{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T15:01:24Z","timestamp":1787238084749,"version":"build-2736575974"},"reference-count":27,"publisher":"BMJ","issue":"9","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2014,8,18]]},"published-print":{"date-parts":[[2014,9]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Breast cancer is the most prevalent cancer among women. In Germany, women are invited to a population-based mammography screening programme for the first time at the age of 50. Since it is still discussed whether the benefits of mammography screening outweigh its harms, the concept of informed choice has gained importance. The objective of this cross-sectional study is to assess the proportion of informed choices in the mammography screening programme. A special focus is on the examination of the impact of Turkish migration background and educational level on informed choices.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and analysis<\/jats:title>\n                    <jats:p>The proportion of informed choices is evaluated in a cross-sectional study with 3-month follow-up for behavioural implementation of the screening intention. A randomly selected sample of 17\u2005000 women aged 50\u2005years living in Westphalia-Lippe, a region in the Federal State of North-Rhine Westphalia, is invited to participate in this study. To reach adequate numbers of Turkish women, all possibly Turkish women in the sample are identified through a name algorithm and contacted. The sample is drawn from women registered in the study area for which the registration offices consented to supply data for the study (88% of all towns\/cities in the study region). Women identified through the Turkish name algorithm received all materials in German and Turkish. The primary outcome is informed choice. Data are collected on informed choice components (knowledge, attitude, decision\/implementation) as well as on its possible determinants (eg, health behaviour, perceived behavioural control, subjective norms, invitation status, migration background and other demographic variables). Data are collected before the screening appointment and at 3\u2005months follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ethics and dissemination<\/jats:title>\n                    <jats:p>The study was approved by the ethical committee of the Medical Faculty of Muenster University. Results will be published in a relevant scientific journal and communicated to respondents and relevant institutions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2014-006145","type":"journal-article","created":{"date-parts":[[2014,9,17]],"date-time":"2014-09-17T23:58:30Z","timestamp":1410998310000},"page":"e006145","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":11,"title":["A cross-sectional study on informed choice in the mammography screening programme in Germany (InEMa): a study protocol"],"prefix":"10.1136","volume":"4","author":[{"given":"Eva-Maria","family":"Berens","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maren","family":"Reder","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Petra","family":"Kolip","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacob","family":"Spallek","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2014,9,17]]},"reference":[{"key":"2024051512491990000_4.9.e006145.1","unstructured":"von Karsa L Anttila A Ronco G . Cancer screening in the European Union: Report on the implementation of the Council Recommendation on cancer screening. International Agency for Research on Cancer, 2008. http:\/\/ec.europa.eu\/health\/ph_determinants\/genetics\/documents\/cancer_screening.pdf (accessed 17 Jul 2014)."},{"key":"2024051512491990000_4.9.e006145.2","unstructured":"Robert Koch-Institut und die Gesellschaft der epidemiologischen Krebsregister in Deutschland e.V. Krebs in Deutschland 2009\/2010, 9th edn. Berlin, 2013."},{"key":"2024051512491990000_4.9.e006145.3","unstructured":"Kooperationsgemeinschaft Mammographie. Evaluationsbericht 2005\u20132007\u2014Ergebnisse des Mammographie-Screening-Programms in Deutschland, 2009. http:\/\/www.mammo-programm.de\/cms_upload\/datenpool\/evaluationsbericht05\u201307_web.pdf (accessed 8 Feb 2013)."},{"key":"2024051512491990000_4.9.e006145.4","unstructured":"Kooperationsgemeinschaft Mammographie. Evaluationsbericht 2008\u20132009\u2014Ergebnisse des Mammographie-Screening-Programms in Deutschland, 2012. http:\/\/www.mammo-programm.de\/cms_upload\/datenpool\/evaluationsbericht_2008\u20132009_web.pdf (accessed 8 Feb 2013)."