TY - JOUR
T1 - Factors influencing adherence to mammography screening guidelines in appalachian women participating in a mobile mammography program
AU - Vyas, Ami
AU - Madhavan, Suresh
AU - LeMasters, Traci
AU - Atkins, Elvonna
AU - Gainor, Sara
AU - Kennedy, Stephenie
AU - Kelly, Kimberly
AU - Vona-Davis, Linda
AU - Remick, Scot
N1 - Funding Information:
Acknowledgments This research study is partially funded by Susan G. Komen For the Cure, Claude Worthington Benedum Foundation, and AHRQ grant # R24HS018622-01.
PY - 2012/6
Y1 - 2012/6
N2 - The objectives of this study were to evaluate the characteristics (demographic, access to care, healthrelated behavioral, self and family medical history, psychosocial) of women age 40 years and above who participated in a mobile mammography screening program conducted throughout West Virginia (WV) to determine the factors influencing their self-reported adherence to mammography screening guidelines. Data were analyzed using the Andersen Behavioral Model of Healthcare Utilization framework to determine the factors associated with adherence to mammography screening guidelines in these women. Of the 686 women included in the analysis, 46.2% reported having had a mammogram in the past 2 years. Bivariate analyses showed predisposing factors such as older age and unemployed status, visit to a obstetrician/ gynecologist (OB/GYN) in the past year (an enabling factor) and need-related factors such as having a family history of breast cancer (BC), having had breast problems in the past, having had breast biopsy in the past, having had a Pap test in past 2 years, and having had all the screenings for cholesterol, blood glucose, bone mineral density and high blood pressure in past 2 years to be significant predictors of self-reported adherence to mammography guidelines. In the final model, being above 50 years (OR = 2.132), being morbidly obese (OR = 2.358), having BC-related events and low knowledge about mammography were significant predictors of self-reported adherence. Breast cancer related events seem to be associated with mammography screening adherence in this rural Appalachian population. Increasing adherence to mammography screening may require targeted, community- based educational interventions that precede and complement visits by the mobile mammography unit.
AB - The objectives of this study were to evaluate the characteristics (demographic, access to care, healthrelated behavioral, self and family medical history, psychosocial) of women age 40 years and above who participated in a mobile mammography screening program conducted throughout West Virginia (WV) to determine the factors influencing their self-reported adherence to mammography screening guidelines. Data were analyzed using the Andersen Behavioral Model of Healthcare Utilization framework to determine the factors associated with adherence to mammography screening guidelines in these women. Of the 686 women included in the analysis, 46.2% reported having had a mammogram in the past 2 years. Bivariate analyses showed predisposing factors such as older age and unemployed status, visit to a obstetrician/ gynecologist (OB/GYN) in the past year (an enabling factor) and need-related factors such as having a family history of breast cancer (BC), having had breast problems in the past, having had breast biopsy in the past, having had a Pap test in past 2 years, and having had all the screenings for cholesterol, blood glucose, bone mineral density and high blood pressure in past 2 years to be significant predictors of self-reported adherence to mammography guidelines. In the final model, being above 50 years (OR = 2.132), being morbidly obese (OR = 2.358), having BC-related events and low knowledge about mammography were significant predictors of self-reported adherence. Breast cancer related events seem to be associated with mammography screening adherence in this rural Appalachian population. Increasing adherence to mammography screening may require targeted, community- based educational interventions that precede and complement visits by the mobile mammography unit.
KW - Adherence
KW - Breast cancer
KW - Mammography screening
KW - Mobile mammography
UR - http://www.scopus.com/inward/record.url?scp=84864071537&partnerID=8YFLogxK
U2 - 10.1007/s10900-011-9494-z
DO - 10.1007/s10900-011-9494-z
M3 - Article
C2 - 22033614
AN - SCOPUS:84864071537
SN - 0094-5145
VL - 37
SP - 632
EP - 646
JO - Journal of Community Health
JF - Journal of Community Health
IS - 3
ER -