Breast Cancer Survey - Siemens GfK HealthCare Siemens „BCA-Survey“ 21.01.2011 Breast Cancer...

1

21.01.2011GfK HealthCare Siemens „BCA-Survey“

Breast Cancer SurveyGfK HealthCareA study conducted for Siemens Communication Sector, Erlangen

January 2011

Agenda

2 Study results in detail

1 Study design

3 Realization of sample

4 Management summary

1 Study design

4


Method: Online survey Interview length: 15 minutesFully structured questionnaire (including 4 open-ended questions)

Target group: n = 500 women between 25 - 65 years of age per country

Scope: 8 countries: USA, Germany, Brazil, China, Russia, India, Sweden, Austria

Duration of field work: December 2010 – January 2011

Study design and methodology

5


2. Latin America:• Brazil n = 500

3. Europe:• Germany n = 500• Sweden n = 500• Austria n = 501

3. Asia Pacific:• China n = 503• India n = 500• Russia n = 5001. North America:

• USA n = 500

Scope and Achieved Sample Sizes (I)

Total:n = 4004

2 Study results in detail

2a Breast cancer screening

8


82

69

79

96

87

78

81

86

79

15

26

19

3

12

19

9

12

19

3

5

2

1

3

10

2

2

1

total

USA

Germany

Brazil

China

Russia

India

Sweden

Austria

Top Box (5+6) Middle Box (3+4) Bottom Box (1+2)

2a. Breast cancer screening - ImportanceAccording to more than three quarters of the women breast cancer screening is perceived as very important. Especially in Brazil almost all women state that breast cancer screening is of high importance.

Basis: Total: n = 4004Q1a: Would you please tell us how important cancer screening, particularly breast cancer screening, is to you personally?

Percentage

Scale: 1 = not important6 = very important

mean

5,2

5,5

5,0

5,1

5,4

5,7

5,2

4,9

5,3

9


86

79

86

87

91

12

16

13

13

8

2

5

1

1

0

total

25-34 years

35-44 years

45-54 years

55-65 years


2a. Breast cancer screening - ImportanceSweden: Age

Basis: Total: n = 500 (Sweden)Q1a: Would you please tell us how important cancer screening, particularly breast cancer screening, is to you personally?

Percentage


mean

5,7

5,6

5,4

5,2

5,5

10


86

88

84

86

12

12

14

12

2

0

2

2

total

Low

Mid

High


2a. Breast cancer screening - ImportanceSweden: Education

Basis: Total: n = 500 (Sweden)Q1a: Would you please tell us how important cancer screening, particularly breast cancer screening, is to you personally?

Percentage


mean

5,5

5,5

5,6

5,5

11


Basis: Subsample (very/ important Q1a) n = 3273 Q1b: Please explain your answer briefly!

2a. Breast cancer screening – Importance (Why)Prevention, early detection and the increase of the chances of recovery are the most often mentioned reasons why breast cancer screening is so important.

PercentageOpen answersAnswers ≥ 5%

Overcodes

(Very) important:

--35-11--5Increasing breast cancer awareness

32147133346Every woman is at risk

6256150425High breast cancer incidence

1571113218181213Aware/afraid of cancer

97061811197Family history of breast cancer

1911116712182613In a risk group

5511106107118I think it is important

91415161213132614Importance of screening

56-3153315To be able to react quickly

71416248769To stay healthy

2911561426610For best chance at treatment

21195344529381826To increase chances of recovery

11-63183612814Prevention

16526-22-37-17For early detection

606221363147502342Importance of prevention/early detection

AustriaSwedenIndiaRussiaChinaBrazilGermanyUSATotal

12


3

4

1

4

3

7

3

6

16

7

6

20

16

30

11

31

8

14

20

17

8

13

9

16

19

25

31

30

20

50

28

4

18

21

26

21

36

24

17

17

35

19

36

15

17

10

18

8

5

39

10

17

14

total

USA

Germany

Brazil

China

Russia

India

Sweden

Austria

1 No knowledge 2 Deficient 3 Sufficient 4 Satisfactory 5 Good 6 Very well informed

2a. Breast cancer screening - KnowledgeOverall about 40% of the women rate their knowledge regarding breast cancer screening as good or very good. Interestingly in India the women feel the best informed.

Basis: Total: n = 4004Q1c: How would you rate your own knowledge of breast cancer screening?

Percentage

Scale: 1 = no knowledge6 = very well informed

mean

4,4

3,4

4,7

3,3

3,9

3,9

4,2

4,1

4,0

13


2a. Breast cancer screening - ImportanceRussia: Age

Basis: Total: n = 500 (Russia)Q1c: How would you rate your own knowledge of breast cancer screening?

Percentagemean

3,6

3,3

3,4

3,0

3,37

12

7

7

3

30

37

26

30

28

13

9

15

14

28

26

29

32

22

17

13

20

13

25

5

3

3

5

8

13

total

25-34 years

35-44 years

45-54 years

55-65 years

1 No knowledge 2 Deficient 3 Sufficient4 Satisfactory 5 Good 6 Very well informed


14


2a. Breast cancer screening - ImportanceRussia: Education

Basis: Total: n = 500 RussiaQ1c: How would you rate your own knowledge of breast cancer screening?

Percentagemean

3,5

3,3

3,0

3,3


7

15

8

4

30

33

31

29

13

3

14

28

39

26

29

17

6

18

19

5

3

4

812

total

Low

Mid

High


15



Basis: Total: n = 500 (Sweden)Q1c: How would you rate your own knowledge of breast cancer screening?

