We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Increasing Use of Mammography Among Older, Rural African American Women: Results From a Community Trial.
- Authors
Earp, Jo Anne; Eng, Eugenia; O'Malley, Michael S.; Altpeter, Mary; Rauscher, Garth; Mayne, Linda; Mathews, Holly F.; Lynch, Kathy S.; Qaqish, Bahjat
- Abstract
Objectives. A community trial was undertaken to evaluate the effectiveness of the North Carolina Breast Cancer Screening Program, a lay health advisor network intervention intended to increase screening among rural African American women 50 years and older. Methods. A stratified random sample of 801 African American women completed baseline (1993-1994) and follow-up (1996-1997) surveys. The primary outcome was self-reported mammography use in the previous 2 years. Results. The intervention was associated with an overall 6 percentage point increase (95% confidence interval [CI] = -1, 14) in communitywide mammography use. Low-income women in intervention counties showed an Z1 percentage point increase (95% CI = 2, 21) in use above that exhibited by low-income women in comparison counties. Adjustment for potentially confounding characteristics did not change the results. Conclusions. A lay health advisor intervention appears to be an effective public health approach to increasing use of screening mammography among low-income, rural populations. (Am J Public Health. 2002;92:646-654)
- Subjects
BREAST cancer; MEDICAL screening; AFRICAN American women; MAMMOGRAMS; POOR women; PUBLIC health
- Publication
American Journal of Public Health, 2002, Vol 92, Issue 4, p646
- ISSN
0090-0036
- Publication type
Article
- DOI
10.2105/AJPH.92.4.646