| Titre : | Increasing use of mammography among older, rural African American women : Results from a community trial. (2002) |
| Auteurs : | 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 |
| Type de document : | Article |
| Dans : | American journal of public health (vol. 92, n° 4, 2002) |
| Pagination : | 646-654 |
| Langues: | Anglais |
| Mots-clés : | Utilisation ; Mammographie ; Femme ; Homme ; Dépistage ; Ethnie ; Race ; Etats Unis ; Amérique ; Promotion santé ; Programme santé ; Evaluation ; Radiodiagnostic ; Amérique du Nord |
| Résumé : | [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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