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If we gave away mammograms, who would get them? A neighborhood evaluation of a no-cost breast cancer screening program
Journal article   Peer reviewed

If we gave away mammograms, who would get them? A neighborhood evaluation of a no-cost breast cancer screening program

Ann C Klassen, Ann L M Smith, Helen I Meissner, James Zabora, Barbara Curbow and Jeanne Mandelblatt
Preventive medicine, v 34(1), pp 13-21
Jan 2002
DOI: https://doi.org/10.1006/pmed.2001.0956
PMID: 11749092
Featured in Collection :   UN Sustainable Development Goals @ Drexel

Abstract

Hospitals, Urban Multivariate Analysis Women's Health Humans Middle Aged Hospitals, University Baltimore - epidemiology Patient Acceptance of Health Care - ethnology Case-Control Studies Mammography - psychology Socioeconomic Factors Health Care Costs Mammography - economics Catchment Area (Health) Aged, 80 and over Female Aged Uncompensated Care Breast Neoplasms - diagnostic imaging Mammography - utilization African Americans - psychology
Low- and no-cost mammography programs have become a widespread strategy to increase access to breast cancer screening in low-income populations. However, rigorous evaluations of who remains unscreened in communities with these programs are lacking. We conducted a case-control study of African American older women in East Baltimore, Maryland, comparing attendees at a no-cost program to friends and neighbors not using no-cost venues. We recruited 288 women ages 50 and older, who attended a no-cost program at Johns Hopkins Hospital, to complete a 1(1/2) h home interview, answering semistructured and open-ended questions about cancer and health and a wide range of social and psychological items. For each case, we recruited one friend or neighbor, within 5 years of age, not receiving no-cost screening, to complete a similar control interview. Matched case-control analyses were used to compare program attendees to nonattendees within the target community. Women using the no-cost program at least once were generally more poorly screened than their neighborhood control prior to the program, but had better recent screening history 3 years after the program began. In multivariate analyses, program attendees were more likely to have <10,000 dollars annual income (OR = 2.34, 95% CI 1.55,3.61), more likely to have had more children (OR = 1.13, 95% CI 1.04,1.24), and less likely to have health insurance (OR = 0.42, 95% CI 0.25,0.68). They were more likely to see a female primary care provider (OR = 1.82, 95% CI 1.24,2.70) and to see multiple providers (OR = 3.38, 95% CI 1.52,8.60). Low-cost screening intervention programs reach women who might otherwise not receive screening. However, within target communities, improved partnerships with specific types of primary care providers could reach additional women.

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9 Record Views
21 citations in Web of Science
23 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#5 Gender Equality
#3 Good Health and Well-Being

Source: SDGs in the Output

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Collaboration types
Domestic collaboration
Web of Science research areas
Public, Environmental & Occupational Health
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