Abstract
This study, funded by the National Breast Screening Programme, was undertaken in 1992 at the Helen Garrod Breast Screening Unit, Nottingham. In a sample of 400 women who attended first round screening in 1989 and remained eligible for screening 10 per cent failed to attend triennial recall. A sample of a further 400 women who had been screened previously containing 200 women who reattended for second round screening and 200 who failed to reattend were studied anonymously by questionnaire. No significant difference existed between reattenders and non reattenders in their perceived personal risk of breast cancer. A significant difference existed between the two groups in (1) their knowledge of breast cancer, (2) their ease of attending for screening, and (3) their previous experience of breast screening. Half of the women who failed to return implicated their initial visit in this decision 41 per cent implicating pain, 6 per cent stress and 3 per cent embarrassment Hence a small percentage (5 per cent) of women do not reattend for screening because of a negative experience at their initial visit. Every effort should therefore be made to make screening as acceptable as possible.