Perceived barriers to mammography among underserved women in a Breast Health Center Outreach Program.


Journal Article

BACKGROUND: To investigate perceived barriers to mammography among underserved women, we asked participants in the Siteman Cancer Center Mammography Outreach Registry-developed in 2006 to evaluate mobile mammography's effectiveness among the underserved-why they believed women did not get mammograms. METHODS: The responses of approximately 9,000 registrants were analyzed using multivariable logistic regression. We report adjusted odds ratios (OR) and 95% confidence intervals (CI) significant at 2-tailed P values less than .05. RESULTS: Fears of cost (40%), mammogram-related pain (13%), and bad news (13%) were the most commonly reported barriers. Having insurance was associated with not perceiving cost as a barrier (OR .44, 95% CI .40 to .49), but with perceiving fear of both mammogram-related pain (OR 1.39, 95% CI 1.21 to 1.60) and receiving bad news (OR 1.38, 95% CI 1.19 to 1.60) as barriers. CONCLUSION: Despite free services, underserved women continue to report experiential and psychological obstacles to mammography, suggesting the need for more targeted education and outreach in this population.

Full Text

Duke Authors

Cited Authors

  • Fayanju, OM; Kraenzle, S; Drake, BF; Oka, M; Goodman, MS

Published Date

  • September 2014

Published In

Volume / Issue

  • 208 / 3

Start / End Page

  • 425 - 434

PubMed ID

  • 24908357

Pubmed Central ID

  • 24908357

Electronic International Standard Serial Number (EISSN)

  • 1879-1883

Digital Object Identifier (DOI)

  • 10.1016/j.amjsurg.2014.03.005


  • eng

Conference Location

  • United States