التفاصيل البيبلوغرافية
| العنوان: |
Randomized trial of an intervention to improve mammography utilization among a triracial rural population of women. |
| المؤلفون: |
Paskett, Electra, Tatum, Cathy, Rushing, Julia, Michielutte, Robert, Bell, Ronny, Foley, Kristie Long, Bittoni, Marisa, Dickinson, Stephanie L., McAlearney, Ann Scheck, Reeves, Katherine, Long Foley, Kristie |
| المصدر: |
JNCI: Journal of the National Cancer Institute; 9/6/2006, Vol. 98 Issue 17, p1226-1237, 12p, 2 Diagrams, 3 Charts |
| مصطلحات موضوعية: |
MAMMOGRAMS, BREAST cancer, CANCER in women, MINORITY women, DISEASES |
| مصطلحات جغرافية: |
ROBESON County (N.C.), NORTH Carolina |
| مستخلص: |
Introduction: Mammography is underused by certain groups of women, in particular poor and minority women. We developed a lay health advisor (LHA) intervention based on behavioral theories and tested whether it improved mammography attendance in Robeson County, NC, a rural, low-income, triracial (white, Native American, African American) population.Methods: A total of 851 women who had not had a mammogram within the past year were randomly assigned to the LHA intervention (n = 433) or to a comparison arm (n = 418) during 1998-2002. Rates of mammography use after 12-14 months (as verified by medical record review) were compared using a chi-square test. Baseline and follow-up (at 12-14 months) surveys were used to obtain information on demographics, risk factors, and barriers, beliefs, and knowledge about mammography. Linear regression, Mantel-Haenszel statistics, and logistic regression were used to compare barriers, beliefs, and knowledge from baseline to follow-up and to identify baseline factors associated with mammography.Results: At follow-up, 42.5% of the women in the LHA group and 27.3% of those in the comparison group had had a mammogram in the previous 12 months (relative risk = 1.56, 95% confidence interval [CI] = 1.29 to 1.87). Compared with those in the comparison group, women in the LHA group displayed statistically significantly better belief scores (difference = 0.46 points on a 0-10 scale, 95% CI = 0.15 to 0.77) and reduced barriers at follow-up (difference = -0.77 points, 95% CI = -1.02 to -0.53), after adjusting for baseline scores.Conclusions: LHA interventions can improve mammography utilization. Future studies are needed to assess strategies to disseminate effective LHA interventions to underserved populations. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
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