{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T12:13:03Z","timestamp":1785240783383,"version":"3.55.0"},"reference-count":43,"publisher":"Wiley","issue":"20","license":[{"start":{"date-parts":[[2022,5,26]],"date-time":"2022-05-26T00:00:00Z","timestamp":1653523200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["T32 AG027708"],"award-info":[{"award-number":["T32 AG027708"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer Medicine"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Professional guidelines in the U.S. do not recommend routine screening mammography for women \u226575\u2009years with limited life expectancy and\/or poor health. Yet, routine mammography remains widely used in older women. We examined older women's experiences, beliefs, and opinions about screening mammography in relation to aging and health.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We performed thematic analysis of transcribed semi\u2010structured interviews with 19 women who had a recent screening visit at a mammography clinic in New York City (average age: 75\u2009years, 63% Hispanic, 53% \u2264high school education).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Three main themes emerged: (1) older women typically perceive mammograms as a positive, beneficial, and routine component of care; (2) participation in routine mammography is reinforced by factors at interpersonal, provider, and healthcare system levels; and (3) older women do not endorse discontinuation of screening mammography due to advancing age or poor health, but some may be receptive to reducing screening frequency. Only a few older women reported having discussed mammography cessation or the potential harms of screening with their providers. A few women reported they would insist on receiving mammography even without a provider recommendation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Older women's positive experiences and views, as well as multilevel and frequently automated cues toward mammography are important drivers of routine screening in older women. These findings suggest a need for synergistic patient, provider, and system level strategies to reduce mammography overuse in older women.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cam4.4758","type":"journal-article","created":{"date-parts":[[2022,5,26]],"date-time":"2022-05-26T11:54:05Z","timestamp":1653566045000},"page":"3854-3862","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["\u201cIt's something I'll do until I die\u201d: A qualitative examination into why older women in the U.S. continue screening mammography"],"prefix":"10.1002","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3243-0913","authenticated-orcid":false,"given":"Laura E.","family":"Brotzman","sequence":"first","affiliation":[{"name":"Department of Sociomedical Sciences Columbia University Mailman School of Public Health  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6496-6339","authenticated-orcid":false,"given":"Rachel C.","family":"Shelton","sequence":"additional","affiliation":[{"name":"Department of Sociomedical Sciences Columbia University Mailman School of Public Health  New York New York USA"},{"name":"Herbert Irving Comprehensive Cancer Center Columbia University Medical Center  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8286-7801","authenticated-orcid":false,"given":"Jessica D.","family":"Austin","sequence":"additional","affiliation":[{"name":"Department of Sociomedical Sciences Columbia University Mailman School of Public Health  New York New York USA"},{"name":"Department of Epidemiology Columbia University Mailman School of Public Health  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmen B.","family":"Rodriguez","sequence":"additional","affiliation":[{"name":"Department of Epidemiology Columbia University Mailman School of Public Health  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariangela","family":"Agovino","sequence":"additional","affiliation":[{"name":"Department of Epidemiology Columbia University Mailman School of Public Health  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathalie","family":"Moise","sequence":"additional","affiliation":[{"name":"Department of Medicine Columbia University Irving Medical Center  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0605-3934","authenticated-orcid":false,"given":"Parisa","family":"Tehranifar","sequence":"additional","affiliation":[{"name":"Herbert Irving Comprehensive Cancer Center Columbia University Medical Center  New York New York USA"},{"name":"Department of Epidemiology Columbia University Mailman School of Public Health  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,5,26]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/bjc.2013.177"},{"key":"e_1_2_12_3_1","first-page":"CD001877","article-title":"Screening for breast cancer with mammography","author":"Gotzsche PC","year":"2013","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2014.2834"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-015-3580-3"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1158\/1055-9965.EPI-21-0152"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.7326\/M15-2886"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2015.12783"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.7326\/M18-2147"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.28.6.1838"},{"key":"e_1_2_12_11_1","unstructured":"Statistics NCfH.Health United States 2019: Table 33. 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