Breast Screening

Information

Many of the women we spoke with knew that the NHS breast screening programme would invite them for screening around the age of 50. The NHS Breast Screening Programme is phasing in an extension of the age range of women eligible for breast screening to those aged 47 to 73 from 2010. Most women said it was important to attend breast screening because if there were any breast problems, they would be detected and treated early. Several women had discussed breast screening with friends or family. Some had heard that mammogram could be painful, but this didn't put them off.

Women's knowledge about breast screening and cancer varied. Some wanted more detailed information than was contained in the leaflet that came with their screening invitation. Those working in the health field tended to have access to a lot of information. Others said they knew that breast cancer was common. Many stressed the importance of being screened and being breast aware.

Several women had come across information on breast screening and cancer through the media. Some knew that breast cancer is no longer the frightening disease it was many years ago, thanks to improvements in treatment. Another said that mistakes with mammogram results were sometimes made and these featured in the news more than the positive developments. Several women noted that, while stories in the media helped raise awareness about breast screening and cancer, some articles were also often sensationalised or unreliable.

Says that nowadays breast cancer isn't as frightening as it used to be.

Says that nowadays breast cancer isn't as frightening as it used to be.

Age at interview: 59
Sex: Female
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Well back in 19', when I first felt this lump, back in the 1970's, most of what you read about breast cancer was frightening. You know, people died, you know, film stars, people you read about, they died. And so I don't think I read that much about it then. But certainly now, I mean, it's so much easier, well I wouldn't say easier to treat but the treatment is much more effective now, especially if you catch it early. I don't think its such a frightening thing as it was, sort of 30 years ago. 

Media stories about breast screening and cancer can raise awareness but can also be...

Media stories about breast screening and cancer can raise awareness but can also be...

Age at interview: 60
Sex: Female
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I'm sure that the media would feel that they are duty bound to alert people and to raise their awareness of things. But I think sometimes the media, and when I say the media I'm talking about papers and TV, I mean they do have a bit of sensationalism about things. And I think they do hype things up and they do catch on to buzz words and in-words and dangerous words and words that you should be concerned about, and they do emphasise so that you know they, they make you scared or they make you want go and investigate or whatever. 

Friends, colleagues and family members who'd been for screening or had breast cancer were often an important source of information. The internet was also a popular source, as were books and magazines. Several women said that information on the internet could be confusing, frightening or off-putting. Some women knew where they could pick up leaflets but didn't want information about breast cancer unless they were diagnosed with it. Others said that too much information could be frightening. One woman read more about breast screening after she'd had her first mammogram in case the information made her anxious beforehand. Another was very worried before her first screen in case cancer was detected, and wanted more information about breast cancer and screening.

Colleagues were an important source of information about breast cancer and screening.

Colleagues were an important source of information about breast cancer and screening.

Age at interview: 53
Sex: Female
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Had you read much about breast screening or breast cancer at that stage? 

No, no I hadn't, I hadn't. 

Was it a subject that ever came up with friends or not really? 

It did come up because I work with a girl and she had been diagnosed when she was just 29. It recurred and I think she was maybe in her late forties, early fifties and we all knew that she'd gone through breast cancer and was going for regular check-ups. And we all sympathised with her but she was fantastic, she just got on with her life and was very, very good. So we were aware of that, or I was aware of that but it was just one of those things, just, it'll never happen to me. You know, it'll never happen to me, it's somebody else's problem. 

Says she can pick up leaflets from her local chemist but doesn't want too much information.

Says she can pick up leaflets from her local chemist but doesn't want too much information.

Age at interview: 64
Sex: Female
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I've never really looked and you can get, I mean any chemist shop has got leaflets in, any doctor's has got leaflets in. I mean I see all the leaflets and I think well if I want them I'd pick them up. I mean my local chemist has all, you know a rack with leaflets for all complaints, breast cancer and everything, yes.
 

Was worried before her first mammogram in case cancer was detected, and wanted more information.

Was worried before her first mammogram in case cancer was detected, and wanted more information.

Age at interview: 56
Sex: Female
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What things had you read beforehand? Was it about screening or was it mainly about breast cancer? 

