Abstract
The status of mammography screening experience and factors related to utilization were examined in six towns serviced by physician staffs at five hospitals. Data were collected via random digit dial telephone interview of a probability sample of 1184 women, aged 45-75 years. The results showed that 55% of the women reported ever having had a mammogram. Of those who had ever had a mammogram, 21% reported that the mammogram in the past year was their first one. Of those women who are over 50 and had ever had a mammogram, 57% reported one in the past year. Analyses demonstrated that a combination of demographic factors, certain beliefs and knowledge, having a regular physician, social interaction and media exposure are independently related to ever having a mammogram, and to having one in the past year. Despite anecdotal and empirical evidence that the proportion of women ever having had a mammogram has substantially increased in the past several years, increasing utilization among older and lower-income women provides a challenge for public health.
Full text
PDF



Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Chu K. C., Smart C. R., Tarone R. E. Analysis of breast cancer mortality and stage distribution by age for the Health Insurance Plan clinical trial. J Natl Cancer Inst. 1988 Sep 21;80(14):1125–1132. doi: 10.1093/jnci/80.14.1125. [DOI] [PubMed] [Google Scholar]
- Greenland S. Modeling and variable selection in epidemiologic analysis. Am J Public Health. 1989 Mar;79(3):340–349. doi: 10.2105/ajph.79.3.340. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Howard J. Using mammography for cancer control: an unrealized potential. CA Cancer J Clin. 1987 Jan-Feb;37(1):33–48. doi: 10.3322/canjclin.37.1.33. [DOI] [PubMed] [Google Scholar]
- Janz N. K., Becker M. H. The Health Belief Model: a decade later. Health Educ Q. 1984 Spring;11(1):1–47. doi: 10.1177/109019818401100101. [DOI] [PubMed] [Google Scholar]
- Maclean U., Sinfield D., Klein S., Harnden B. Women who decline breast screening. J Epidemiol Community Health. 1984 Dec;38(4):278–283. doi: 10.1136/jech.38.4.278. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Rutledge D. N., Hartmann W. H., Kinman P. O., Winfield A. C. Exploration of factors affecting mammography behaviors. Prev Med. 1988 Jul;17(4):412–422. doi: 10.1016/0091-7435(88)90040-0. [DOI] [PubMed] [Google Scholar]
- Tabár L., Fagerberg C. J., Gad A., Baldetorp L., Holmberg L. H., Gröntoft O., Ljungquist U., Lundström B., Månson J. C., Eklund G. Reduction in mortality from breast cancer after mass screening with mammography. Randomised trial from the Breast Cancer Screening Working Group of the Swedish National Board of Health and Welfare. Lancet. 1985 Apr 13;1(8433):829–832. doi: 10.1016/s0140-6736(85)92204-4. [DOI] [PubMed] [Google Scholar]
- Verbeek A. L., Hendriks J. H., Holland R., Mravunac M., Sturmans F., Day N. E. Reduction of breast cancer mortality through mass screening with modern mammography. First results of the Nijmegen project, 1975-1981. Lancet. 1984 Jun 2;1(8388):1222–1224. doi: 10.1016/s0140-6736(84)91703-3. [DOI] [PubMed] [Google Scholar]
- Wertheimer M. D., Costanza M. E., Dodson T. F., D'Orsi C., Pastides H., Zapka J. G. Increasing the effort toward breast cancer detection. JAMA. 1986 Mar 14;255(10):1311–1315. [PubMed] [Google Scholar]
- Williams P. A., Williams M. Barriers and incentives for primary-care physicians in cancer prevention and detection. Cancer. 1987 Oct 15;60(8 Suppl):1970–1978. doi: 10.1002/1097-0142(19901015)60:8+<1970::aid-cncr2820601508>3.0.co;2-m. [DOI] [PubMed] [Google Scholar]