TY - JOUR
T1 - Perceived barriers to mammography among underserved women in a Breast Health Center Outreach Program
AU - Fayanju, Oluwadamilola M.
AU - Kraenzle, Susan
AU - Drake, Bettina F.
AU - Oka, Masayoshi
AU - Goodman, Melody S.
N1 - Copyright:
Copyright 2014 Elsevier B.V., All rights reserved.
PY - 2014/9
Y1 - 2014/9
N2 - 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.
AB - 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.
KW - Breast cancer
KW - Health beliefs
KW - Health disparities
KW - Mobile mammography
KW - Screening
UR - http://www.scopus.com/inward/record.url?scp=84906087548&partnerID=8YFLogxK
U2 - 10.1016/j.amjsurg.2014.03.005
DO - 10.1016/j.amjsurg.2014.03.005
M3 - Article
C2 - 24908357
AN - SCOPUS:84906087548
VL - 208
SP - 425
EP - 434
JO - American Journal of Surgery
JF - American Journal of Surgery
SN - 0002-9610
IS - 3
ER -