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Factors associated with repeat mammography screening.

Publication ,  Journal Article
Halabi, S; Skinner, CS; Samsa, GP; Strigo, TS; Crawford, YS; Rimer, BK
Published in: J Fam Pract
December 2000

BACKGROUND: Even organizations with differing mammography recommendations agree that regular repeat screening is required for mortality reduction. However, most studies have focused on one-time screening rather than repeat adherence. We compare trends in beliefs and health-related behaviors among women screened and adherent to the National Cancer Institute's screening mammography recommendations (on schedule), those screened at least once and nonadherent (off schedule), and those never screened. METHODS: Our data are from a baseline telephone interview conducted among 1,287 female members of Blue Cross Blue Shield of North Carolina who were aged either 40 to 44 years or 50 to 54 years. RESULTS: The 3 groups differed significantly on beliefs and health-related behaviors, with the off-schedule group almost consistently falling between the on-schedule and never screened groups. Off-schedule women were more likely than on-schedule women, but less likely than those never screened, to not have a clinical breast examination within 12 months, to be ambivalent about screening mammography, to be confused about screening guidelines, and to not be advised by a physician to get a mammogram in the past 2 years. Off-schedule women perceived their breast cancer risk as lower and were less likely to be up to date with other cancer screening tests. CONCLUSIONS: Our findings suggest that women who are off schedule are in need of mammography-promoting interventions, including recommendations from and discussion with their health care providers. Because they are more positive and knowledgeable about mammography than women who have never been screened, they may benefit from brief interventions from health care providers that highlight the importance of repeat screening.

Duke Scholars

Published In

J Fam Pract

ISSN

0094-3509

Publication Date

December 2000

Volume

49

Issue

12

Start / End Page

1104 / 1112

Location

United States

Related Subject Headings

  • Socioeconomic Factors
  • Risk Factors
  • Practice Guidelines as Topic
  • Physician-Patient Relations
  • Patient Compliance
  • Odds Ratio
  • North Carolina
  • Multivariate Analysis
  • Middle Aged
  • Mass Screening
 

Citation

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Halabi, S., Skinner, C. S., Samsa, G. P., Strigo, T. S., Crawford, Y. S., & Rimer, B. K. (2000). Factors associated with repeat mammography screening. J Fam Pract, 49(12), 1104–1112.
Halabi, S., C. S. Skinner, G. P. Samsa, T. S. Strigo, Y. S. Crawford, and B. K. Rimer. “Factors associated with repeat mammography screening.J Fam Pract 49, no. 12 (December 2000): 1104–12.
Halabi S, Skinner CS, Samsa GP, Strigo TS, Crawford YS, Rimer BK. Factors associated with repeat mammography screening. J Fam Pract. 2000 Dec;49(12):1104–12.
Halabi, S., et al. “Factors associated with repeat mammography screening.J Fam Pract, vol. 49, no. 12, Dec. 2000, pp. 1104–12.
Halabi S, Skinner CS, Samsa GP, Strigo TS, Crawford YS, Rimer BK. Factors associated with repeat mammography screening. J Fam Pract. 2000 Dec;49(12):1104–1112.

Published In

J Fam Pract

ISSN

0094-3509

Publication Date

December 2000

Volume

49

Issue

12

Start / End Page

1104 / 1112

Location

United States

Related Subject Headings

  • Socioeconomic Factors
  • Risk Factors
  • Practice Guidelines as Topic
  • Physician-Patient Relations
  • Patient Compliance
  • Odds Ratio
  • North Carolina
  • Multivariate Analysis
  • Middle Aged
  • Mass Screening