Percentagemean

4,3

3,9

3,1

2,5

3,46

12

8

2

2

31

55

37

20

11

16

16

16

15

18

8

20

25

20

19

9

12

20

35

10

1

7

15

17

17

total

25-34 years

35-44 years

45-54 years

55-65 years



16


2a. Breast cancer screening - ImportanceSweden: Education

Basis: Total: n = 500 (Sweden)Q1c: How would you rate your own knowledge of breast cancer screening?

Percentagemean

3,6

3,3

3,3

3,4


6

12

6

6

31

24

36

28

16

17

16

18

19

17

19

19

24

19

18

10

5

6

1416

total

Low

Mid

High


17


65

68

87

62

56

53

54

56

82

31

29

10

31

36

43

43

41

15

4

4

3

8

4

3

3

3

7

total

USA

Germany

Brazil

China

Russia

India

Sweden

Austria

yes no Can't remember

2a. Breast cancer screening - Usage About two thirds of the women indicate that they have had a breast cancer screening. In Austria and Germany the number is even higher - more than three quarters have had a breast cancer screening.

Basis: Total: n = 4004Q2a: Have you ever had a breast cancer screening examination before?

Percentage

18


Basis: Subsample (never have had a breast cancer screening before) Total: n = 1241Q2b: Would you please tell us why you have never had a breast cancer screening exam before?

2a. Breast cancer screening – Reasons for not having a breast cancer screeningOverall women who haven't had a breast cancer screening yet, mostly indicate that there are not at risk of getting breast cancer or are not at the age to worry.

Overcodes


23-17911245Exam by a doctor (other than mammogram)

12204-51056Important in a particular group of women

10913108846Neglectfulness/procrastination

42812128-27Lack of information

8-691311647Self checks show no symptoms

5-1191751017No time

--138614197Expensive/cannot afford it

--1386114208Question of cost/refunding

1031111231077Never was advised by a doctor to have one

18341112410109Doctor never recommended it to me

7111721546611I don't think I need it

716273014581217No need for a screening

263781626182918Not at the age to worry

303885929223120Not at risk


No breast cancer screening

19


2a. Breast cancer examination - Frequency About half of the women go the breast cancer screening examination once a year. In Sweden every other year is the most common frequency to go to breast cancer screening examination, whereas in Russia half of the women indicate going irregularly.

Basis: Subsample (Have had a breast screening examination before): n = 2590Q2c: How often do you go to breast cancer screening examinations?

Percentage

52

62

65

73

57

31

58

8

53

27

18

19

11

19

18

36

67

31

19

20

16

24

48

6

14

16

2

1

2

1

2

10

1

14

total

USA

Germany

Brazil

China

Russia

India

Sweden

Austria

Once a year Every 2 years Irregularly Don't know

20


2a. Breast cancer screening - ImportanceUSA: Education


Percentage

62

60

61

67

18

18

17

20

20

21

21

1

2

1

14

total

Low

Mid

High


21


2a. Breast cancer screening - ImportanceBrazil: Age

Basis: Subsample (Have had a breast screening examination before): n = 2590

Q2c: How often do you go to breast cancer screening examinations?

Percentage

73

65

76

78

77

11

12

14

8

7

14

20

8

17

2

3

3

113

total

25-34 years

35-44 years

45-54 years

55-65 years


22


2a. Breast cancer screening - ImportanceBrazil: Education


73

71

72

76

11

12

10

11

14

14

15

2

3

2

111

total

Low

Mid

High


Percentage

23


2a. Breast cancer screening - ImportanceRussia: Age


Percentage

31

31

27

29

40

18

10

20

25

15

48

59

48

44

2

5

2

2

44

total

25-34 years

35-44 years

45-54 years

55-65 years


24




Percentage

8

7

11

7

67

56

68

76

14

83

19

10

10

17

19

9

7

13

total

25-34 years

35-44 years

45-54 years

55-65 years


25


61

60

44

79

86

64

61

67

44

33

31

49

15

13

28

30

29

50

5

8

0

4

9

4

7

1

2

1

2

1

4

0

1

3

6

total

USA

Germany

Brazil

China

Russia

India

Sweden

Austria

Positively NeutralNegatively Don't know

2a. Breast cancer screening – Personal experiences Breast cancer screenings are mainly perceived as a positive or neutral experiences. In Brazil and China even more than three quarters of the women indicate that the experience was positive.

Basis: Subsample (Have had a breast screening examination before): n = 2590Q3: What were your personal experiences at your last breast cancer screening? How did you perceive the breast cancer screening exam?

Percentage

26


Basis: Subsample (positive experience Q3 and have had a breast cancer examination): n = 1581Q4: Please briefly explain your perception. Why did you perceive the screening exam positively / negatively?

2a. Breast cancer screening - Description of perception (I)


Positively

Overcodes

810181-1666Did not hurt at all

71313--27106Quick and easy test to do

1621272-3141812Quick and easy test procedure

210-7113115Clarity

1176301-10-7Results showed no cancer

152563712315314Quick results/clarity

1511027392713It is helpful

2511027434714Helps to detect cancer

-28-355175Was a positive experience

216-1837111813Because it has to be done

62214234621133724Positive/neutral (in general)


27


Basis: Subsample (positive experience Q3 and have had a breast cancer examination): n = 1581Q4: Please briefly explain your perception. Why did you perceive the screening exam positively / negatively?

2a. Breast cancer screening - Description of perception (II)


Overcodes

12731-02156Done by a person whom I trust

267152-01879Staff were informative

277158-118810Informative staff/good explanation

151512--12106Staff were friendly

281738-0201811Caring and responsive staff

1625-2-0987medical staff were well trained

3026-4-1211211Professional

74-5741746I felt good because afterwards

1341321101118712Peace of mind/relief


Positively

28


Basis: Total: n = 4004Q5a: In your opinion, what does a breast cancer screening examination include?

