Increasing Use of Mammography Among Older Rural African American Women: Results From a Community Trial

ECU Author/Contributor (non-ECU co-authors, if there are any, appear on document)

Mary Altpeter (Creator)

Jo Anne Earp (Creator)

Eugenia Eng (Creator)

Kathy S. Lynch (Creator)

Holly F. Mathews (Creator)

Linda Mayne (Creator)

Michael S. O'Malley (Creator)

Bahjat Qaqish (Creator)

Garth Rauscher (Creator)

Institution

East Carolina University (ECU )

Web Site: http://www.ecu.edu/lib/

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. ethods. 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 revious 2 years. Results. The intervention was associated with an overall 6 percentage point increase (95% confidence interval [CI] =−1 14) in communitywide mammography use. Low-income women in intervention counties showed an 11 percentage point increase (95% CI = 2 21) in use above that exhibited by lowincome 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. Originally published American Journal of Public Health Vol. 92 No. 4 Apr 2002

Additional Information

Publication

Other

American Journal of Public Health. 92:4(April 2002) p. 646-654.

Language: English

Date: 2011

Keywords

mammography use, rural communities, health advisor network intervention

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