Increasing Use of Mammography Among Older, Rural African American Women: Results From a Community Trial
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Date
2002-04
Authors
Earp, Jo Anne
Eng, Eugenia
O'Malley, Michael S.
Altpeter, Mary
Rauscher, Garth
Mayne, Linda
Mathews, Holly F.
Lynch, Kathy S.
Qaqish, Bahjat
Journal Title
Journal ISSN
Volume Title
Publisher
East Carolina University
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 11 percentage point increase (95% CI = 2, 21) in use above that exhibited by lowincome 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. Originally published American Journal of Public Health, Vol. 92, No. 4, Apr 2002
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Citation
American Journal of Public Health; 92:4 p. 646-654