Breast cancer screening barriers and mammography completion in older minority women
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Objectives. The study tested a behavioral and structural barriers model of breast cancer screening, while seeking to determine age effects of behavioral barriers, in order to identify the factors that inhibit screening among older, minority women.
Methods. 405 older African-American women eligible for a federally funded cancer screening program were enrolled in the study. Participants were administered an intake questionnaire and followed for 3 months to determine mammography use.
Results. Three months after enrollment in the program, 79% had not received breast cancer screening. The oldest cohort had significantly lower rates of mammography (just 16% of screened women were ≥60, p<0.05). Behavioral barriers (knowledge/information deficits, cancer risk perception, cancer fears) inhibited mammography in the oldest group; their breast cancer information deficits included less knowledge of breast cancer risk, treatment, and survivability (all p<0.001).
Conclusions. Older women, with greater breast cancer risk than younger cohorts, should be targeted as a high need population for cancer screening. Even when financial and insurance barriers are removed mammography rates are 1/3 those of women <50. Since failure to be screened is related to knowledge and information barriers, health care providers have the potential to educate their older patients and subsequently increase the likelihood they will have regular cancer screening.
Keywordsage barriers breast cancer screening race
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- Rimer BK: Audiences and messages for breast and cervical cancer screenings. In: Rimer BK (ed) Wellness Perspect 11(2): 13–39, 1995 Google Scholar
- The NCI Breast Cancer Screening Consortium: Screening mammography: a missed clinical opportunity? Results of the NCI Breast Cancer Screening Consortium and National Health Interview Survey Studies. JAMA 264: 54–58, 1990 Google Scholar
- Mandelblatt, JS, Yabroff, KR 2000Breast and cervical Cancer Screening for Older Women: Recommendations and Challenges for the 21st CenturyJ Am Med Women’s Assoc5521215Google Scholar
- Black, BL, Ades, TB 1994American cancer society urban demonstration projects: models for successful interventionSem Oncol Nurs1096103Google Scholar
- Hughes, C, Lerman, C, Lustbader, E 1996Ethnic differences in risk perception among women at increased risk for breast cancerBreast Cancer Res Treatment:402535Google Scholar
- Brown, D 1996Cancer Awareness and Behavior Study. Report. Center for Urban Studies, Wayne State UniversityDetroit, MIGoogle Scholar
- U.S. Department of Health and Human Services. Http://www.hhs.gov/news/press/2002pres/20020221.html.Google Scholar
- Young RF, Hoey J, Stengle W: Delay/avoidance of mammography after breast cancer education. Meeting: Challenges of Comprehensive Cancer Control Sept. 7, 1999. Google Scholar
- Phillips, JM, Cohen, MZ, Moses, G 1999Breast cancer screening and African-American women: fear, fatalism, & silence.Oncology Nurs Forum26 561571Google Scholar
- McCaul, KD, Reid, PA, Rathge, RW, Martinson, B 1996Does concern about breast cancer inhibit or promote breast cancer screeningBasic Appl Soc Psych4183194Google Scholar