Underusers of mammogram screening: stage of adoption in five U.S. subpopulations. The NCI Breast Cancer Screening Consortium
Authors
Stoddard, Anne M.Rimer, Barbara K.
Lane, Dorothy S.
Fox, Sarah A.
Lipkus, Isaac
Luckmann, Roger S.
Avrunin, Jill S.
Sprachman, S.
Costanza, Mary E.
Urban, Nicole
UMass Chan Affiliations
Department of Family Medicine & Community HealthDepartment of Medicine, Division of Hematology/Oncology
Document Type
Journal ArticlePublication Date
1998-06-05Keywords
AgedAged, 80 and over
Female
Humans
Logistic Models
Mammography
Middle Aged
Multivariate Analysis
Odds Ratio
*Patient Acceptance of Health Care
Socioeconomic Factors
United States
Life Sciences
Medicine and Health Sciences
Women's Studies
Metadata
Show full item recordAbstract
BACKGROUND: The purpose of this report is to describe the characteristics of women ages 50 to 80 who do not follow commonly accepted mammography screening guidelines. It provides unique understanding of the robustness of characteristics of underusers across five different U.S. subpopulations. METHODS: The data are from the baseline surveys of the five studies of the NCI Breast Cancer Screening Consortium. Stage of adoption of mammography screening and other characteristics of underusers are presented. Polytomous logistic regression analysis was used to explore multivariable associations with stage of adoption in each study site. RESULTS: The five samples studied by the Consortium range in size from 259 to 4,477 women (n = 11,292). The relationship of the perceptions of the pros and cons of mammography with stage of adoption was strikingly similar across the five samples. Other variables consistently associated with stage were a recent receipt of a breast physical examination and recommendation for mammography by a physician. CONCLUSIONS: The findings suggest a need to encourage regular screening through effective communication from a health care provider. Intervention messages should be designed to increase the pros of mammography, decrease the cons, and highlight these differentially according to the woman's stage of adoption.Source
Prev Med. 1998 May-Jun;27(3):478-87.
DOI
10.1006/pmed.1998.0310Permanent Link to this Item
http://hdl.handle.net/20.500.14038/50617PubMed ID
9612839Related Resources
ae974a485f413a2113503eed53cd6c53
10.1006/pmed.1998.0310