Journal article
Measuring Sustained Mammography Use By Urban African-American Women
Journal of community health, v 30(4), pp 235-251
Aug 2005
PMID: 15989207
Featured in Collection : UN Sustainable Development Goals @ Drexel
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.
Metrics
Details
- Title
- Measuring Sustained Mammography Use By Urban African-American Women
- Creators
- Amanda Greene - NOVA Research Company 4600 East-West Highway Suite 700 Bethesda MD 20814-6900 USACeleste Torio - Johns Hopkins School of Public Health Baltimore MDAnn Klassen - Johns Hopkins School of Public Health Baltimore MD
- Publication Details
- Journal of community health, v 30(4), pp 235-251
- Publisher
- Kluwer Academic Publishers-Human Sciences Press; New York
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Community Health and Prevention
- Web of Science ID
- WOS:000229651900002
- Scopus ID
- 2-s2.0-19944387284
- Other Identifier
- 991014878102704721
UN Sustainable Development Goals (SDGs)
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Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Health Policy & Services
- Public, Environmental & Occupational Health