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Cancer screening practices among women in a community health center population.

Publication ,  Journal Article
Rimer, BK; Conaway, MR; Lyna, PR; Rakowski, W; Woods-Powell, CT; Tessaro, I; Yarnall, KS; Barber, LT
Published in: Am J Prev Med
1996

BACKGROUND: Cancer takes a disproportionate toll on disadvantaged Americans. Poverty and low education are risk factors for underuse of cancer screening. METHODS: In this report, we discuss predictors of adherence to cancer screening (mammography, clinical breast exam [CBE], and Pap tests) among 926 women who receive care at a community health center that serves a predominantly low-income and minority population. We examine predictors for each of the tests and for a composite measure of overall cancer screening test compliance. In studying multiple screening behaviors we not only investigate factors associated with each individual behavior, but we also identify consistently effective factors across several behaviors. RESULTS: The analysis indicates consistent effects of age, education, and insurance status on cancer screening. In addition, decisional balance, a measure of a person's beliefs about the pros and cons of complying with the screening test, is associated strongly with adherence. We have extended earlier findings about the positive relationship between decisional balance and mammography to include decisional balance and Pap tests, as well. This finding suggests that behavioral interventions that target decisional balance can effectively promote adherence to cancer screening tests.

Duke Scholars

Published In

Am J Prev Med

ISSN

0749-3797

Publication Date

1996

Volume

12

Issue

5

Start / End Page

351 / 357

Location

Netherlands

Related Subject Headings

  • Vaginal Smears
  • Uterine Cervical Neoplasms
  • Socioeconomic Factors
  • Sampling Studies
  • Public Health
  • Predictive Value of Tests
  • Patient Compliance
  • Middle Aged
  • Mammography
  • Humans
 

Citation

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Rimer, B. K., Conaway, M. R., Lyna, P. R., Rakowski, W., Woods-Powell, C. T., Tessaro, I., … Barber, L. T. (1996). Cancer screening practices among women in a community health center population. Am J Prev Med, 12(5), 351–357.
Rimer, B. K., M. R. Conaway, P. R. Lyna, W. Rakowski, C. T. Woods-Powell, I. Tessaro, K. S. Yarnall, and L. T. Barber. “Cancer screening practices among women in a community health center population.Am J Prev Med 12, no. 5 (1996): 351–57.
Rimer BK, Conaway MR, Lyna PR, Rakowski W, Woods-Powell CT, Tessaro I, et al. Cancer screening practices among women in a community health center population. Am J Prev Med. 1996;12(5):351–7.
Rimer, B. K., et al. “Cancer screening practices among women in a community health center population.Am J Prev Med, vol. 12, no. 5, 1996, pp. 351–57.
Rimer BK, Conaway MR, Lyna PR, Rakowski W, Woods-Powell CT, Tessaro I, Yarnall KS, Barber LT. Cancer screening practices among women in a community health center population. Am J Prev Med. 1996;12(5):351–357.
Journal cover image

Published In

Am J Prev Med

ISSN

0749-3797

Publication Date

1996

Volume

12

Issue

5

Start / End Page

351 / 357

Location

Netherlands

Related Subject Headings

  • Vaginal Smears
  • Uterine Cervical Neoplasms
  • Socioeconomic Factors
  • Sampling Studies
  • Public Health
  • Predictive Value of Tests
  • Patient Compliance
  • Middle Aged
  • Mammography
  • Humans