Huf Sarah, Humphrey Ada, Darzi Ara, Cunningham Deborah, King Dominic, Judah Gaby
Department of Surgery and Cancer, Imperial College London, London SW7 2AZ, UK.
Breast Surgery Unit, The Royal Marsden NHS Foundation Trust, Downs Rd, Sutton SM2 5PT, UK.
Behav Sci (Basel). 2025 Feb 14;15(2):209. doi: 10.3390/bs15020209.
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.
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.
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, < 0.001) and future intent (OR = 1.56, = 0.003). Not intending to attend was linked to emotional consequences (OR = 0.68, = 0.003) and environmental barriers (OR = 0.66, < 0.001), where OR-Odds Ratio.
This survey identifies behavioural factors influencing breast screening participation and screening intention, providing insights that may help design interventions to increase attendance rates.
在英国，每8名女性中就有1人受乳腺癌影响，乳腺癌占女性癌症病例的31%，占女性癌症相关死亡人数的15%。2023年，伦敦的乳腺癌筛查覆盖率为56%，低于英国国家医疗服务体系（NHS）设定的70%的目标。本次调查评估了影响筛查参与率的心理和行为因素。
采用理论领域框架，通过一家市场研究公司，向伦敦以及英格兰东南部和西部符合乳腺癌筛查条件（年龄在47 - 73岁之间）的女性发放了一份包含15个行为因素的在线调查问卷。采用逻辑回归分析来预测行为变量对既往筛查参与史以及未来参与筛查意愿的影响。
在922名完整回复调查问卷的受访者中，88.6%的人表示打算参加未来的筛查，88.1%的人报告称之前定期参加筛查。“行为调节”对过去的筛查参与情况影响最大（比值比[OR]=1.92，P<0.001），对未来的筛查意愿影响也最大（OR = 1.56，P = 0.003）。不打算参加筛查与情绪后果（OR = 0.68，P = 0.003）和环境障碍（OR = 0.66，P<0.001）有关，其中OR为比值比。
本次调查确定了影响乳腺癌筛查参与率和筛查意愿的行为因素，为设计提高参与率的干预措施提供了参考依据。
