<i>On Linkages</i>: A Mobile Mammography Pilot Project to Increase Screening among Latina Women of Low Socioeconomic Status

Massin-Short, Sarah B.; Grullón, Minerva A.; Judge, Christine M.; Ruderman, Karen R.; Grullón, Milagro; Lora, Vilma

doi:10.1177/003335491012500521

Cited by 17 publications

(14 citation statements)

References 6 publications

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“…This is due, in part, to churches having a longstanding history in the surrounding communities as a strong cultural, familial, and social institution [21][22]. In addition, incorporating a collaborative approach with community-based organizations provides support through strengthened recruitment and follow-up outcomes [23][24].…”

Section: Discussionmentioning

confidence: 99%

Mobile Mammography Unit Utilization: Perceptions and Interests Among African American Women

Hall¹,

Guidry²,

Jones³

2017

AJHR

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Among women globally, breast cancer is the most frequently diagnosed malignancy and the leading cause of cancer mortality. Moreover, for racial/ethnic minorities and those of low socioeconomic status (SES), these groups experience a poorer quality of life and diminished survival. This is due, in part, to underutilization of mammography screening and a lack of adherence to subsequent follow-up guidelines. The purpose of this study is to gain insight on perceptions of and interest in mobile mammography unit (MMU) utilization among African American (AA) women, primarily of low SES; as well as obtain strategies for effective information dissemination. Researchers partnered with local grocery stores, community centers, churches, shopping centers and hair salons to act as recruitment sites. Each establishment was within a 10 mile radius of the multi-service center being used to conduct the focus groups. Participant eligibility included: (a) the individual must be female, (b) between 35 and 65 years of age, (c) a current resident of Harris County, Texas, (d) self-identified as AA and (e) had no previous cancer history. Sixty-one AA women participated across six focus groups. The focus groups revealed that participants perceived the availability of MMUs as an effective strategy to increase guideline adherence. In addition, all participants stated MMUs would be of interest to women in their communities. Various suggestions to strengthen engagement were conveyed by participants as well. Specifically, offering services during non-traditional hours and in highly accessible locations; and partnering with community venues and incorporating principles of social support were conveyed.

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Section: Discussionmentioning

confidence: 99%

Mobile Mammography Unit Utilization: Perceptions and Interests Among African American Women

Hall¹,

Guidry²,

Jones³

2017

AJHR

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“…[5][6][7] Concerning the other performance indicators, data have been reported in a few articles but the results were limited to mobile units and were not compared to fixed centres. 8,[12][13][14] This population-based study utilized routine followup data collected for women participating in the same screening program. Comparisons between mobile units and fixed centres were conducted for several key performance indicators while taking into account a broad range of potential confounding factors.…”

Section: Discussionmentioning

confidence: 99%

“…In some studies, screening results for mobile units were reported but were not compared to fixed centres. 8,[12][13][14] The aims of this study were to evaluate the contribution of mobile mammography units to participation rate, and to compare screening performance between mobile units and fixed centres in the organized mammography screening program of Quebec, Canada. …”

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confidence: 99%

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Contribution and Performance of Mobile Units in an Organized Mammography Screening Program

Fontenoy

Langlois

Daigle

et al. 2013

Can J Public Health

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Breast cancer screening enables early detection of breast cancer which leads to a reduction in mortality.1,2 The Quebec breast cancer screening program began in 1998 and offers women aged 50-69 a biennial screening mammography. 3 Since 2002, three mammography mobile units were progressively added to the program. The program relies on two motorized units and a portable unit transported by plane or boat that extends screening services to regions not accessible by land. In the present study, we use the term "mobile units" to refer to both (motorized and portable) types of mammography units. The purpose of these units is to provide services to regions not covered by fixed centres. In addition, they can provide temporary relief to fixed centres that have insufficient resources to ensure timely breast screening.Mobile units have been added to screening programs in various countries to increase geographical accessibility to breast cancer screening. 4 Studies have shown that mobile units are effective at improving the participation rate, 5-7 that mobile units can decrease barriers to screening for hard-to-reach populations 8 and that educational interventions associated with mobile unit visits can increase adherence.9 However, mobile units have different operating practices when compared to stationary (fixed) centres in terms of personnel, work conditions and environment. Moreover, screening in mobile units may require ongoing calibration of instruments, and where analogue units are used, films cannot be developed onsite. These differences could have an impact on screening outcomes but there are few studies comparing the performance of mobile units to fixed sites. 10,11 These studies focussed primarily on comparing costs and other elements (price, access, quality assurance). In some studies, screening results for mobile units were reported but were not compared to fixed centres. 8,[12][13][14] The aims of this study were to evaluate the contribution of mobile mammography units to participation rate, and to compare screening performance between mobile units and fixed centres in the organized mammography screening program of Quebec, Canada. METHODS Population and dataAll eligible women residing in the province, aged 50-69 years, are invited to participate in the Quebec breast cancer screening program. Each participant is asked to sign a written consent form to allow the collection of personal characteristics and screening information. Over the study period, 98% of participants provided written consent. ABSTRACT BACKGROUND: The aims of this study were to evaluate the contribution of mobile mammography units to participation rate and to compare their performance to fixed screening centres within the organized mammography screening program of Quebec, Canada.

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“…Mobile health units are increasingly utilized to address barriers to mammography screening [9]. Despite the existence of mobile mammography outreach throughout the US, there is a paucity of data describing the populations served by mobile units and the ability to reach underserved populations and address disparities [10–15].…”

Section: Introductionmentioning

confidence: 99%

Mobile Mammography in Underserved Populations: Analysis of Outcomes of 3,923 Women

et al. 2013

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Mobile health units are increasingly utilized to address barriers to mammography screening. Despite the existence of mobile mammography outreach throughout the US, there is a paucity of data describing the populations served by mobile units and the ability of these programs to reach underserved populations, address disparities, and report on outcomes of screening performance. To evaluate the association of variables associated with outcomes for women undergoing breast cancer screening and clinical evaluation on a mobile unit. Retrospective analysis of women undergoing mammography screening during the period 2008–2010. Logistic regression was fitted using generalized estimating equations to account for potential repeat annual visits to the mobile unit. In total, 4,543 mammograms and/or clinical breast exams were conducted on 3,923 women with a mean age of 54.6, 29 % of whom had either never been screened or had not had a screening in 5 years. Age < 50 years, lack of insurance, Hispanic ethnicity, current smoking, or having a family relative (<50 years of age) with a diagnosis of cancer were associated with increased odds of a suspicious mammogram finding (BIRADS 4,5,6). Thirty-one breast cancers were detected. The mobile outreach initiative successfully engaged many women who had not had a recent mammogram. Lack of insurance and current smoking were modifiable variables associated with abnormal screens requiring follow up.

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On Linkages: A Mobile Mammography Pilot Project to Increase Screening among Latina Women of Low Socioeconomic Status

Cited by 17 publications

References 6 publications

Mobile Mammography Unit Utilization: Perceptions and Interests Among African American Women

Mobile Mammography Unit Utilization: Perceptions and Interests Among African American Women

Contribution and Performance of Mobile Units in an Organized Mammography Screening Program

Mobile Mammography in Underserved Populations: Analysis of Outcomes of 3,923 Women

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