Document Detail

Underusers of mammogram screening: stage of adoption in five U.S. subpopulations. The NCI Breast Cancer Screening Consortium.
MedLine Citation:
PMID:  9612839     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The purpose of this report is to describe the characteristics of women ages 50 to 80 who do not follow commonly accepted mammography screening guidelines. It provides unique understanding of the robustness of characteristics of underusers across five different U.S. subpopulations. METHODS: The data are from the baseline surveys of the five studies of the NCI Breast Cancer Screening Consortium. Stage of adoption of mammography screening and other characteristics of underusers are presented. Polytomous logistic regression analysis was used to explore multivariable associations with stage of adoption in each study site. RESULTS: The five samples studied by the Consortium range in size from 259 to 4,477 women (n = 11,292). The relationship of the perceptions of the pros and cons of mammography with stage of adoption was strikingly similar across the five samples. Other variables consistently associated with stage were a recent receipt of a breast physical examination and recommendation for mammography by a physician. CONCLUSIONS: The findings suggest a need to encourage regular screening through effective communication from a health care provider. Intervention messages should be designed to increase the pros of mammography, decrease the cons, and highlight these differentially according to the woman's stage of adoption.
A M Stoddard; B K Rimer; D Lane; S A Fox; I Lipkus; R Luckmann; J S Avrunin; S Sprachman; M Costanza; N Urban
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Publication Detail:
Type:  Journal Article; Multicenter Study; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Preventive medicine     Volume:  27     ISSN:  0091-7435     ISO Abbreviation:  Prev Med     Publication Date:    1998 May-Jun
Date Detail:
Created Date:  1998-08-06     Completed Date:  1998-08-06     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0322116     Medline TA:  Prev Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  478-87     Citation Subset:  IM    
Department of Biostatistics and Epidemiology, University of Massachusetts, Amherst 01003, USA.
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MeSH Terms
Aged, 80 and over
Logistic Models
Mammography / psychology,  utilization*
Middle Aged
Multivariate Analysis
Odds Ratio
Patient Acceptance of Health Care*
Socioeconomic Factors
United States
Grant Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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