Zeghal D
Mahjoub S
Zakraoui M. A
Ben Aissa R
Zaanouni E
Lazaar I
Mbarek F
Ouechtati A
Zouari F
Boussen H
Gueddana N


Objectif: Evaluate the degree of satisfaction of women included in the large scale mammography program of breast cancer screening in the state of Ariana in Tunisia.
Matériel and methods: Within the women explored by mammography, we have contaced 112 patients who had a positif screening requiring histological checking. We have established a questionnaire concerning: the invitation, the clinical examination, the result announcement and the therapeutic management.
Results: The average age of patients was 49 years. 64% had a primary education level. 80 women or 71.4% were satisfied with the process of screening and the method of announcement. The main cause of dissatisfaction for patients with cancer diagnosis was delay and difficult access to adjuvant treatments. Among patients who had histological diagnosis: 47.3% had a malignant disease (53 cases) against 37.5% of benign (42 cases).  100% of patients who had a pathological result reassuring are satisfied at the end of the screening program.
Discussion: The psychosocial impact of screening must be considered for the development of new programs. The waiting and announcement of results are essential factors that allow us to judge the success of the project, because of patient satisfaction will depend the quality of monitoring and adherence to screening.


Cancer, Breast, mammography, satisfaction, Coverage, level of quality



  1. D.schotterfeld, J. Fraumeri. Cancer Epidemiology and prevention: Oxford university press. 1996.
  2. Wilson et Yonger : critères du dépistage, OMS 1968.
  3. Marteau TM . Reducing the psychological costs. Br Med J 1990;301:26-8.
  4. Miller AB. The costs and benefits of breast cancer screening. Am J Prev Med 1993;9:175-80.
  5. Centre de recherche opértionnelle en santé publique. Louis Pasteur. La santé de la population en Belgique, en communauté française, en région Wallone et en région bruxelle capitale, résumé des résultats, enquête de santé, Belgique 1997, P38 :69-70
  6. Sutton S, Saidi G, Bickler G, Hunter J. Does routine Screening for breast cancer raise anxiety from a three wave prospective study in England. J. epidemiol community health 1995;49:413-8..
  7. Savage AS., Clarke AV. Factors associated with screening mammography and breast self examination interventions, health education research, vol 11,n°4:409-21.
  8. Meystre-Agustoni G, Exploring for non participation of women in a breast cancer screening compaign, european journal of public health, vol 8, n°2: 143-145.
  9. Eisinger F, Moatti JP. Attitudes de la population féminine française face au dépistage des cancers, Bull cancer, 81 :683-690.
  10. Mc Noe Br, Richardson AK, factors affecting participation in mammography screening, New zeland Medical Journal, 27 septembre 1996,109: 359-361.
  11. Valdini A, Cargill C, access and barriers to mammography in new England community health centers, the journal of family practice, septembre 1997, vol 45, n°3:243-249.