},{"key":"2024051512491990000_4.9.e006145.5","unstructured":"Perry N Broeders M de Wolf C . European guidelines for quality assurance in breast cancer screening and diagnosis. 4th edn. Luxembourg: Office for Official Publications of the European Communities, 2006."},{"key":"2024051512491990000_4.9.e006145.6","first-page":"131","article-title":"Benefit and risk of mammography screening: considerations from an epidemiological","volume":"105","author":"Becker","year":"2008","journal-title":"Dtsch Arztebl Int"},{"key":"2024051512491990000_4.9.e006145.7","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.c1241"},{"key":"2024051512491990000_4.9.e006145.8","doi-asserted-by":"publisher","DOI":"10.1046\/j.1369-6513.2001.00140.x"},{"key":"2024051512491990000_4.9.e006145.9","doi-asserted-by":"publisher","DOI":"10.1023\/A:1013978421073"},{"key":"2024051512491990000_4.9.e006145.10","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1007\/s00038-009-8105-6","article-title":"Does a national screening programme reduce socioeconomic inequalities in mammography use?","volume":"54","author":"Puddu","year":"2009","journal-title":"Int J Public Health"},{"key":"2024051512491990000_4.9.e006145.11","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.b2025"},{"key":"2024051512491990000_4.9.e006145.12","first-page":"752","article-title":"Uptake of breast cancer screening measures among immigrant and Swiss women in Switzerland","volume":"138","author":"Fontana","year":"2008","journal-title":"Swiss Med Wkly"},{"key":"2024051512491990000_4.9.e006145.13","doi-asserted-by":"publisher","DOI":"10.1016\/j.breast.2004.03.001"},{"key":"2024051512491990000_4.9.e006145.14","doi-asserted-by":"publisher","DOI":"10.1080\/14034940701291716"},{"key":"2024051512491990000_4.9.e006145.15","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-10-157"},{"key":"2024051512491990000_4.9.e006145.16","doi-asserted-by":"crossref","first-page":"28","DOI":"10.3109\/0284186X.2011.626447","article-title":"Participation in mammography screening among migrants and non-migrants in Denmark","volume":"51","author":"Kristiansen","year":"2012","journal-title":"Acta Oncol"},{"key":"2024051512491990000_4.9.e006145.17","doi-asserted-by":"publisher","DOI":"10.1097\/00008469-200506000-00009"},{"key":"2024051512491990000_4.9.e006145.18","doi-asserted-by":"publisher","DOI":"10.1097\/CEJ.0b013e328337214c"},{"key":"2024051512491990000_4.9.e006145.19","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1186\/1472-6874-14-24","article-title":"Participation in breast cancer screening among women of Turkish origin in Germany\u2014a register-based study","volume":"14","author":"Berens","year":"2014","journal-title":"BMC Womens Health"},{"key":"2024051512491990000_4.9.e006145.20","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/djp237"},{"key":"2024051512491990000_4.9.e006145.21","unstructured":"Diercks ML Schmacke N . Mammografie-Screening und informierte Entscheidung\u2014mehr Fragen als Antworten. Gesundheitsmonitor Newsletter 2014(1). http:\/\/www.bertelsmann-stiftung.de\/cps\/rde\/xbcr\/SID-FCFCA9D6-98D819E4\/bst\/gemo_nl_012014-web.pdf (accessed 17 Jul 2014)."},{"key":"2024051512491990000_4.9.e006145.22","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2012.08.003"},{"key":"2024051512491990000_4.9.e006145.23","doi-asserted-by":"crossref","first-page":"2380","DOI":"10.1016\/S0959-8049(00)00333-6","article-title":"Combining a name algorithm with a capture-recapture method to retrieve cases of Turkish descent from a German population-based cancer registry","volume":"36","author":"Razum","year":"2000","journal-title":"Eur J Cancer"},{"key":"2024051512491990000_4.9.e006145.24","doi-asserted-by":"crossref","first-page":"654","DOI":"10.1046\/j.1365-3156.2001.00760.x","article-title":"How useful is a name-based algorithm in health research among Turkish migrants in Germany?","volume":"6","author":"Razum","year":"2001","journal-title":"Trop Med Int Health"},{"key":"2024051512491990000_4.9.e006145.25","doi-asserted-by":"crossref","first-page":"643","DOI":"10.1055\/s-2006-927166","article-title":"Name-based identification of cases of Turkish origin in the childhood cancer registry in Mainz","volume":"68","author":"Spallek","year":"2006","journal-title":"Gesundheitswesen"},{"key":"2024051512491990000_4.9.e006145.26","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2010.01.001"},{"key":"2024051512491990000_4.9.e006145.27","doi-asserted-by":"crossref","unstructured":"Fishbein M Ajzen I . 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