Compliance and Self-Reported Barriers to Follow-Up of Abnormal Screening Mammograms Among Women Utilizing a County Mobile Mammography Van

Our primary objective was to describe the follow-up patterns for abnormal screening mammograms among women in a large urban county who utilized mobile mammography. We conducted a retrospective cohort analysis using electronic records, medical chart review, and questionnaires. Compliance with diagnos...

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Bibliographic Details
Published in:Health care for women international 2009-10, Vol.30 (10), p.857-870
Main Authors: Peek, Monica E., Han, Jini H.
Format: Article
Language:English
Subjects:
Adult
Aftercare - psychology
Aftercare - statistics & numerical data
Age Factors
Aged
Breast Neoplasms - diagnostic imaging
Chi-Square Distribution
Female
Health Care Surveys
Health Services Accessibility - statistics & numerical data
Humans
Illinois
Mammography - psychology
Mammography - statistics & numerical data
Mass Screening - psychology
Mass Screening - statistics & numerical data
Medically Underserved Area
Middle Aged
Mobile Health Units - statistics & numerical data
Multilingualism
Nursing
Nursing Methodology Research
Patient Compliance - psychology
Patient Compliance - statistics & numerical data
Retrospective Studies
Surveys and Questionnaires
Time Factors
Women - education
Women - psychology
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Summary:Our primary objective was to describe the follow-up patterns for abnormal screening mammograms among women in a large urban county who utilized mobile mammography. We conducted a retrospective cohort analysis using electronic records, medical chart review, and questionnaires. Compliance with diagnostic evaluation was 43% to 60%. Among women who did have follow-up, more than 40% did not do so in a timely fashion. Younger women and those with less suspicious mammograms were more likely to have longer delays. We concluded that programs that utilize mobile mammography should include intensive, multilingual tracking systems in order increase diagnostic follow-up for this vulnerable population.
ISSN:0739-9332
1096-4665
DOI:10.1080/07399330903066350