 Increasing use of mammography among older, rural African American women: Results from a community trialJ.A. Earp, E. Eng, M.S. O'Malley, M. Altpeter, G. Rauscher, L. Mayne, H.F. Mathews, K.S. Lynch and B. Qaqish American Journal of Public Health, 2002, vol. 92, issue 4, 646-654 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. Methods. 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 previous 2 years. Results. The intervention was associated with an overall 6 percentage point increase (95% confidence interval [Cl]=-1;14) in communitywide mammography use. Low-income women in intervention counties showed an 11 percentage point increase (95% Cl=2, 21) in use above that exhibited by low-income 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. Date: 2002 There are no downloads for this item, see the EconPapers FAQ for hints about obtaining it. Related works: Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:2002:92:4:646-654_4 Access Statistics for this article American Journal of Public Health is currently edited by Alfredo Morabia More articles in American Journal of Public Health from American Public Health Association |
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