2a. Breast cancer screening examination – ComponentsGlobally the mammogram together with the clinical breast examination and the discussion with the doctor are most often perceived as components of a breast cancer screening examination.

67

83

43

67

85

20

93

61

37

76

83

48

86

82

73

50

82

30

47

86

72

21

90

11

94

91

53

Clinical breastexam

Mammogram

Ultrasound

Total USA Germany Brazil China Russia India Sweden Austria

49

3

3

51

2

5

76

3

0

52

3

3

55

1

4

42

3

4

23

0

5

17

1

6

76

4

0

Discussionwith the doctor

Other

Do not know

PercentageMultiple answers

29


Basis: Total: n = 4004Q5b: When you hear the term “breast cancer screening”, what do you personally associate with the term?

2a. Breast cancer screening - Associations The majority of the women associate the feeling to have done everything possible to prevent breast cancer with "breast cancer screening". In Russia and especially in India the fear of the examination results also play an important role when thinking about "breast cancer screening".

74

25

6

72

24

10

83

14

4

74

20

5

75

18

8

55

41

5

69

57

6

79

12

8

86

10

4

Peace of mind, having donewhat is currently possible toprevent or identify early a

dangerous disease

Fear of the examinationresults

Do not know


PercentageMultiple answers5

656

45

167

Other

30


Basis: Total: n = 4004Q5c Do you consider any of the following to be concerns that might limit you or prevent you from seeking breast cancer screening?

2a. Breast cancer screening - ConcernsGlobally one third of the women indicate that they do not have any concerns which prevent them from seeking breast cancer screening. However, in India many concerns are considered to limit the willingness to go to a breast cancer screening.



24

18

17

13

30

19

14

11

14

16

13

12

26

20

8

18

46

21

43

14

22

10

10

7

40

30

21

11

9

9

6

15

4

21

17

18

Costs are toohigh

Fear of painduring the

examination

Fear ofradiation

Not in thedefined age-

group (youngeror older thantarget group)

3

10

32

3

1

12

39

2

3

6

40

5

1

17

25

3

6

15

12

1

0

20

32

2

4

1

9

1

0

3

62

2

6

8

40

5

Religiousand/or cultural

reasons

No access, orlimited access,to healthcare

None of above

Other

20

14

26

15

13

9

18

8

16

5

24

11

15

13

20

13

27

16

28

23

14

6

23

3

52

54

59

42

3

3

7

4

17

7

27

11

Doubtswhether

screening iseffective

Fear ofcomplications

Fear of theexamination

results

Long waitingperiods beforethe screening

exam

31


2a. Breast cancer screening - ImportanceStatement: Costs are too high USA: Age/Education

Basis: Total: n = 500 (USA) Q5c Do you consider any of the following to be concerns that might limit you or prevent you from seeking breast cancer screening?

Percentage

37

25

31

26

25-34 years

35-44 years

45-54 years

55-65 years

Costs are too high

30

32

29

25

total

LowEducation

MidEducation

HighEducation

Age Education

32


2a. Breast cancer screening - ImportanceStatement: Fear of radiation China: Age/Education

Basis: Total: n = 500 (China)Q5c Do you consider any of the following to be concerns that might limit you or prevent you from seeking breast cancer screening?

Percentage

51

42

30

47

25-34 years

35-44 years

45-54 years

55-65 years

Fear of radiation

43

35

43

49

total

LowEducation

MidEducation

HighEducation

Age Education

33


22

3

6

15

3

9

40

4

2

11

2

2

27

0

12

22

3

13

8

4

15

3

9

40

5

1

ComputedTomography

(CT)

Other

None of theabove

Basis: Total: n = 4004Q13: Which of the following diagnostic methods used in breast cancer screening are you familiar with?

2a. Breast cancer screening – Familiar diagnostic methodsMammography is the best known diagnostic method used in breast cancer screening. Ultrasound follows on rank two.

57

86

27

9

46

88

31

15

73

95

25

6

49

89

10

3

63

78

36

24

47

74

17

3

66

80

51

11

30

88

8

3

80

98

35

8

Ultrasound

Mammography/ Mammogram

MagneticResonance

Imaging (MRI)

PET-CT


PercentageMultiple answer

34


4

5

7

12

3

3

3

2

1

2

6

63

6

9

4

2

Other

Do not know

Basis: Total: n = 4004Q14.What would motivate you to have a breast cancer screening examination?

2a. Breast cancer screening - MotivationMore than half of the women would be motivated to have a breast cancer screening either if they were educated on self-exam or if they belonged to a risk group.

57

53

26

34

34

39

31

34

75

69

42

35

56

42

8

25

71

52

16

34

41

38

6

18

54

44

48

46

52

65

21

41

77

73

39

42

Self exam /Education on

self-exam (USA)

Belonging to arisk group

Cancer in thepast

Knowingsomeone withbreast cancer



23

34

8

40

27

25

8

54

18

28

5

54

14

41

5

23

37

56

17

37

9

40

1

31

38

29

13

16

20

19

7

42

18

36

5

62

Discussion withfriends and / or

family

Referral to aspecialist

Newspaperarticle

Discussion with the doctor /

Recommendation by my physician

(USA)

35


45

24

50

46

50

30

74

48

36

10

31

3

6

15

9

11

1

2

46

45

47

35

61

15

51

62

48

total

USA

Germany

Brazil

China

Russia

India

Sweden

Austria

Yes No Do not know

2a. Breast cancer screening - Official screening programAlmost half of the women are not aware of whether there is an official screening program in their country. Exception: In India three quarters of the women state that there is an official screening program.

Basis: Total: n = 4004Q16. Is there an official screening program in your country?

Percentage

Question in USA:Is there an official screening program you are eligible to participate in?

