Husain, Marium; Orlowski, Marietta A.; Wonders, Karen; Hallam, Jeffrey S.
June 2010
American Journal of Health Studies;2010, Vol. 25 Issue 2, p78
Academic Journal
Objective: Mammography rates have peaked and appear to be decreasing, prompting the Centers for Disease Control and Prevention to call for updated and expanded activities that promote breast cancer screenings. The purpose of this study was to revisit the relationships between perceived susceptibility, perceived benefits, perceived barriers, and perceived access, and mammogram utilization for low-income women 40 years and older. Methods: A total of 99 women age 40 to 80 years (58% White, 41% African-American, and 1% Asian) were recruited from seven urban health centers. Results: Slightly more that half the women (57%) surveyed reported receiving a mammogram in the past year. Overall, women reported high perceived susceptibility for breast cancer, positive benefits of mammography, and low perceived emotional barriers for mammography. Perceived access to mammography had a significant relationship to mammogram utilization (p = .011). The odds of having a mammogram within one year decreased by 28% for every unit increase in perceived access barriers (OR = .716, 95% CI = .553 - .927). Cost, reported by 32% of the women, was the most commonly reported perceived access barrier. Only 22% of women reported receiving a physician recommendation for a mammogram. Conclusions: Future breast cancer education campaigns should be updated to communicate population-specific local screening resources and encourage women to initiate a conversation with their health care provider. Health care providers should also be targeted for future mammography health education campaigns.


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