TY - JOUR
T1 - Barriers to Mammography Among Inadequately Screened Women
AU - Stoll, Carolyn R.T.
AU - Roberts, Summer
AU - Cheng, Meng Ru
AU - Crayton, Eloise V.
AU - Jackson, Sherrill
AU - Politi, Mary C.
N1 - Funding Information:
The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by the St. Louis Regional Health Commission, through St. Louis Community/University Health Research Partnerships, funded to The Breakfast Club, Inc. (Principal Investigator: Sherrill Jackson) and Washington University in St. Louis School of Medicine (Principal Investigator: Mary Politi).
Publisher Copyright:
© 2014 Society for Public Health Education.
PY - 2015/2/17
Y1 - 2015/2/17
N2 - Mammography use has increased over the past 20 years, yet more than 30% of women remain inadequately screened. Structural barriers can deter individuals from screening, however, cognitive, emotional, and communication barriers may also prevent mammography use. This study sought to identify the impact of number and type of barriers on mammography screening status, and to examine whether number and type of barriers are different for never-screened and off-schedule women. A total of 182 women aged 40 years or older completed a computer kiosk facilitated survey as part of a larger patient navigator intervention. Logistic regression analysis indicated that breast cancer knowledge predicted whether a woman had ever had a mammogram (odds ratio [OR] = 1.04, 95% confidence interval [CI] = 1.02-1.06, p =.0003), while the number of emotional, structural, and communication barriers predicted whether a woman was on-schedule for mammograms (OR = 0.79, 95% CI = 0.65-0.95, p =.0127). The results suggest that to increase the use of mammography at recommended regular intervals, interventions should be tailored toward current screening status.
AB - Mammography use has increased over the past 20 years, yet more than 30% of women remain inadequately screened. Structural barriers can deter individuals from screening, however, cognitive, emotional, and communication barriers may also prevent mammography use. This study sought to identify the impact of number and type of barriers on mammography screening status, and to examine whether number and type of barriers are different for never-screened and off-schedule women. A total of 182 women aged 40 years or older completed a computer kiosk facilitated survey as part of a larger patient navigator intervention. Logistic regression analysis indicated that breast cancer knowledge predicted whether a woman had ever had a mammogram (odds ratio [OR] = 1.04, 95% confidence interval [CI] = 1.02-1.06, p =.0003), while the number of emotional, structural, and communication barriers predicted whether a woman was on-schedule for mammograms (OR = 0.79, 95% CI = 0.65-0.95, p =.0127). The results suggest that to increase the use of mammography at recommended regular intervals, interventions should be tailored toward current screening status.
KW - breast cancer
KW - cancer prevention and screening
KW - community health
KW - health communications
KW - women’s health
UR - http://www.scopus.com/inward/record.url?scp=84920945752&partnerID=8YFLogxK
U2 - 10.1177/1090198114529589
DO - 10.1177/1090198114529589
M3 - Article
C2 - 24722216
AN - SCOPUS:84920945752
SN - 1090-1981
VL - 42
SP - 8
EP - 15
JO - Health Education and Behavior
JF - Health Education and Behavior
IS - 1
ER -