screening opportunities. Results: Of the 922 respondents who returned the full survey, 88.6% intended to attend future screenings, and 88.1% reported previously attending screenings regularly. ‘Behavioural regulation’ had the strongest influence on past attendance (OR = 1.92, <i>p</i> < 0.001) and future intent (OR = 1.56, <i>p</i> = 0.003). Not intending to attend was linked to emotional consequences (OR = 0.68, <i>p</i> = 0.003) and environmental barriers (OR = 0.66, <i>p</i> < 0.001), where OR—Odds Ratio. Conclusions: This survey identifies behavioural factors influencing breast screening participation and screening intention, providing insights that may help design interventions to increase attendance rates.https://www.mdpi.com/2076-328X/15/2/209behavioural sciencebreast cancerscreeningpublic health |
| spellingShingle | Sarah Huf Ada Humphrey Ara Darzi Deborah Cunningham Dominic King Gaby Judah A Population Survey on Barriers and Facilitators to Breast Cancer Screening Based on the Theoretical Domains Framework Behavioral Sciences behavioural science breast cancer screening public health |
| title | A Population Survey on Barriers and Facilitators to Breast Cancer Screening Based on the Theoretical Domains Framework |
| title_full | A Population Survey on Barriers and Facilitators to Breast Cancer Screening Based on the Theoretical Domains Framework |
| title_fullStr | A Population Survey on Barriers and Facilitators to Breast Cancer Screening Based on the Theoretical Domains Framework |
| title_full_unstemmed | A Population Survey on Barriers and Facilitators to Breast Cancer Screening Based on the Theoretical Domains Framework |
| title_short | A Population Survey on Barriers and Facilitators to Breast Cancer Screening Based on the Theoretical Domains Framework |
| title_sort | population survey on barriers and facilitators to breast cancer screening based on the theoretical domains framework |
| topic | behavioural science breast cancer screening public health |
| url | https://www.mdpi.com/2076-328X/15/2/209 |
| work_keys_str_mv | AT sarahhuf apopulationsurveyonbarriersandfacilitatorstobreastcancerscreeningbasedonthetheoreticaldomainsframework AT adahumphrey apopulationsurveyonbarriersandfacilitatorstobreastcancerscreeningbasedonthetheoreticaldomainsframework AT aradarzi apopulationsurveyonbarriersandfacilitatorstobreastcancerscreeningbasedonthetheoreticaldomainsframework AT deborahcunningham apopulationsurveyonbarriersandfacilitatorstobreastcancerscreeningbasedonthetheoreticaldomainsframework AT dominicking apopulationsurveyonbarriersandfacilitatorstobreastcancerscreeningbasedonthetheoreticaldomainsframework AT gabyjudah apopulationsurveyonbarriersandfacilitatorstobreastcancerscreeningbasedonthetheoreticaldomainsframework AT sarahhuf populationsurveyonbarriersandfacilitatorstobreastcancerscreeningbasedonthetheoreticaldomainsframework AT adahumphrey populationsurveyonbarriersandfacilitatorstobreastcancerscreeningbasedonthetheoreticaldomainsframework AT aradarzi populationsurveyonbarriersandfacilitatorstobreastcancerscreeningbasedonthetheoreticaldomainsframework AT deborahcunningham populationsurveyonbarriersandfacilitatorstobreastcancerscreeningbasedonthetheoreticaldomainsframework AT dominicking populationsurveyonbarriersandfacilitatorstobreastcancerscreeningbasedonthetheoreticaldomainsframework AT gabyjudah populationsurveyonbarriersandfacilitatorstobreastcancerscreeningbasedonthetheoreticaldomainsframework |