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Evaluation of an intervention to increase mammography screening in Los Angeles.
- Source :
-
Preventive medicine [Prev Med] 1994 Jan; Vol. 23 (1), pp. 83-90. - Publication Year :
- 1994
-
Abstract
- METHODS. A randomized pretest post-test control group design was used to evaluate the effectiveness of a mail-out intervention for increasing screening mammography rates. A random sample of 802 women, 40+, residing in Los Angeles County, was surveyed by telephone at baseline and again 12 months after the intervention. RESULTS. Fifty percent of the intervention group and 56% of the control group had obtained a screening mammogram during the follow-up period. This difference was not statistically significant, indicating that the low-cost intervention was not successful in influencing screening mammography rates in this sample. In the combined intervention and control group, a stepwise logistic regression analysis revealed four baseline variables to be significant prospective predictors of mammography behavior during the follow-up period: Women who were adherent to the age-specific screening guidelines at baseline and women who had health insurance were more likely to obtain a mammogram during the follow-up, as were older women. Also, women who were greatly concerned about radiation exposure during a mammogram were about two and a half times less likely to obtain a mammogram during the follow-up than women who were less concerned. Self-reported reasons for adherence and nonadherence to screening guidelines are also described.
- Subjects :
- Adult
Age Factors
Aged
Attitude to Health
Breast Neoplasms epidemiology
Clinical Protocols
Fear
Female
Follow-Up Studies
Health Care Costs
Humans
Insurance, Health
Logistic Models
Los Angeles epidemiology
Mammography adverse effects
Mammography economics
Mammography psychology
Mass Screening adverse effects
Mass Screening economics
Mass Screening psychology
Middle Aged
Patient Compliance
Program Evaluation
Breast Neoplasms diagnostic imaging
Breast Neoplasms prevention & control
Health Behavior
Health Promotion organization & administration
Mammography statistics & numerical data
Mass Screening statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 0091-7435
- Volume :
- 23
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Preventive medicine
- Publication Type :
- Academic Journal
- Accession number :
- 8016038
- Full Text :
- https://doi.org/10.1006/pmed.1994.1012