“…The reason most often suggested for the underuse of mammography is that doctors do not recommend it to their patients (Fox et al, 1988). Consequently, systematic efforts to address the low rates of mammography use have focused almost exclusively on interventions aimed at changing referral practices among health-care providers (Fox, Tsou, & Klos, 1985a, 1985b). Only recently has attention been paid to influencing the behavior of patients (Reynolds, West, & Aiken, 1990; Rimer et al, 1989).…”