Titre :
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Increasing use of mammography among older, rural African American women : Results from a community trial. (2002)
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Auteurs :
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Jo-Anne EARP ;
Mary ALTPETER ;
Eugenia ENG ;
Kathy-S LYNCH ;
Holly-F MATHEWS ;
Linda MAYNE ;
Michael-S O'MALLEY ;
Bahjat QAQISH ;
Garth RAUSCHER ;
Lineberger Comprehensive Cancer Center and the Department of Health Behavior and Health Education. University of North Carolina at Chapel Hill. USA
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Type de document :
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Article
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Dans :
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American journal of public health (vol. 92, n° 4, 2002)
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Pagination :
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646-654
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Langues:
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Anglais
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Mots-clés :
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Utilisation
;
Mammographie
;
Femme
;
Homme
;
Dépistage
;
Ethnie
;
Race
;
Etats Unis
;
Amérique
;
Promotion santé
;
Programme santé
;
Evaluation
;
Radiodiagnostic
;
Amérique du Nord
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Résumé :
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[BDSP. Notice produite par INIST-CNRS R0xNXvuT. Diffusion soumise à autorisation]. Objectives. A community trial was undertaken to evaluate the effectiveness of the North Carolina Breast Cancer Screening Program, a lay health advisor network intervention intended to increase screening among rural African American women 50 years and older. Methods. A stratified random sample of 801 African American women completed baseline (1993-1994) and follow-up (1996-1997) surveys. The primary outcome was self-reported mammography use in the previous 2 years. Results. The intervention was associated with an overall 6 percentage point increase (95% confidence interval [Cl]=-1,14) in communitywide mammography use. Low-income women in intervention counties showed an 11 percentage point increase (95% CI=2,21) in use above that exhibited by low-income women in comparison counties. Adjustment for potentially confounding characteristics did not change the results. Conclusions. A lay health advisor intervention appears to be an effective public health approach to increasing use of screening mammography among low-income, rural populations.
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