Stepped-Care, Community Clinic Interventions to Promote Mammography Use Among Low-Income Rural African American Women

Few studies have investigated community clinic-based interventions to promote mammography screening among rural African American women. This study randomized older low-income rural African American women who had not participated in screening in the previous 2 years to a theory-based, personalized le...

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Bibliographic Details
Published in:Health education & behavior 2004-08, Vol.31 (4), p.29S-44S
Main Authors: West, Delia Smith, Greene, Paul, Pulley, LeaVonne, Kratt, Polly, Gore, Stacy, Weiss, Heidi, Siegfried, Nicole
Format: Article
Language:English
Subjects:
African Americans
Aged
Aged, 80 and over
Breast cancer
Breast Neoplasms - prevention & control
Cancer
Clinics
Community Health Services - methods
Diagnostic Tests
Female
Females
Health Behavior
Health care
Health Promotion
Humans
Intervention
Letters (Correspondence)
Low Income
Mammography
Mammography - utilization
Mass Screening - utilization
Middle Aged
Poverty
Prevention
Public Health
Rural Areas
Screening Tests
Telecommunications
Women
Women's Health
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Summary:Few studies have investigated community clinic-based interventions to promote mammography screening among rural African American women. This study randomized older low-income rural African American women who had not participated in screening in the previous 2 years to a theory-based, personalized letter or usual care; no group differences in mammography rate were evident at 6-month follow-up. Women who had not obtained a mammogram were then randomized to a tailored call delivered by community health care workers or a tailored letter. There were no group differences in mammography rates after the second 6-month follow-up. However, among women who had never had a mammogram, the tailored call was more effective in promoting mammography use. Tailored counseling may be an effective screening promotion strategy for hard-to-reach rural African American women with no history of screening. Further research into this strategy may facilitate efforts to reduce health disparities in underserved low-income rural African American populations.
ISSN:1090-1981
1552-6127
DOI:10.1177/1090198104266033