36


20

24

31

19

33

28

27

36

46

48

42

46

25-34 years

35-44 years

45-54 years

55-65 years

Yes No Do not know

2a. Breast cancer screening - Official screening programUSA: Age/ Education

Basis: Total: n = 500 (USA)Q16. Is there an official screening program in your country?

Percentage

Question in USA:Is there an official screening program you are eligible to participate in?

24

17

25

38

31

30

31

32

45

53

44

30

total

Low Education

Mid Education

High Education

Age Education

37


42

61

54

34

14

16

14

13

44

23

32

53

25-34 years

35-44 years

45-54 years

55-65 years

Yes No Do not know

2a. Breast cancer screening - Official screening programChina: Age/ Education

Basis: Total: n = 500 (China)Q16. Is there an official screening program in your country?

Percentage

50

37

52

44

15

14

14

18

35

49

34

38

total

Low Education

Mid Education

High Education

Age Education

38


29

31

32

29

5

10

7

14

66

59

61

57

25-34 years

35-44 years

45-54 years

55-65 years

Yes No Do not know

2a. Breast cancer screening - Official screening programRussia: Age/ Education

Basis: Total: n = 500 (Russia)Q16. Is there an official screening program in your country?

Percentage

30

39

29

31

9

15

8

9

61

46

63

60

total

Low Education

Mid Education

High Education

Age Education

39


25

48

62

57

2

1

74

52

38

42

25-34 years

35-44 years

45-54 years

55-65 years

Yes No Do not know

2a. Breast cancer screening - Official screening programSweden: Age/ Education

Basis: Total: n = 500 (Sweden)Q16. Is there an official screening program in your country?

Percentage

48

29

42

56

1

1

0

51

71

57

44

total

Low Education

Mid Education

High Education

Age Education

2b Information sources

41


5

10

2

10

9

3

2

5

1

3

3

1

3

2

2

11

1

1

3

3

1

3

1

10

1

1

16

30

4

16

3

11

47

14

3

52

34

82

59

71

45

26

14

84

3

1

2

1

1

5

1

14

0

0

1

1

1

5

0

1

2

7

15

0

14

9

15

5

4

2

11

2

31

1

4

3

3

4

1

8

0

5

6

1

1

total

USA

Germany

Brazil

China

Russia

India

Sweden

Austria

Basis: Total: n = 4004Q6. Which person do you trust the most concerning the issue breast cancer screening?

2b. Information sources - Most trustworthy sourceOverall it is the gynecologist who is perceived as the most trustworthy information source, followed by the family physician.

PercentageSingle Choice

Mother Other family member, e.g. sister Best friend Family physician Gynecologist Governmental information center Independent information center Governmental agency (e.g. Department of Health) Do not know Other

42


Basis: Total: n = 4004Q7a. From which of the following information channels do you think general information about breast cancer screening is available, independent of whether you have used these channels or not?

2b. Information sources - Information channels Globally the women are most likely to think that it is possible to receive information about breast cancer screening from the gynecologists followed by the family physician.

79

53

19

32

41

71

70

13

35

43

95

55

22

33

35

85

36

5

17

38

80

23

10

40

62

74

31

4

17

42

61

62

41

44

42

65

68

19

28

16

99

77

39

39

46Total USA Germany Brazil China Russia India Sweden Austria


40

12

16

44

13

18

9

16

44

16

51

5

9

55

15

39

7

17

50

9

42

15

25

55

9

46

9

10

22

8

29

30

25

19

5

37

9

15

43

25

61

12

15

60

17

2

15

26

2

23

1

14

19

1

19

2

22

32

3

22

1

14

21

1

22

0

10

27

20

1

8

36

1

24

6

5

1

5

20

39

3

45

2

27

31

4

26

2

3

1

10

2

1

1

12

2

22

3

3

3

0

Women’s magazines

Family or friends

Pharmacist

Family physician

Gynecologist

Internet

Health reports on television

Newspapers

Weekly magazines

Specialty magazines

Governmental agencies (e.g. Department of Health)

Independent information centers

Official public information centers

Patient self-helporganizations

Patient onlinecommunities

None

Other

43


2b. Information sources - TrustworthinessThe gynecologist is by far the most trustworthy information source, followed by the family physician. The other information sources play a minor role.

Basis: Total: n = 4004 Q7b. And, which of the following information channels or sources of information do you consider especially trustworthy regarding breast cancer screening?

Percentage

Scale: 1 = not trustworthy6 = very trustworthy

69

44

12

16

17

25

6

8

22

8

1

10

19

1

18

8

8

6

14

22

15

6

8

20

5

1

4

7

0

4

2

1

1

2

1

1

1

1

0

0

0

1

0

0

21

47

81

68

59

60

88

84

56

87

98

85

74

99

78

Gynecologist

Family physician

Pharmacist

Family or friends

Women’s magazines

Specialty magazines

Weekly magazines

Newspapers


Internet

Patient online communities

Patient self-help organizations



Governmental agencies

Top Box (5+6) Middle Box (3+4) Bottom Box (1+2) N.A.

Total

44


2b. Information sources – TrustworthinessIn the USA the gynecologist and family physician are perceived almost equally trustworthy.

Basis: Total: n = 500Q7b. And, which of the following information channels or sources of information do you consider especially trustworthy regarding breast cancer screening?

Percentage


64

61

9

22

20

9

4

7

22

13

1

7

13

1

13

6

8

4

13

23

9

5

8

20

3

0

6

6

0

6

0

1

0

1

0

0

0

1

0

0

0

0

0

0

29

30

87

65

57

82

91

84

56

84

99

86

81

99

81

Gynecologist

Family physician

Pharmacist

Family or friends

Women’s magazines

Specialty magazines

Weekly magazines

Newspapers


Internet







USA

45


2b. Information sources - TrustworthinessIn Germany the gynecologist is by far the most trustworthy information source, followed by the family physician.


