Measuring sustained mammography use by urban African-American women

Amanda L. Greene, Celeste M. Torio, Ann C. Klassen

Research output: Contribution to journalArticle

Abstract

Although the numbers of African-American women who are 'ever' screened for breast cancer has increased, sustaining regular screening over a lifetime remains a problem. Face-to-face interviews about breast cancer screening were conducted with 576 African-American women from an east coast city. The well-screened index measuring adherence to breast cancer screening guidelines was developed and tested. This index incorporated a woman's past and present use of mammography plus her future intent to be screened. Respondents were dichotomized into well-screened and not well-screened groups. Social and psychological factors associated with sustained screening as measured by this index were then explored. In bivariate analyses, education, health insurance, usual source of care, chronicity and preference for provider ethnicity and gender were significantly different for the two groups. In the multivariate model, women who were well-screened were significantly more likely to report recent physician contact, Pap smear, dental visit, history of breast problems, and beliefs that screening should be done annually and that early detection improves outcomes. Women reporting poor health were less likely to be well-screened. The well-screened index can potentially be used for assessment by clinicians and for program evaluation; however further validation studies need to be conducted. Despite limited resources, the majority of these urban African-American women are building lifetime patterns of regular breast cancer screening. Focused efforts are needed to achieve sustained screening patterns in the 25% who are not regularly screened.

Original languageEnglish (US)
Pages (from-to)235-251
Number of pages17
JournalJournal of Community Health
Volume30
Issue number4
DOIs
StatePublished - Aug 2005

Fingerprint

Mammography
African Americans
cancer
Early Detection of Cancer
Breast Neoplasms
Papanicolaou Test
Validation Studies
psychological factors
Program Evaluation
Health Insurance
health insurance
social factors
American
Tooth
Breast
ethnicity
Group
physician
contact
Guidelines

Keywords

  • African-American women
  • Breast cancer screening
  • Mammography

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health(social science)
  • Health Professions(all)

Cite this

Measuring sustained mammography use by urban African-American women. / Greene, Amanda L.; Torio, Celeste M.; Klassen, Ann C.

In: Journal of Community Health, Vol. 30, No. 4, 08.2005, p. 235-251.

Research output: Contribution to journalArticle

Greene, Amanda L. ; Torio, Celeste M. ; Klassen, Ann C. / Measuring sustained mammography use by urban African-American women. In: Journal of Community Health. 2005 ; Vol. 30, No. 4. pp. 235-251.
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