Document Detail


Longitudinal predictors of nonadherence to maintenance of mammography.
MedLine Citation:
PMID:  20354125     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Regular adherence to screening mammography, also known as maintenance of mammography, reduces breast cancer morbidity and mortality. However, mammography maintenance is uncommon and little is known about why women do not maintain regular screening schedules. We investigated longitudinal predictors of women not maintaining adherence.
METHODS: Participants were insured women enrolled in an intervention trial who had screening mammograms 8 to 9 months before study enrollment (n = 1,493). Data were collected from 2003 to 2008. We used discrete event history analysis to model nonadherence to mammography maintenance over three successive annual screening intervals (+ 2 months).
RESULTS: Most (54%) women did not maintain screening adherence over 3 years. Women who did not maintain adherence were more likely to be ages 40 to 49 years, rate their health fair or poor, be less satisfied with their last mammography experiences, report one or more barriers to getting mammograms, be less than completely confident about getting their next mammograms (lower self-efficacy), or have weaker behavioral intentions. The odds of not maintaining adherence decreased over time.
DISCUSSION: Although great strides have been achieved in increasing the proportion of women who have received mammograms, most women still are not maintaining regular mammography use over time. Our findings provide insights into targets for future mammography maintenance interventions.
Authors:
Jennifer M Gierisch; Jo Anne Earp; Noel T Brewer; Barbara K Rimer
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.     Date:  2010-03-30
Journal Detail:
Title:  Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology     Volume:  19     ISSN:  1538-7755     ISO Abbreviation:  Cancer Epidemiol. Biomarkers Prev.     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-04-09     Completed Date:  2010-07-09     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  9200608     Medline TA:  Cancer Epidemiol Biomarkers Prev     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1103-11     Citation Subset:  IM    
Affiliation:
Duke University Medical Center-Division of General Internal Medicine, Durham, NC, USA. j.gierisch@duke.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Age Factors
Aged
Attitude to Health
Breast Neoplasms / prevention & control*
Female
Health Behavior
Health Services Accessibility
Humans
Mammography / statistics & numerical data,  utilization*
Mass Screening / statistics & numerical data,  utilization*
Middle Aged
Patient Compliance / psychology,  statistics & numerical data*
Socioeconomic Factors
Women's Health
Grant Support
ID/Acronym/Agency:
5-R25 CA57726/CA/NCI NIH HHS; 5R01-CA105786/CA/NCI NIH HHS; R01 CA105786-01/CA/NCI NIH HHS; R01 CA105786-02/CA/NCI NIH HHS; R01 CA105786-03/CA/NCI NIH HHS; R01 CA105786-04/CA/NCI NIH HHS; R01 CA105786-05/CA/NCI NIH HHS; T-32-HS000032/HS/AHRQ HHS; T-Q7 32-HS000079/HS/AHRQ HHS
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