A meta-analysis of interventions to promote mammography among ethnic minority women

Hae Ra Han, Jong Eun Lee, Jiyun Kim, Haley K. Hedlin, Heejung Song, Miyong T. Kim

Research output: Contribution to journalArticle

Abstract

BACKGROUND:: Although many studies have been focused on interventions designed to promote mammography screening among ethnic minority women, few summaries of the effectiveness of the interventions are available. OBJECTIVE:: The aim of this study was to determine the effectiveness of the interventions for improving mammography screening among asymptomatic ethnic minority women. METHODS:: A meta-analysis was performed on intervention studies designed to promote mammography use in samples of ethnic minority women. Random-effects estimates were calculated for interventions by measuring differences in intervention and control group screening rates postintervention. RESULTS:: The overall mean weighted effect size for the 23 studies was 0.078 (Z = 4.414, p <.001), indicating that the interventions were effective in improving mammography use among ethnic minority women. For mammography intervention types, access-enhancing strategies had the biggest mean weighted effect size of 0.155 (Z = 4.488, p <.001), followed by 0.099 (Z = 6.552, p <.001) for individually directed approaches such as individual counseling or education. Tailored, theory-based interventions resulted in a bigger effect size compared with nontailored interventions (effect sizes = 0.101 vs. 0.076, respectively; p <.05 for all models). Of cultural strategies, ethnically matched intervention deliveries and offering culturally matched intervention materials had effect sizes of 0.067 (Z = 2.516, p = .012) and 0.051 (Z = 2.365, p = .018), respectively. DISCUSSION:: Uniform improvement in mammography screening is a goal to address breast cancer disparities in ethnic minority communities in this country. The results of this meta-analysis suggest a need for increased use of a theory-based, tailored approach with enhancement of access.

Original languageEnglish (US)
Pages (from-to)246-254
Number of pages9
JournalNursing Research
Volume58
Issue number4
DOIs
StatePublished - Jul 2009

Fingerprint

Mammography
Meta-Analysis
Counseling
Breast Neoplasms
Education
Control Groups

Keywords

  • Ethnic minority women
  • Mammography
  • Metaanalysis

ASJC Scopus subject areas

  • Nursing(all)

Cite this

A meta-analysis of interventions to promote mammography among ethnic minority women. / Han, Hae Ra; Lee, Jong Eun; Kim, Jiyun; Hedlin, Haley K.; Song, Heejung; Kim, Miyong T.

In: Nursing Research, Vol. 58, No. 4, 07.2009, p. 246-254.

Research output: Contribution to journalArticle

Han, Hae Ra ; Lee, Jong Eun ; Kim, Jiyun ; Hedlin, Haley K. ; Song, Heejung ; Kim, Miyong T. / A meta-analysis of interventions to promote mammography among ethnic minority women. In: Nursing Research. 2009 ; Vol. 58, No. 4. pp. 246-254.
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