Developing a Mass Media Campaign to Promote Mammography Awareness in African American Women in the Nation’s Capital

Wallington, Sherrie Flynt; Oppong, Bridget A.; Iddirisu, Marquita; Adams‐Campbell, Lucile L.

doi:10.1007/s10900-017-0461-1

Cited by 13 publications

(11 citation statements)

References 21 publications

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“…These low‐cost strategies may offer alternatives for cost‐effectiveness and sustainability of cancer control health campaigns, especially in resource‐constrained settings. While mass media approaches in increasing breast health awareness and uptake of screening has been demonstrated in other settings, 15,16 cost and sustainability in LMIC settings is a major barrier to their wide adoption. Utilization of community structures offers the most sustainable awareness creation and screening invitation approaches in LMIC settings or even high‐income settings with health disparities 17,18 …”

Section: Discussionmentioning

confidence: 99%

Breast health awareness campaign and screening pilot in a Kenyan County: Findings and lessons

et al. 2021

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Background and Aim Breast cancer is the leading cancer in terms of incidence in Kenya. We conducted a breast cancer awareness and screening pilot to assess feasibility of rolling out a national screening program in Kenya. Methods Conducted in Nyeri County during October–November 2019, the pilot had three phases; awareness creation, screening (clinical breast examination and/or imaging) and final evaluation (post‐screening exit interviews and retrospective screening data review). Descriptive statistics on awareness, screening process and outputs were derived. Results During the pilot, 1813 CBE, 217 breast ultrasounds and 600 mammograms were performed. Mammography equipment utilization increased from 11% to 83%. Of 49 women with suspicious lesions on mammography, only 22 (44.9%) had been linked to care 4 months after the campaign. Of 532 exit interview respondents; 95% (505/532) were ≥35 years of age; 80% (426/532) had been reached by the awareness campaign. Majority (75% [399/532]) had received information from community health volunteers; 68% through social groups. Majority (79% [420/532]) felt the campaign had changed their behavior on breast health. Although 77% (407/532) had knowledge on self breast examination (SBE); only 13% practiced monthly SBE. More than half (58% [306/532]) had previously undertaken a CBE. Approximately 70% (375/528) were unaware of mammography before the pilot; 86% (459/532) had never previously undertaken a mammogram. Fifty‐five percent (293/532) of respondents had screening waiting times of >120 min. Conclusion Community health workers can create breast cancer screening demand sustainably. Adequate personnel and effective follow‐up are crucial before national roll‐out of a breast cancer screening program.

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Section: Discussionmentioning

confidence: 99%

Breast health awareness campaign and screening pilot in a Kenyan County: Findings and lessons

et al. 2021

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“…A trusting relationship with a health care provider and knowledge of the mammogram procedure and its risks and benefits have also been shown to increase uptake of screening mammography in minority women (Alexandraki & Mooradian, 2010). Research shows that interventions that increase Black women’s mammography uptake include community health workers (Copeland et al., 2018; Fouad et al., 2010; Hatcher et al., 2016; Russell et al., 2010), phone and multimedia interventions (Copeland et al., 2018; Gathirua-Mwangi et al., 2016; Russell et al., 2010), text messaging, smart phone applications (Coughlin, 2014), media targeting Black audiences (Wallington et al., 2018), and Black community engagement (Copeland et al., 2018; Coughlin, 2014; Falk et al., 2018; Leeks et al., 2012). Patient-centered care, compassionate care that is responsive to the needs and values of the individual patient, has been shown to be effective in improving health outcomes and breast cancer treatment adherence and is an essential component of any strategy aimed at increasing mammography uptake in Black women (Rathert et al., 2013).…”

Section: Discussionmentioning

confidence: 99%

Access to Care as a Barrier to Mammography for Black Women

Aleshire

Adegboyega

Escontrías

et al. 2020

Policy, Politics, & Nursing Practice

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Racial disparities in breast cancer screening, morbidity, and mortality persist for Black women. This study examines Black women’s mammography beliefs and experiences with specific focus on barriers to mammography access in an urban city in the South East, United States. This retrospective, qualitative study used Penchansky and Thomas’ conceptualization of health care access as the framework for the data analysis. In-depth, semistructured interviews were conducted with 39 Black women. Structural and personal factors continue to create barriers to mammography among Black women. Barriers to mammography were identified for each of the Penchansky and Thomas five dimensions of access to care: accessibility, affordability, availability, accommodation, and acceptability. Clinical practice strategies to increase mammography screening in Black women must be multifactorial, patient-centered, and culturally congruent. Policy development must address the structural barriers to mammography screening through expansion of health insurance coverage and increased accessibility to health care.

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“…For example, there is evidence suggesting that the use of media increases the likelihood of participating in routine cancer screening such as mammograms. 22,23 Conversely, messages in the media may prompt negative emotions including worry and fear and in turn, information avoidance (eg, decision not to seek screening). 24 -29…”

Section: Introductionmentioning

confidence: 99%

Associations Between Objective Television Exposure and Cancer Perceptions in a National Sample of Adults

et al. 2019

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The expanding sources of media coverage of cancer may have a powerful impact on emotions, cancer knowledge, information seeking, and other health behaviors. We explored whether television advertisements were associated with cancer worry, perceived risk, and perceived ability to prevent cancer using cross-sectional data from the Health Information National Trends Survey (HINTS) linked to television advertisement data from Kantar Media. We conducted hierarchical linear modeling assessing 2-level models for each of the 3 outcomes of interest. The most common content included advertisements for cancer clinics (54.4%), public service announcements about cancer (22.0%), and advertisements about cancer organizations (9.1%). Most variance in cancer perceptions was due to individual-level characteristics and not exposure to television advertisements, which aligns with previous literature suggesting a small, but significant, association of television exposure with health beliefs. Higher levels of exposures to cancer-specific television advertisements were associated with higher levels of risk perceptions. Additionally, older adults’ levels of perceived worry and risk were more likely to be associated with television exposure than younger adults. Given the substantial investments being made in cancer advertisements on television, the differences in exposure are important to consider in future efforts to understand predictors of beliefs about cancer and in the development of interventions designed to target risk-reducing behaviors.

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Developing a Mass Media Campaign to Promote Mammography Awareness in African American Women in the Nation’s Capital

Cited by 13 publications

References 21 publications

Breast health awareness campaign and screening pilot in a Kenyan County: Findings and lessons

Breast health awareness campaign and screening pilot in a Kenyan County: Findings and lessons

Access to Care as a Barrier to Mammography for Black Women

Associations Between Objective Television Exposure and Cancer Perceptions in a National Sample of Adults

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