Mammography Adherence in African-American Women: Results of a Randomized Controlled Trial

Wambui G. Gathirua-Mwangi, Patrick O. Monahan, Timothy Stump, Susan M. Rawl, Celette Sugg Skinner, Victoria L. Champion

Research output: Contribution to journalArticlepeer-review

14 Scopus citations


Background: Breast cancer is the second leading cause of cancer mortality among women in the developed world. Mammography screening is especially important for African-Americans because they experience a greater mortality (OR = 1.38) than Caucasians despite having a lower incidence of breast cancer. Purpose: The purpose of this study was to compare the effects of two interventions with usual care on mammography adherence among African-American women. Methods: A subsample of African-American women (n = 244) aged 41–65 years who had not had a mammogram in the last 15 months and no history of breast cancer was randomly assigned to receive (1) mailed interactive DVD, (2) computer-tailored telephone counseling, or (3) usual care. Results: The DVD intervention was five times more effective than usual care for promoting mammography screening at 6 months follow-up among women who earned less than $30,000 (OR = 5.3). Compared to usual care, neither the DVD nor phone produced significant effects for women with household incomes >$30,000. Conclusion: Use of a mailed DVD for low-income African-American women may be an effective way to increase mammography adherence.

Original languageEnglish (US)
Pages (from-to)70-78
Number of pages9
JournalAnnals of Behavioral Medicine
Issue number1
StatePublished - Feb 1 2016


  • African-American
  • Controlled trial
  • Health disparities
  • Interactive DVD
  • Mammography adherence
  • Randomized intervention

ASJC Scopus subject areas

  • Psychology(all)
  • Psychiatry and Mental health


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