Percentage


89

45

11

15

7

28

1

2

21

6

0

17

23

2

16

5

10

11

18

26

22

4

6

34

9

1

5

8

1

6

0

1

1

2

1

1

1

0

0

0

0

0

0

0

5

45

78

67

65

49

95

91

45

85

98

78

68

97

78

Gynecologist

Family physician

Pharmacist

Family or friends

Women’s magazines

Specialty magazines

Weekly magazines

Newspapers


Internet







Germany

46


2b. Information sources - Trustworthiness The gynecologist is the most trustworthy information source. Besides the gynecologist, health reports on television and specialty magazines are also perceived as quite trustworthy.


Percentage


73

32

2

10

26

33

4

11

39

8

1

11

18

1

18

1

2

2

5

10

4

2

5

7

1

0

1

1

0

2

11

3

1

3

2

0

1

4

0

0

2

2

0

2

15

64

95

83

62

61

93

83

50

91

99

86

79

99

78

Gynecologist

Family physician

Pharmacist

Family or friends

Women’s magazines

Specialty magazines

Weekly magazines

Newspapers


Internet







Brazil

47


2b. Information sources - Trustworthiness In China two thirds of the women indicate that the gynecologist is a very trustworthy information source. The family physician plays a minor role.


Percentage


67

19

7

27

31

33

9

12

31

6

0

9

22

0

18

12

4

2

13

31

10

6

13

23

3

0

2

4

0

2

1

0

0

0

0

0

0

1

0

0

0

0

0

0

20

77

90

61

38

58

85

75

46

91

100

90

73

100

80

Gynecologist

Family physician

Pharmacist

Family or friends

Women’s magazines

Specialty magazines

Weekly magazines

Newspapers


Internet







China

48


2b. Information sources - Trustworthiness Compared to the other countries, the Russian women tend to evaluate the trustworthiness of the gynecologist as quite low – although the gynecologist is still the most trustworthy information source.


Percentage


48

21

1

3

7

21

0

1

8

3

0

4

23

0

18

21

8

2

13

31

23

6

8

12

5

0

4

11

1

5

5

2

1

5

2

2

2

2

0

0

0

2

0

1

26

69

96

83

58

54

91

90

78

92

99

92

64

99

76

Gynecologist

Family physician

Pharmacist

Family or friends

Women’s magazines

Specialty magazines

Weekly magazines

Newspapers


Internet







Russia

49


2b. Information sources - Trustworthiness The gynecologist and the family physician are perceived as the most trustworthy information sources.


Percentage


61

61

35

33

34

23

24

20

15

4

0

4

2

0

0

0

1

4

8

7

6

6

4

3

0

0

1

1

0

0

0

0

2

2

0

0

0

1

0

0

1

1

0

0

39

38

59

56

58

71

70

75

81

95

100

94

95

100

99

Gynecologist

Family physician

Pharmacist

Family or friends

Women’s magazines

Specialty magazines

Weekly magazines

Newspapers


Internet







India

50


2b. Information sources - Trustworthiness The gynecologist together with the family physician are perceived as the most trustworthy information sources. Interestingly governmental agencies are also evaluated quite trustworthy.


Percentage


52

47

9

7

1

22

1

4

16

14

2

12

25

2

38

13

21

10

21

14

15

8

11

28

11

3

8

14

1

7

0

0

0

1

0

0

0

0

0

0

0

0

0

0

35

32

81

72

84

63

91

85

57

75

95

80

61

97

55

Gynecologist

Family physician

Pharmacist

Family or friends

Women’s magazines

Specialty magazines

Weekly magazines

Newspapers


Internet







Sweden

51


2b. Information sources - Trustworthiness The gynecologist is the most trustworthy information source. Almost all Austrian women state that the gynecologist is very trustworthy.


Percentage


95

64

23

14

7

31

2

4

25

7

0

19

24

3

22

4

13

15

23

36

29

9

10

34

10

2

8

7

1

5

0

0

1

3

1

1

1

1

1

0

0

0

0

0

1

23

61

61

55

39

88

85

40

83

98

73

69

96

74

Gynecologist

Family physician

Pharmacist

Family or friends

Women’s magazines

Specialty magazines

Weekly magazines

Newspapers


Internet







Austria

52


0 20 40 60 80 100

Total

USA

Germany

Brazil

China

Russia

India

Sweden

Austria

Top-2-Boxes (6+7)


2b. Information sources - Trustworthiness (Country comparison)The gynecologist is the most trustworthy information source in all countries, whereas in Germany and in Austria he is evaluated as very trustworthy.

Percentage

Gynecologist

Family physician

Pharmacist

Family or friends

Women’s magazines

Specialty magazines

Weekly magazines

Newspapers


Internet






53


Basis: Total: n = 4004Q8. And, from which of these information sources have you personally received information about breast cancer screening?

2b. Information received from the following sources Globally the gynecologist is by far the most often used information source – followed by the family physician, family or friends, women's magazines and health reports on television.

60

25

7

23

22

47

46

5

23

18

84

15

1

18

9

69

16

2

14

17

58

16

6

33

48

60

11

0

17

22

55

56

39

41

36

22

14

1

17

5

88

24

3

20

16Total USA Germany Brazil China Russia India Sweden Austria


17

8

11

20

4

5

4

7

19

7

11

1

2

20

5

11

5

7

23

4

31

11

24

39

5

15

2

5

10

3

34

33

27

13

1

8

5

8

15

4

16

2

5

24

6

0

3

6

0

5

3

4

0

4

2

3

0

2

0

2

7

0

8

0

5

13

0

10

0

1

8

0

7

8

6

0

0

0

1

10

1

10

1

1

1

2

3

14

2

20

4

9

2

12

0

13

6

86

8

39

4

5

Women’s magazines

Family or friends

Pharmacist

Family physician

Gynecologist

None

Other

Internet

Health reports

on television

Newspapers

Weekly magazines

Specialty magazines


(e.g. Department of

Health)

Independent information

centers

Official public information

centers

Patient self-help

organizations

Patient onlinecommunities

If more than one answers were given, the woman got the question Q9.

