Adherence to screening mammography recommendations in a university general medicine clinic

Dolan, Nancy C.; Reifler, Douglas; McDermott, Mary McGrae; McGaghie, William C.

doi:10.1007/bf02599947

Cited by 33 publications

(37 citation statements)

References 21 publications

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“…6 While the gap in screening mammography use by race has narrowed, 7 mammography remains underused among minorities and women with less education, 3,8,9 even those receiving physician recommendations for mammography. 10 A 1998 Annals of Internal Medicine editorial reported that "to harness the full benefit of early detection, we must understand and overcome barriers to mammography use in ethnic minority populations." 11 To address this need, we developed and evaluated a community-based breast cancer education program for older women and implemented the program through an urban social service organization.…”

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confidence: 99%

Outcomes of the Learn, Share & Live breast cancer education program for older urban women

2000

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OBJECTIVES: This study assessed whether the Learn, Share & Live breast cancer education program resulted in favorable, replicable, and sustainable outcomes. METHODS: The program was implemented at index (year 1) and replication (year 2) sites. Baseline interviews (year 1; n = 240) and 2 follow-up telephone interviews (years 2 and 3; n = 337 and 323) were used to assess postintervention changes. RESULTS: From baseline to year 2, mammography adherence and stage of adoption improved at the index site relative to the replication site. Knowledge scores and percentages of respondents reporting that a friend had spoken with them about mammography improved significantly. Improvements were sustained through year 3 (2 years postintervention). In year 3, replication participants showed improvements in regard to knowledge and perceived mammography benefits, and there was a trend toward increased adherence. Site differences in postintervention adherence may have stemmed from respective choices of follow-up activities. CONCLUSIONS: The study outcomes affirm the impact of Learn, Share & Live, indicating a replicated and sustained program effect. Future studies should continue longer follow-up and explore the importance of providing mammography opportunities along with education.

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confidence: 99%

Outcomes of the Learn, Share & Live breast cancer education program for older urban women

2000

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“…Women's lack of resources, combined with cultural or attitudinal barriers and limited access to affordable mammography, may directly reduce the likelihood of use, both in the absence of a physician recommendation and following one. 44,45 Interventions to increase appropriate physician recommendation must be accompanied by complementary efforts that help women overcome economic barriers to mammography use. Interventions must also be accompanied by outreach efforts that prompt women to obtain mammography, encourage women to talk with their physicians about referral for mammography, and assist women in overcoming barriers to compliance with physician recommendation for mammography.…”

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confidence: 99%

The association of race/ethnicity, socioeconomic status, and physician recommendation for mammography: who gets the message about breast cancer screening?

2001

Am J Public Health

222

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OBJECTIVES: This study investigated the association between physician recommendation for mammography and race/ethnicity, socioeconomic status, and other characteristics in a rural population. METHODS: In 1993 through 1994, we surveyed 1933 Black women and White women 52 years and older in 10 rural counties. RESULTS: Fifty-three percent of the women reported a physician recommendation in the past year. White women reported recommendations significantly more often than did Black women (55% vs 45%; odds ratio = 1.49). Controlling for educational attainment and income eliminated the apparent racial/ethnic difference. After control for 5 personal, 4 health, and 3 access characteristics, recommendation for mammography was found to be more frequent among women who had access to the health care system (i.e., had a regular physician and health insurance). Recommendation was less frequent among women who were vulnerable (i.e., were older, had lower educational attainment, had lower annual family income). CONCLUSIONS: Socioeconomic status, age, and other characteristics--but not race/ethnicity--were related to reports of a physician recommendation, a precursor strongly associated with mammography use. Efforts to increase physician recommendation should include complementary efforts to help women address socioeconomic and other barriers to mammography use.

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“…Dolan (1995) found that among women who do receive recommendation for a screening mammogram, lowincome women are among those least likely to undergo the procedure. The answers to the proposed research questions will be helpful to develop recommendations to assess screening and risk factor control and to design interventions for low-income middle-aged women.…”

Section: Objectivesmentioning

confidence: 99%

Mammogram compliance among low-income middle-aged women in Puerto Rico

Sánchez-Ayéndez¹

2002

PsycEXTRA Dataset

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Adherence to screening mammography recommendations in a university general medicine clinic

Abstract: Acceptance of screening mammography recommendations decreases with age. Among the women who agreed to the recommendation for screening mammography, insurance type and health care provider level of training best predicted adherence.

Cited by 33 publications

References 21 publications

Outcomes of the Learn, Share & Live breast cancer education program for older urban women

Outcomes of the Learn, Share & Live breast cancer education program for older urban women

The association of race/ethnicity, socioeconomic status, and physician recommendation for mammography: who gets the message about breast cancer screening?

Mammogram compliance among low-income middle-aged women in Puerto Rico

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