Abstract
The objectives of this study were to evaluate the characteristics (demographic, access to care, health-related behavioral,
self and family medical history, psychosocial) of women age 40 years and above who participated in a mobile mammography screening
program conducted throughout West Virginia (WV) to determine the factors influencing their self-reported adherence to mammography
screening guidelines. Data were analyzed using the Andersen Behavioral Model of Healthcare Utilization framework to determine
the factors associated with adherence to mammography screening guidelines in these women. Of the 686 women included in the
analysis, 46.2% reported having had a mammogram in the past 2 years. Bivariate analyses showed predisposing factors such as
older age and unemployed status, visit to a obstetrician/gynecologist (OB/GYN) in the past year (an enabling factor) and need-related
factors such as having a family history of breast cancer (BC), having had breast problems in the past, having had breast biopsy
in the past, having had a Pap test in past 2 years, and having had all the screenings for cholesterol, blood glucose, bone
mineral density and high blood pressure in past 2 years to be significant predictors of self-reported adherence to mammography
guidelines. In the final model, being above 50 years (OR = 2.132), being morbidly obese (OR = 2.358), having BC-related events
and low knowledge about mammography were significant predictors of self-reported adherence. Breast cancer related events seem
to be associated with mammography screening adherence in this rural Appalachian population. Increasing adherence to mammography
screening may require targeted, community-based educational interventions that precede and complement visits by the mobile
mammography unit.
self and family medical history, psychosocial) of women age 40 years and above who participated in a mobile mammography screening
program conducted throughout West Virginia (WV) to determine the factors influencing their self-reported adherence to mammography
screening guidelines. Data were analyzed using the Andersen Behavioral Model of Healthcare Utilization framework to determine
the factors associated with adherence to mammography screening guidelines in these women. Of the 686 women included in the
analysis, 46.2% reported having had a mammogram in the past 2 years. Bivariate analyses showed predisposing factors such as
older age and unemployed status, visit to a obstetrician/gynecologist (OB/GYN) in the past year (an enabling factor) and need-related
factors such as having a family history of breast cancer (BC), having had breast problems in the past, having had breast biopsy
in the past, having had a Pap test in past 2 years, and having had all the screenings for cholesterol, blood glucose, bone
mineral density and high blood pressure in past 2 years to be significant predictors of self-reported adherence to mammography
guidelines. In the final model, being above 50 years (OR = 2.132), being morbidly obese (OR = 2.358), having BC-related events
and low knowledge about mammography were significant predictors of self-reported adherence. Breast cancer related events seem
to be associated with mammography screening adherence in this rural Appalachian population. Increasing adherence to mammography
screening may require targeted, community-based educational interventions that precede and complement visits by the mobile
mammography unit.
- Content Type Journal Article
- Category Original Paper
- Pages 1-15
- DOI 10.1007/s10900-011-9494-z
- Authors
- Ami Vyas, Department of Pharmaceutical Systems and Policy, School of Pharmacy, Robert C. Byrd Health Sciences Center (North), West Virginia University, P.O. Box 9510, Morgantown, 26506-9510 WV, USA
- Suresh Madhavan, Department of Pharmaceutical Systems and Policy, School of Pharmacy, Robert C. Byrd Health Sciences Center (North), West Virginia University, P.O. Box 9510, Morgantown, 26506-9510 WV, USA
- Traci LeMasters, Department of Pharmaceutical Systems and Policy, School of Pharmacy, Robert C. Byrd Health Sciences Center (North), West Virginia University, P.O. Box 9510, Morgantown, 26506-9510 WV, USA
- Elvonna Atkins, Department of Pharmaceutical Systems and Policy, School of Pharmacy, Robert C. Byrd Health Sciences Center (North), West Virginia University, P.O. Box 9510, Morgantown, 26506-9510 WV, USA
- Sara Gainor, Mary Babb Randolph Cancer Center, West Virginia University, Morgantown, WV, USA
- Stephenie Kennedy, Mary Babb Randolph Cancer Center, West Virginia University, Morgantown, WV, USA
- Kimberly Kelly, Department of Pharmaceutical Systems and Policy, School of Pharmacy, Robert C. Byrd Health Sciences Center (North), West Virginia University, P.O. Box 9510, Morgantown, 26506-9510 WV, USA
- Linda Vona-Davis, Department of Surgery, West Virginia University, Morgantown, WV, USA
- Scot Remick, Mary Babb Randolph Cancer Center, West Virginia University, Morgantown, WV, USA
- Journal Journal of Community Health
- Online ISSN 1573-3610
- Print ISSN 0094-5145