The results of Q9 are mostlythe same as Q8.

54


69

73

77

77

75

49

89

25

82

15

9

10

12

8

25

9

39

8

17

18

12

17

27

2

36

10

10

total

USA

Germany

Brazil

China

Russia

India

Sweden

Austria

Yes No Do not know

2b. Evaluation of information provided by the doctor Overall, slightly more than two thirds of the women indicate that they feel well informed about breast cancer. In Sweden the share is considerably smaller – only one quarter of the women feel well informed.

Basis: Total: n = 4004Q15. What do you think about the breast cancer information your doctor communicates to you? Do you feel, that your doctor, especially your gynecologist informs you well?

Percentage

55


Basis: Total: n = 4004Q10a: Which of the following services, before or after breast cancer screening, are you familiar with?

2b. Information sources - Familiar servicesOverall, the women are most familiar with consultations with the physician either preliminary to or after the examination and with informational material. Interestingly almost half of the Swedish women indicate that they do not know any of the mentioned services.

50

56

33

54

56

49

45

51

56

70

20

74

47

59

24

53

48

70

56

69

33

49

17

52

56

71

62

36

41

10

16

19

65

73

21

80

Informational material (e. g.pamphlet or online

information)

Preliminary consultation withthe physician

Explanation by the physician’spractice personnel (eg, a nurse

or radiology technologist)

Consultation with the physicianfollowing the examination



32

0

15

47

0

19

35

0

6

19

0

9

45

0

8

27

1

17

3

7

21

1

45

56

0

4

Report ofresults from

theradiologist

Other

None ofabove

56


15

0

2813

4

0

1617

032

1

20

1

Report ofresults from

theradiologist

Other

Basis: Subsample (more than one answer in Q10a): n = 2566Q10b: And, which of the services that you selected is the single most important one to you?

2b. Information sources - Most important serviceMore than two thirds of the women state that the consultation either preliminary to or after the examination is the most important service.


PercentageSingle choice

8

24

10

44

11

14

14

33

2

18

1

66

3

42

6

44

6

20

23

36

2

17

4

61

26

48

16

10

7

7

17

37

2

17

1

61

Informational material (e. g.pamphlet or online

information)

Preliminary consultation withthe physician

Explanation by the physician’spractice personnel (eg, a nurse

or radiology technologist)

Consultation with the physicianfollowing the examination

57


Basis: Total: n = 4004 Q11. When you think of breast cancer screening overall, which information or information offers would you like to have?

2b. Information sources - Required information or information offers The women are mainly interested in information related to the procedure and further information about the disease. In Germany and Austria one fifths of the women indicate that the current information is enough.

102101016141810Don't know

24115692126Information related to the results

24830031927Current information is enough

235270-2211Right time to undergo screening

116131110226Cancer preventive measure

74162718327515Disease information

31331258367exact description of the procedure

15191139922111117Information related to the procedure

911-121765Booklets and pamphlets/brochures

8642412371913Doctors advice



Overcodes

2c Statement analysis

59


2c. Statement analysisThe public awareness of breast cancer and breast cancer screening is important to more than three quarters of the woman. Furthermore three out of four women require information material that contains understandable medical explanations.

Basis: Total: n = 4004 Q12: Now you will see a list of statements. Please tell us which of these statements you agree with and which you do not.

Percentage

Scale: 1 = do not agree at all6 = fully agree

60

48

81

31

54

55

74

69

53

48

53

51

55

33

38

18

31

38

36

23

27

37

38

36

37

35

7

14

2

8

9

4

4

10

14

10

13

9

37


Total

interested in information containing costs, life expectancy and the general impact on society and the hc system

to receive information material containing real pictures or reviews of affected people

to receive information material containing real stories and statements

to receive information material containing technical illustrations

to receive information material containing clinical images

important to receive information material containing informationabout examination procedures

important to receive information material containing understandable medical explanations

actively inform family and friends about breast cancer screening

willing to actively support the topic

have been asked for the advice on the topic of breast cancer andbreast cancer screening

important that public is informedabout breast cancer

gather information consciously and independently

wide-spread disease

60


2c. Statement analysisIn the USA the public awareness of breast cancer and breast cancer screening is important to almost three quarters of the woman. Additionally more than two thirds of the women want to receive information material that contains understandable medical explanations.


Percentage


USA













wide-spread disease64

44

73

27

57

54

69

62

56

53

45

48

51

32

44

24

34

37

37

27

31

37

36

43

40

37

4

12

3

6

8

4

7

6

11

12

12

12

39


61


2c. Statement analysisIn Germany it is also the public awareness of breast cancer / screening which concerns the women the most. About two thirds of the women agree on the fact that breast cancer is a widespread disease.

Basis: Total: n = 500Q12: Now you will see a list of statements. Please tell us which of these statements you agree with and which you do not.

Percentage


Germany














50

77

17

25

41

67

64

39

29

40

34

43

29

41

22

38

60

48

28

33

47

51

46

49

45

3

9

1

15

11

4

3

14

19

14

18

11

45


62


2c. Statement analysisThe majority of the women in Brazil agree that the public awareness of breast cancer/ screening is important. Interestingly only about one quarter of the women fully agree on the fact that breast cancer is a widespread disease.


