Browsing by Subject "Mammography"
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Item FACTORS ASSOCIATED WITH MAMMOGRAPHY UTILIZATION IN UNDERSERVED WOMEN IN SOUTH DALLAS, TX(2013-04-12) Chen, JingPurpose: To explore the association between self-reported mammography history, demographic characteristics, and medical care services. Methods: 430 women, aged 40 years and older, recruited between 2010 and 2012 for a breast cancer prevention program, were surveyed at baseline. Surveys were paper questionnaires administered with help from lay health educators. We tested the association between previous mammogram history of the participants and demographic characteristics, as well as medical care characteristics using chi-square tests and a multivariable logistic regression. Variable selection into the model was performed with a stepwise method. Results: In the univariate analysis, results from the chi-square test indicated that four demographic variables were significantly associated (P < 0.05) with having ever received a mammogram: age, race, family income, and marital status. Seven medical care variables were significantly associated with having ever received a mammogram: (1) health insurance, (2) ever performed a breast self-examination in the last month, (3) ever had a clinical breast examination in the previous year, (4) having a personal doctor, (5) regular check-ups, (6) ever talked to a doctor about breast cancer, and (7) talking to a doctor about receiving a mammogram. In the multivariable logistic analysis, age, marital status, insurance, and talking to doctor on mammogram remained significant: 65-74 years old vs. 40-49 years old (OR = 10.9, 95% CI: 1.4-85.0), 50-64 years old vs. 40-49 years old (OR=1.8, 95%C: 1.1-2.9), ever married vs. never married (OR = 1.8, 95% CI: 1.1-3.1), having health insurance vs. not (OR = 1.8, 95% CI: 1.1-3.0), and having ever talked to a doctor about receiving a mammogram vs. not (OR = 3.2, 95% CI: 1.9-5.2). Conclusions: Being older, married, having health insurance, and ever talked to a doctor about receiving a mammogram were positively associated with past mammography. On the other hand, there is a need to develop specific strategies for promoting mammography among younger, unmarried, or underinsured women. Further study needs to be conducted in a more racially-diverse population to support these findings.Item REMOVING BARRIERS TO BREAST CANCER SCREENING AMONG ETHNIC MINORITIES IN TEXAS(2014-03) Oyewole, Olusegun; Linnear, Kim; Cardarelli, Kathryn; Martin, Marcus; Petties, Karin; Williams, Angela; Lafayette, Camille; Martinez, Erika; Harris, PhyllisPurpose (a): This project seeks to reduce breast cancer mortality among ethnic minorities in Dallas County, Texas through an integrated breast cancer prevention program that includes outreach and education, delivery of screening services, follow-up navigation and screening behavior maintenance. While perceived susceptibility, perceived severity, perceived benefits and cues to action are important predictors of health-seeking behaviors, removal of perceived barriers has been found to be the most important factor in moving people from inactivity to action. This research seeks to answer the question: Does this program significantly reduce the perceived barriers to mammography screening among the participants? Methods (b): Participants had a pre-survey assessing their knowledge, attitude and behavior about breast cancer determinants and prevention as well as their perceived severity of breast cancer, perceived susceptibility to it, perceived benefit of regular screening and perceived barriers to regular screening. This was followed by up to 8 weeks of education and a post-survey. McNemar’s tests were done to compare the pre- and post-surveys on questions relating to perceived barriers to screening and mammogram use. Results (c): A significant reduction in perceived barrier to breast cancer screening was found among study participants. There was also a significant improvement in mammogram use among them during the intervention. Conclusions (d): The integrated breast cancer prevention program leads to a significant reduction in perceived barriers to screening with consequent improvement in mammogram use in study participants.