It was mainly about breast cancer because I became completely obsessed with it, even though I had no signs of it. 

What kinds of things did you want to know? What were you really wanting to find out? 

How quickly it would kill me, if I had it. How quickly it would spread to other parts of the body, how it would effect me. What the treatments might be, where I might go for them. Was I in a prime area for good treatment? Would I be taking long-term drugs, would they make me put on weight. I wouldn't say I'm obsessed with my weight but I'm very careful not to weigh too much because of my back; so it's better to be lighter. 

Some women said that if they had any concerns about breast cancer or screening, they'd ask their GPs.

Some British Chinese women said that information about breast screening had been translated for them, but they would have liked more information on breast cancer and screening in Cantonese. Information on breast screening is now available in other languages from the NHS (UK) Breast Screening Programme. One of these women sometimes visited a Chinese herbalist when she had any health problems as she was deterred from visiting her GP because of language barriers.

Would have liked more information in Cantonese and sometimes visits a Chinese herbalist because...

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Would have liked more information in Cantonese and sometimes visits a Chinese herbalist because...

Age at interview: 65
Sex: Female
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I never read anything about the breast that was written in Chinese, but I would like to have some information in Chinese writing about breast issues and general health, everything that is available but in Chinese. I didn't read any information in Chinese. Normally I just have a check up and that kind of thing. Sometimes, you know about two, one or two times I did go to see the Chinese doctor. Language is the first problem. So that's why I hope, you know, every surgery if they can have one Chinese doctor or a Chinese nurse, it would be very helpful. 

Several women said that they knew how common breast cancer was in the UK but they'd never heard of ductal carcinoma in situ (DCIS), an early form of breast cancer. A few women with DCIS felt that the current NHS breast screening leaflet didn't give enough information to women about the benefits, harms, limitations and consequences of breast screening.

Some women with breast cancer said they could get all the information they needed about it from their doctors and breast care nurses or friends who were health professionals. Others supplemented this with information from books, the internet, breast cancer charities and support groups. The experiences of others who'd had breast cancer was often very important, whether these were found on the internet, through books or by talking to other patients (see our Breast Cancer information).

She had read about other people's experiences of breast cancer in a book.

She had read about other people's experiences of breast cancer in a book.

Age at interview: 53
Sex: Female
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Another friend who's actually a nurse, gave me a very good book and I wish, I can't remember the name of it but it was very good, and it's about different experiences of breast cancer. And a lot of these people were celebrities so it was, oh I'm trying to think of the actress, Lisa Goddard, Carly Simon, the singer, plus ordinary people, just ordinary people like myself.

And I thought, oh it was going to be a, what's the word I'm trying to say? condescending sort of type of a book, you know, and I thought, I don't want to read this. But I must say when I started to read it, I really got, it was fantastic. It really was very, very positive and very upbeat and everything. Plus they did, they were very honest and said they'd gone through the same things I had gone through, with the chemotherapy, with everyone feeling depressed whatever. So I say, I found that very, very good. 

She spoke to friends who had also had breast cancer.

She spoke to friends who had also had breast cancer.

Age at interview: 60
Sex: Female
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Also I did have a number of friends who had either just been through the same thing, or were just going through it. It was one of these sort of clusters, perhaps. At one time I knew twelve people in my immediate circle, who had either just had or were having a mastectomy or a lumpectomy, or chemotherapy or radiotherapy. And it just seemed to be strange that there were so many of us all at the same time. Obviously there have been others since but not so many all at once, and yes, it was great to be able to ring up someone I knew, who was perhaps a year or two ahead, and say, "Did your arm still ache when you went shopping?" and also talk about prostheses, and you know, "Where did you find the best bras? What sort of prosthesis have you got?" 

As I said there was ... it was later that perhaps I used the friends more, because - Although just after the operation there was one particular friend that I used to swap tips with. How do you stop your scar pulling? Try massaging with baby oil, these sorts of tips are useful, because you don't always get those from the health care professionals. They're things that individuals have found work for them.

Last reviewed March 2016.

Last updated February 2013.

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