Percentage


Brazil














50

86

40

79

77

85

84

63

73

72

65

74

44

33

10

33

18

20

12

13

29

23

22

25

21

28

16

3

3

3

4

3

8

4

7

10

5

26


63


2c. Statement analysisBesides the importance of the public awareness more than three quarters of the Chinesewomen are willing to actively support the topic.


Percentage


China














54

83

44

83

75

76

74

72

64

75

70

72

42

43

17

37

17

24

24

24

27

34

23

28

27

5

4

0

0

1

1

2

1

2

2

2

1

19


64


2c. Statement analysisIn Russia it is also the public awareness of breast cancer / screening which most women think is important.


Percentage


Russia














16

76

18

45

36

67

62

42

39

39

39

45

47

44

21

34

44

51

29

33

45

47

48

43

45

7

40

3

10

14

4

5

13

14

14

18

11

47


65


2c. Statement analysisIn India there is not much differentiation between the messages. More than three out of four women agree on every statement.


Percentage


India














80

85

77

83

83

86

84

85

83

86

85

82

15

19

15

21

16

16

13

16

14

17

14

15

16

0

1

0

1

1

0

0

0

0

0

0

1

2


66


2c. Statement analysisIn Sweden it is also the public awareness of breast cancer / screening which concerns the women the most. Furthermore almost three quarters of the women agree on the fact that breast cancer is a widespread disease.


Percentage


Sweden














34

83

9

40

28

68

59

28

27

34

35

32

26

47

15

21

50

48

25

33

48

43

46

44

49

2

19

1

9

24

7

8

24

30

20

21

19

70


67


2c. Statement analysisMore than three quarters of the Austrian women agree on the fact that the public awareness of breast cancer / screening is important. Besides that almost three quarters want to receive understandable medical explanations.


Percentage


Austria














58

81

19

19

42

71

65

38

20

37

31

44

33

35

18

32

61

47

24

30

47

53

48

47

43

2

7

1

20

10

5

5

16

28

15

22

13

49


68


0 20 40 60 80 100

Total

USA

Germany

Brazil

China

Russia

India

Sweden

Austria

Top-2-Boxes (6+7)


2c. Statement analysis – Country comparison All countries agree on the fact that it is vital that the public is informed about breast cancer and screening. Furthermore they agree on the importance of understandable medical information material and information about examination procedures.

Percentage













wide-spread disease

3 Realization of sample

70


AgeOverall, on average the women are approximately 40 years of age.

29 29

25

17

25

28 27

2022

30

27

21

38

32

21

8

39

32

23

6

2625

30

19

38

29,8

19,2

13

2426

25 2623

29

26

21

25 - 34 years 35 - 44 years 45 - 54 years 55 - 65 years

Percentage

Basis: Total: n = 4004B: Age

Total USA Germany Brazil China Russia India Sweden AustriaMean: 43,944,939,843,238,53944,243,942,2

71


Percentage

Highest educational qualificationHalf of the respondents have a middle educational qualification.


Basis: Total: n = 4004C: Highest educational qualification

24

52

24

34

54

13

44

28 2833

46

21

9

83

97

70

2427

65

88

38

54

3135 34

Low education Mid education High education

72


Percentage

ProfessionMore than two thirds of the women are white collar employees. In India the majority of the women are housewives.

8

39

12

8

28

3

6

55

5

1

32

17

6

64

15

7

43

11

2

16

19

36

18

19

1

56

9

blue-collarworker

white-collaremployee

governmentemployee

10

1

9

9

0

9

8

8

21

0

6

4

0

6

11

0

11

12

1

6

4

0

10

9

1

12

self-employed

farmer

retired


12

7

2

20

20

2

13

3

1

11

8

3

3

1

0

8

9

35

5

3

2

8

4

6

2

3

housewife

presentlyunemployed

student/pupil

Basis: Total: n = 4004D: Profession

73


Percentage

Size of householdHalf of the women live in a two or three person household.

13

26

25

17

35

23

20

39

20

4

24

26

2

9

55

14

25

27

1

8

23

36

19

23

37

19

1

2

3

20

11

5

18

5

4

16

4

1

25

15

5

17

13

4

21

8

4

34

36

20

16

4

2

16,2

4

1,2

4

5

>6


Basis: Total: n = 4004E: Size of household

74


Percentage

Number of children under 14 living in the householdMore than half of the women state that they have no children under 14 years living in their household.


Basis: Total: n = 4004F: How many children under 14 years live in your household?

55

28

14

3

67

17

12

4

72

1411

4

50

34

12

3

37

58

50

55

32

12

1

18

3835

9

71

14 13

2

73

16

10

2

0 children 1 child 2 children 3 or more children

75


Percentage

Total monthly incomeOverall the sample is equally spread over the income categories.

7

9

9

8

7

5

8

8

1

1

4

5

11

16

14

7

7

7

12

15

21

24

17

10

10

14

12

14

1

1

2

5

1

1

4

bis 499 €

500 - 749 €

750 – 999 €

1.000 – 1.249€


Basis: Total: n = 4004G: Total monthly net income of your household

9

7

7

6

6

8

8

4

7

7

7

10

8

3

6

5

14

10

6

7

9

4

4

2

10

8

7

3

11

8

12

11

5

7

4

9

1.250 – 1.499€

1.500 – 1.749€

1.750 – 1.999€

2.000 – 2.249€

6

7

6

4

6

5

6

8

5

15

7

8

7

6

8

3

3

4

5

7

7

6

4

2

3

2

2

1

1

1

7

6

4

3

2

13

15

7

2

2

6

9

12

7

9

2.250 – 2.499€

2.500 - 2.999 €

3.000 – 3.499€

3.500-3.999 €

4.000 € andmore

76


Percentage

Size of townAlmost half of the women indicate that they live in a town with more than 250,000 inhabitants.

