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    Increasing Use of Mammography Among Older, Rural African American Women: Results From a Community Trial

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    Author
    Earp, Jo Anne; Eng, Eugenia; O'Malley, Michael S.; Altpeter, Mary; Rauscher, Garth; Mayne, Linda; Mathews, Holly F.; Lynch, Kathy S.; Qaqish, Bahjat
    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
    URI
    http://hdl.handle.net/10342/3268
    Subject
     Mammography use; Rural communities; Health advisor network intervention 
    Date
    2002-04
    Citation:
    APA:
    Earp, Jo Anne, & Eng, Eugenia, & O'Malley, Michael S., & Altpeter, Mary, & Rauscher, Garth, & Mayne, Linda, & Mathews, Holly F., & Lynch, Kathy S., & Qaqish, Bahjat. (April 2002). Increasing Use of Mammography Among Older, Rural African American Women: Results From a Community Trial. American Journal of Public Health, 92(4), 646- 654. Retrieved from http://hdl.handle.net/10342/3268

    Display/Hide MLA, Chicago and APA citation formats.

    MLA:
    Earp, Jo Anne, and Eng, Eugenia, and O'Malley, Michael S., and Altpeter, Mary, and Rauscher, Garth, and Mayne, Linda, and Mathews, Holly F., and Lynch, Kathy S., and Qaqish, Bahjat. "Increasing Use of Mammography Among Older, Rural African American Women: Results From a Community Trial". American Journal of Public Health. 92:4. (646-654), April 2002. September 30, 2023. http://hdl.handle.net/10342/3268.
    Chicago:
    Earp, Jo Anne and Eng, Eugenia and O'Malley, Michael S. and Altpeter, Mary and Rauscher, Garth and Mayne, Linda and Mathews, Holly F. and Lynch, Kathy S. and Qaqish, Bahjat, "Increasing Use of Mammography Among Older, Rural African American Women: Results From a Community Trial," American Journal of Public Health 92, no. 4 (April 2002), http://hdl.handle.net/10342/3268 (accessed September 30, 2023).
    AMA:
    Earp, Jo Anne, Eng, Eugenia, O'Malley, Michael S., Altpeter, Mary, Rauscher, Garth, Mayne, Linda, Mathews, Holly F., Lynch, Kathy S., Qaqish, Bahjat. Increasing Use of Mammography Among Older, Rural African American Women: Results From a Community Trial. American Journal of Public Health. April 2002; 92(4): 646-654. http://hdl.handle.net/10342/3268. Accessed September 30, 2023.
    Collections
    • Anthropology
    Publisher
    East Carolina University

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