abstract: 'BackgroundcxsEarly detection of breast cancer is effective for

  prolonging survival, but the participation rate in breast cancer

  screening among target Japanese women remains low. This study examined

  the relationships between tendencies in decision-making under conditions

  of uncertainty, health behaviors, demographics, and breast cancer

  screening participation in Japanese women.MethodsSecondary analysis was

  performed using data from the 2017 Keio Household Panel Survey (KHPS).

  The study population consisted of 2945 households. Data were obtained

  from the KHPS for women aged 40 years or older. Breast cancer screening

  participation in the past year, risk aversion, time preference, health

  behaviors (e.g., smoking, alcohol consumption, and medical treatment

  received in the past year), and demographic variables were

  analyzed.ResultsData from 708 women were analyzed. Among the

  respondents, 28.8\% had attended breast cancer screening in the past

  year. Factors found to significantly contribute to breast cancer

  screening participation included higher risk aversion (odds ratio

  {[}OR], 2.34; 95\% confidence interval {[}CI]=1.03-5.32; p=0.043),

  medical treatment received in the past year (OR, 1.56; 95\%

  CI=1.06-2.30; p=0.026), higher self-rated health (OR, 1.47; 95\%

  CI=1.18-1.83; p=0.001), living above the poverty line (OR, 2.31; 95\%

  CI=1.13-4.72; p=0.022), and having children (OR, 1.57; 95\%

  CI=1.02-2.42; p=0.042). Factors significantly associated with

  non-participation in breast cancer screening were smoking (OR, 0.20;

  95\% CI=0.10-0.42; p<0.000), alcohol consumption (OR, 0.56; 95\%

  CI=0.37-0.86; p=0.007), being self-employed (OR, 0.22; 95\%

  CI=0.10-0.46; p<0.000), and being unemployed (OR, 0.48; 95\%

  CI=0.26-0.90; p=0.022). No significant relationship was observed between

  time preference and screening participation.ConclusionsThe results

  indicate that women who recognize the actual risk of developing breast

  cancer or have high awareness of breast cancer prevention tend to

  participate in breast cancer screening. Barriers to screening

  participation are not working for an organization that encourages

  screening and low income.'
affiliation: 'Satoh, M (Corresponding Author), Yokohama City Univ, Dept Fundamental
  Nursing, Kanazawa Ku, 3-9 Fukuura, Yokohama, Kanagawa 2360004, Japan.

  Satoh, Miho, Yokohama City Univ, Dept Fundamental Nursing, Kanazawa Ku, 3-9 Fukuura,
  Yokohama, Kanagawa 2360004, Japan.

  Sato, Naoko, Fukushima Med Univ, Dept Clin Nursing, Fukushima, Fukushima, Japan.'
article-number: '171'
author: Satoh, Miho and Sato, Naoko
author-email: miho.sth@gmail.com
author_list:
- family: Satoh
  given: Miho
- family: Sato
  given: Naoko
da: '2023-09-28'
doi: 10.1186/s12905-021-01317-1
eissn: 1472-6874
files: []
journal: BMC WOMENS HEALTH
keywords: 'Breast cancer; Breast cancer screening; Mammography; Risk aversion;

  Health behavior'
keywords-plus: TIME PREFERENCE; MAMMOGRAPHY; SMOKING
language: English
month: APR 21
number: '1'
number-of-cited-references: '71'
orcid-numbers: Satoh, Miho/0000-0001-8939-5595
papis_id: 123b6d0d23ad1d7ad5b3b4450b7a91aa
ref: Satoh2021relationshipattitude
times-cited: '7'
title: Relationship of attitudes toward uncertainty and preventive health behaviors
  with breast cancer screening participation
type: Article
unique-id: WOS:000642628300004
usage-count-last-180-days: '1'
usage-count-since-2013: '5'
volume: '21'
web-of-science-categories: Public, Environmental \& Occupational Health; Obstetrics
  \& Gynecology
year: '2021'