TY - JOUR
T1 - Mammography Adherence in African-American Women
T2 - Results of a Randomized Controlled Trial
AU - Gathirua-Mwangi, Wambui G.
AU - Monahan, Patrick O.
AU - Stump, Timothy
AU - Rawl, Susan M.
AU - Skinner, Celette Sugg
AU - Champion, Victoria L.
N1 - Funding Information:
Funding for this research was provided by the Institute for Nursing Research at the National Institutes of Health [grant number R01 NR008434]/Clinical Trials Number NCT000287040. In addition, Wambui is a predoctoral fellow funded by the Training in Research for Behavioral Oncology and Cancer Control ProgramR25 (PI: Champion). Research reported in this publication was supported by the National Cancer Institute of the National Institutes of Health under Award Number R25 CA117865-07S1 and K05CA175048. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
Publisher Copyright:
© 2015, The Society of Behavioral Medicine.
PY - 2016/2/1
Y1 - 2016/2/1
N2 - 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.
AB - 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.
KW - African-American
KW - Controlled trial
KW - Health disparities
KW - Interactive DVD
KW - Mammography adherence
KW - Randomized intervention
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U2 - 10.1007/s12160-015-9733-0
DO - 10.1007/s12160-015-9733-0
M3 - Article
C2 - 26416127
AN - SCOPUS:84957838884
SN - 0883-6612
VL - 50
SP - 70
EP - 78
JO - Annals of Behavioral Medicine
JF - Annals of Behavioral Medicine
IS - 1
ER -