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Increasing use of mammography among older, rural African American women: Results from a community trial

Author

Listed:
  • Earp, J.A.
  • Eng, E.
  • O'Malley, M.S.
  • Altpeter, M.
  • Rauscher, G.
  • Mayne, L.
  • Mathews, H.F.
  • Lynch, K.S.
  • Qaqish, B.

Abstract

Objectives. A community trial was undertaken to evaluate the effectiveness of the North Carolina Breast Cancer Screening Program, a lay health advisor network intervention intended to increase screening among rural African American women 50 years and older. Methods. A stratified random sample of 801 African American women completed baseline (1993-1994) and follow-up (1996-1997) surveys. The primary outcome was self-reported mammography use in the previous 2 years. Results. The intervention was associated with an overall 6 percentage point increase (95% confidence interval [Cl]=-1;14) in communitywide mammography use. Low-income women in intervention counties showed an 11 percentage point increase (95% Cl=2, 21) in use above that exhibited by low-income women in comparison counties. Adjustment for potentially confounding characteristics did not change the results. Conclusions. A lay health advisor intervention appears to be an effective public health approach to increasing use of screening mammography among low-income, rural populations.

Suggested Citation

  • Earp, J.A. & Eng, E. & O'Malley, M.S. & Altpeter, M. & Rauscher, G. & Mayne, L. & Mathews, H.F. & Lynch, K.S. & Qaqish, B., 2002. "Increasing use of mammography among older, rural African American women: Results from a community trial," American Journal of Public Health, American Public Health Association, vol. 92(4), pages 646-654.
    • Handle: RePEc:aph:ajpbhl:2002:92:4:646-654_4
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    Cited by:

    1. Prentice, Julia C., 2006. "Neighborhood effects on primary care access in Los Angeles," Social Science & Medicine, Elsevier, vol. 62(5), pages 1291-1303, March.
    2. Steven Stern & John Pepper, 2010. "Feasibility of Using Technology to Disseminate Evidence to Rural Nurses and Improve Patient Outcomes," Virginia Economics Online Papers 384, University of Virginia, Department of Economics.
    3. Klein, Linda A. & Ritchie, Jan E. & Nathan, Sally & Wutzke, Sonia, 2014. "An explanatory model of peer education within a complex medicines information exchange setting," Social Science & Medicine, Elsevier, vol. 111(C), pages 101-109.

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