ArticlePLOS global public health2025
Characteristics associated with women undergoing their first mammography screening at a younger age.
Article in PLOS global public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
1 citing paper in PubMed.
- Bridging the Gap Between Awareness and Practice in Breast Cancer Screening: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2026Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Breast cancer is the most commonly diagnosed cancer and a leading cause of cancer death among women. Kuwait has among the highest age-standardized incidence in the Gulf, yet mammography uptake remains low. The 2024 USPSTF recommends routine screening from age 40 for average-risk women. To identify characteristics associated with undergoing first-time mammography at ages 40-49 versus ≥50 in Kuwait. Cross-sectional analysis of 5,242 asymptomatic Kuwaiti women aged ≥40 with no prior screening in the Kuwait National Mammography Screening Program, 2014-2019. Multivariable logistic regression estimated adjusted odds ratios (aORs) and 95% CIs. Overall, 65.0% had their first screen at 40-49. Younger screening increased over time (per-year aOR 1.10, 95% CI 1.06-1.14; Cuzick z = 4.56, p < 0.001). Higher odds were observed with university or postgraduate education versus illiterate to secondary (aOR 4.53, 3.71-5.53; p < 0.001), parity 3-5 versus none (2.66, 1.85-3.82; p < 0.001), clinical breast examination (1.39, 1.11-1.74; p = 0.004), hormone replacement therapy use (1.69, 1.28-2.23; p < 0.001), and citing social media as the main information source (2.58, 1.28-5.19; p = 0.008; n = 94, 1.8%). Lower odds were seen for overweight (0.67, 0.53-0.85; p = 0.001) and obesity (0.53, 0.42-0.66; p < 0.001) versus normal BMI, hysterectomy (0.51, 0.34-0.76; p = 0.001), and longer breastfeeding (≥24 months versus never to <1 month: 0.41, 0.30-0.57; p < 0.001). Earlier first screening was associated with higher education, greater parity, clinical contact, hormone therapy use, and digital information sources, and was less likely with higher BMI, hysterectomy, and prolonged breastfeeding. Targeted, culturally tailored outreach to women with lower education or higher BMI, along with evaluated digital strategies, may promote earlier participation. Prospective follow-up is needed to determine whether earlier first screening leads to down-staging and improved outcomes.
Identifiers
What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.