Knowledge and attitude on screening mammography among low-literate, low-income women

Davis, Terry C.; Arnold, Connie L.; Berkel, Hans J.; Nandy, Indrani; Jackson, Robert H.; Glass, Jonathan

doi:10.1002/(sici)1097-0142(19961101)78:9<1912::aid-cncr11>3.0.co;2-0

Cited by 215 publications

(147 citation statements)

References 17 publications

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“…Beliefs about cancer and its treatment may affect patients' willingness to seek screening tests and professional care [39]. Disparities have been identified in cancer screening tests [40] related to access to health care [41] and other factors [42]. Cancer mortality rates are a significant contributor to the disproportionate mortality rates experienced by African-Americans compared to whites [43].…”

Section: Cultural Barriers To Cancer Screening and Treatmentmentioning

confidence: 99%

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The Role of Culture in Health Literacy and Chronic Disease Screening and Management

Shaw

Huebner

Armin

et al. 2008

J Immigrant Minority Health

192

132

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Section: Cultural Barriers To Cancer Screening and Treatmentmentioning

confidence: 99%

“…Further, increasing health literacy may mitigate these cultural barriers to care [46]. Women in a Louisiana public hospital, for example, were more likely to have had a mammogram if they accurately understood the purpose of the procedure [42].…”

Section: Cultural Barriers To Cancer Screening and Treatmentmentioning

confidence: 99%

The Role of Culture in Health Literacy and Chronic Disease Screening and Management

Shaw

Huebner

Armin

et al. 2008

J Immigrant Minority Health

192

132

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“…1 Previous studies found that patients with low literacy tend to misunderstand medical instructions, [2][3][4][5] miss routine physician appointments, 6,7 have worse health status, 6,8 and use more hospital services. 9,10 Health care costs associated with low literacy are estimated at $8 to $12 billion per year, and are primarily attributable to excess hospitalizations.…”

mentioning

confidence: 99%

The roles of low literacy and social support in predicting the preventability of hospital admission

et al. 2006

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“…15 In short, 445 women aged 40 years and over who had not had a mammogram in the past year and were waiting to see a physician in one of two outpatient clinics at Louisiana State University Medical Center-Shreveport (LSUMC-S), were enrolled in the study. The Ambulatory Care Clinic and the Eye Clinic were chosen because they have the longest waiting times and would allow time for patient enrollment.…”

Section: Methodsmentioning

confidence: 99%

Intervention to increase mammography utilization in a public hospital

1998

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OBJECTIVE:To study the effects of three approaches to increasing utilization of screening mammography in a public hospital setting in Northwest Louisiana. DESIGN: Randomized intervention study.POPULATION: Four hundred forty-five women aged 40 years and over, predominantly low-income and with low literacy skills, who had not had a mammogram in the preceding year. INTERVENTION:All interventions were chosen to motivate women to get a mammogram. Group 1 received a personal recommendation from one of the investigators. Group 2 received the recommendation plus an easy-to-read National Cancer Institute (NCI) brochure. Group 3 received the recommendation, the brochure, and a 12-minute interactive educational and motivational program, including a soap-operastyle video, developed in collaboration with women from the target population. MEASUREMENTS AND MAIN RESULTS:Mammography utilization was determined at 6 months and 2 years after intervention. A significant increase ( p ‫؍‬ .05) in mammography utilization was observed after the intervention designed in collaboration with patients (29%) as compared with recommendation alone (21%) or recommendation with brochure (18%) at 6 months. However, at 2 years the difference favoring the custom-made intervention was no longer significant. CONCLUSIONS: At 6 months there was at least a 30% increase in the mammography utilization rate in the group receiving the intervention designed in collaboration with patients as compared with those receiving the recommendation alone or recommendation with brochure. Giving patients an easy-to-read NCI brochure and a personal recommendation was no more effective than giving them a recommendation alone, suggesting that simply providing women in a public hospital with a low-literacy-level, culturally appropriate brochure is not sufficient to increase screening mammography rates. In a multivariate analysis, the only significant predictor of mammography use at 6 months was the custom-made intervention.

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Knowledge and attitude on screening mammography among low-literate, low-income women

Cited by 215 publications

References 17 publications

The Role of Culture in Health Literacy and Chronic Disease Screening and Management

The Role of Culture in Health Literacy and Chronic Disease Screening and Management

The roles of low literacy and social support in predicting the preventability of hospital admission

Intervention to increase mammography utilization in a public hospital

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