11

14

16

15

19

23

17

26

24

3

7

18

0

4

8

3

8

10

2

8

6

15

15

31

31

23

10

< 5,000inhabitants

5,000 - 20,000inhabitants

20,000 -100,000

inhabitants


Basis: Total: n = 4004J: Size of town

13

46

16

27

10

23

19

54

16

72

8

71

16,8

67

14

25

7,6

27,7

100,000 -250,000

inhabitants

250,000 andmore

inhabitants

77


Percentage5

8

3

1

1

5

11

1

0

351

0

36

27

17

0

0

1

Hinduism

Buddhism

Judaism


Basis: Total: n = 4004J: What is your religion?

52

1

5

66

0

6

58

0

2

56

27

9

1

84

2

2

11,8

2,6

0,2

6171,1

1,4

Christianity

Islam

Open answers

Religion

4 Management summary

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Breast cancer screeningImportanceBreast cancer screening is an important topic for the majority of women. Especially in Brazil almost all women indicate that breast cancer screening is very important. However, in the US only about two thirds of the women evaluate the importance of breast cancer screening as very high.

KnowledgeThe knowledge about breast cancer differs considerably among the countries. Overall about 40% of the women rate their knowledge as good or very good. The Indian women feel the best informed – three out of four women state that their knowledge is good or very good, whereas in China, Russia and Sweden under one third of the women indicate to be well or very well informed about breast cancer screening.

UsageOverall approximately two out of three women have had a breast cancer screening so far. In Austria and Germany the share is even higher – more than three quarters of the women state that they have had a screening. While in China, Russia, India and Sweden slightly more than half of the women have had a screening.

Management Summary

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Breast cancer screeningFrequencyOverall, it is most common to go to the breast cancer screening once a year. However, in Sweden most women indicate that they go every other year to the examination, and in Russia the majority of the women state that they go to the screening irregularly.

Personal experienceBreast cancer screenings are usually perceived as a positive or at least neutral experience. In Brazil and China the vast majority of the women indicate that their experience was positive. In Germany and Austria the women tend to describe their experience as rather neutral. The number of women who have had a negative experience is quite small among all countries.

Components of the screening/examinationAccording to the majority of the women a breast cancer screening examination includes a mammogram, a clinical breast examination and the discussion with the physician.

AssociationsWhen thinking about breast cancer screening the majority of the female population associates the feeling to have done everything possible to prevent breast cancer. In Russia and especially in India the fear of the results also plays an important role.

Management Summary

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Breast cancer screeningConcernsOverall one third of the women state that they do not have any concerns which prevent them from seeking breast cancer screening. Especially in Sweden the share of women who have no concerns is quite high at 62%, whereas particularly in India many concerns are considered to limit the willingness to go to a breast cancer screening (e.g. doubts about the effectiveness, fear of complications, fear of the results) and also in China many women are concerned about the high costs and possible radiation.

Familiar diagnostic methods Besides mammography/mammogram, which is by far the best known diagnostic method, ultrasound is also known to many women. Slightly less than one third of the women also state that they are familiar with MRI, especially in India this method is known to half of the respondents.

Motivation The women are mostly motivated to have a breast cancer screening by having education on self-examination or because they belong to a risk group.

Official screening programOverall almost half of the women are not aware of whether there is an official screening program in their country. Especially in Russia and in Austria the awareness is quite low at 60%.The exception is India: three quarters of the women state that there is an official screening program.

Management Summary

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Information sourcesMost trustworthy sourceOverall it is the gynecologist who is perceived as the most reliable person. The family physicians follow at rank two.Particularly in Germany and in Austria the gynecologist plays by far the most important role. In the US the family physician is as important as the gynecologist and in India he is perceived as even more reliable than the gynecologist. Interestingly in Sweden the gynecologist, the family physician, the governmental information center and the governmental agency are perceived as equally trustworthy and almost one third indicated not to know which person is the most trustworthy.

Availability of informationOverall the women think they would most likely receive information from the gynecologist. Other possible information sources are the family physician, followed by health reports on TV, women's magazines and specialty magazines. In Sweden governmental agencies also play an important role.

Reliability In all countries the gynecologist is rated as the most reliable information source – especially in Germany and Austria more than 80% of the women state that the gynecologist is very trustworthy.

Management Summary

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Information sourcesFamiliar servicesOverall consultations with the physician either preliminary to or after the examination and informational material (e.g. pamphlet or online information) are the services the women are the most familiar with. Interestingly in Sweden the consultations with the physicians are much less familiar to the women than in the other countries and almost half of the women indicate not knowing any of the services.

Most important serviceThe most important services are the consultations with the physician either preliminary to or after the examination.

Information provided by the physician Overall approximately two thirds of the women feel well informed by their physician. This is particularly so in Austria and India where more than three quarters of the women indicate being well informed.In Russia and especially in Sweden the share is considerably smaller – about half of the women in Russia and only one quarter in Sweden feels well informed about breast cancer.

Management Summary

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MessagesAnalysisOverall it is the importance of the public awareness of breast cancer and breast cancer screening on which the women agree the most.Furthermore, women of all countries agree on the importance of information material that contains understandable medical explanations and information about examination procedures.Interestingly in India there is not much differentiation between the messages. More than three quarters of the women agree on every statement.

Management Summary

Breast Cancer Survey - Siemens GfK HealthCare Siemens „BCA-Survey“ 21.01.2011 Breast Cancer...

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Transcript of Breast Cancer Survey - Siemens GfK HealthCare Siemens „BCA-Survey“ 21.01.2011 Breast Cancer...