Perceived barriers to mammography among underserved women in a Breast Health Center Outreach Program - 14/08/14
, Susan Kraenzle, B.A., R.N., C.B.C.N. b, Bettina F. Drake, M.P.H., Ph.D. a, Masayoshi Oka, M.E.S., D.Des. a, Melody S. Goodman, M.S., Ph.D. aAbstract |
Background |
To investigate perceived barriers to mammography among underserved women, we asked participants in the Siteman Cancer Center Mammography Outreach Registry–developed in 2006 to evaluate mobile mammography's effectiveness among the underserved–why they believed women did not get mammograms.
Methods |
The responses of approximately 9,000 registrants were analyzed using multivariable logistic regression. We report adjusted odds ratios (OR) and 95% confidence intervals (CI) significant at 2-tailed P values less than .05.
Results |
Fears of cost (40%), mammogram-related pain (13%), and bad news (13%) were the most commonly reported barriers. Having insurance was associated with not perceiving cost as a barrier (OR .44, 95% CI .40 to .49), but with perceiving fear of both mammogram-related pain (OR 1.39, 95% CI 1.21 to 1.60) and receiving bad news (OR 1.38, 95% CI 1.19 to 1.60) as barriers.
Conclusion |
Despite free services, underserved women continue to report experiential and psychological obstacles to mammography, suggesting the need for more targeted education and outreach in this population.
Le texte complet de cet article est disponible en PDF.Keywords : Breast cancer, Health beliefs, Health disparities, Mobile mammography, Screening
Plan
| The work of Dr Fayanju was supported by the National Institutes of Health (NIH) Ruth L. Kirschstein National Research Service Award Institutional Research Training (Grant 5T32CA009621-22), the work of Drs Goodman and Drake was supported by the Foundation for Barnes-Jewish Hospital, the Siteman Cancer Center, and NIH via a National Cancer Institute (NCI) (Grant U54CA153460), and the work of Dr Oka was supported by the NCI Centers for Transdisciplinary Research on Energetics and Cancer (U54CA155496). |
Vol 208 - N° 3
P. 425-434 - septembre 2014 Retour au numéro
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