{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T19:58:32Z","timestamp":1772222312888,"version":"3.50.1"},"reference-count":56,"publisher":"Public Library of Science (PLoS)","issue":"6","license":[{"start":{"date-parts":[[2025,6,5]],"date-time":"2025-06-05T00:00:00Z","timestamp":1749081600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100024031","name":"Agency for Healthcare Research and Quality Safety Program for Telemedicine","doi-asserted-by":"publisher","award":["R24 HS022134"],"award-info":[{"award-number":["R24 HS022134"]}],"id":[{"id":"10.13039\/100024031","id-type":"DOI","asserted-by":"publisher"}]},{"name":"National Institute of Health","award":["K05 CA134923"],"award-info":[{"award-number":["K05 CA134923"]}]},{"name":"National Institute of Health","award":["P30 AG024832"],"award-info":[{"award-number":["P30 AG024832"]}]},{"DOI":"10.13039\/100009157","name":"NIDILRR","doi-asserted-by":"crossref","award":["90AR5009"],"award-info":[{"award-number":["90AR5009"]}],"id":[{"id":"10.13039\/100009157","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:p>Breast cancer screening guidelines indicate screening in women over 75 years of age is optional, depending upon patient health and preferences. To better understand the preferences and decision-making of older women, their experiences and perceptions concerning screening need to be linked to their intention to continue or discontinue screening. This study used a qualitative comparative analysis to identify the characteristics and themes linked to the intention to continue or discontinue screening. To capture the range of experiences and preferences, a purposive sample of community-residing adults (n\u2009=\u200959) was selected with equal representation of White, Black, and Hispanic women by age (70\u201374 years and 75 and older) and educational level (\u226412 grade and &gt;12 grade). In-depth qualitative interviews explored women\u2019s perceptions of mammograms, the benefits and risks of screening, and personal screening experiences. Interviews were coded and quality-checked by two or more coders. A qualitative comparative analysis (QCA) identified combinations of personal characteristics and themes linked to the intention to continue (n\u2009=\u200932) or discontinue (n\u2009=\u200927) screening. Results indicated personal experiences were strongly linked to the intention to continue or discontinue. Women who mentioned recent screening (within three years) and either a spontaneously mentioned cancer story concerning a friend or family member or a doctor\u2019s screening recommendation intended to continue screening (91% true positive rate, model sensitivity). Women who did not schedule screening and who did not mention a cancer story or a doctor\u2019s recommendation (or neither) intended to discontinue screening (81% true negative rate, model specificity). These experiences transcended differences in race\/ethnicity, age, and educational level. Continuation of breast cancer screening in older women is motivated by their personal screening history combined with cancer experiences and\/or a doctor\u2019s screening recommendation.<\/jats:p>","DOI":"10.1371\/journal.pone.0319141","type":"journal-article","created":{"date-parts":[[2025,6,5]],"date-time":"2025-06-05T13:38:45Z","timestamp":1749130725000},"page":"e0319141","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":1,"title":["Understanding motivations of older women to continue or discontinue breast cancer screening"],"prefix":"10.1371","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0695-736X","authenticated-orcid":true,"given":"Susan C.","family":"Weller","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Monique 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