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. 1993 Sep-Oct;108(5):605–624.

Integrating behavior and intention regarding mammography by respondents in the 1990 National Health Interview Survey of Health Promotion and Disease Prevention.

W Rakowski 1, B K Rimer 1, S A Bryant 1
PMCID: PMC1403437  PMID: 8210259

Abstract

Achieving and maintaining high rates of screening mammography are major public health priorities. This report examines data from the 1990 National Health Interview Survey of Health Promotion and Disease Prevention on the utilization of mammography among women ages 40-75. Results show that progress is being made in some areas--57.7 percent of women "ever had" a mammogram; 50.3 percent, in previous 2 years. However, those not having repeated regular screening appear to be a sizable proportion. Only 28.6 percent of women ages 40-75 had been both screened on the recommended age-specific schedule and expressed an intention to continue screening; another 29.2 percent indicated no intention to have a mammogram in the near future. Income, clinical breast examination, and Pap (Papanicolaou's) test, having no regular source of care, region of the country and residential variables, smoking status, not exercising, not knowing how to do breast self-examination, and race were among the variables having the strongest associations with mammography status. Several groups in the population therefore remain at risk of not receiving regular screening. The combination of mammography status to date and future intention to have the examination provides an important perspective on efforts to reach public health screening objectives and appears to provide a strategy for targeting interventions.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Anda R. F., Sienko D. G., Remington P. L., Gentry E. M., Marks J. S. Screening mammography for women 50 years of age and older: practices and trends, 1987. Am J Prev Med. 1990 May-Jun;6(3):123–129. [PubMed] [Google Scholar]
  2. Boss L. P., Guckes F. H. Medicaid coverage of screening tests for breast and cervical cancer. Am J Public Health. 1992 Feb;82(2):252–253. doi: 10.2105/ajph.82.2.252. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Burack R. C., Liang J. The early detection of cancer in the primary-care setting: factors associated with the acceptance and completion of recommended procedures. Prev Med. 1987 Nov;16(6):739–751. doi: 10.1016/0091-7435(87)90014-4. [DOI] [PubMed] [Google Scholar]
  4. Cancer control. Objectives for the nation: 1985-2000. Division of Cancer Prevention and Control. National Cancer Institute. NCI Monogr. 1986;(2):1–93. [PubMed] [Google Scholar]
  5. Chambers C. V., Balaban D. J., Carlson B. L., Ungemack J. A., Grasberger D. M. Microcomputer-generated reminders. Improving the compliance of primary care physicians with mammography screening guidelines. J Fam Pract. 1989 Sep;29(3):273–280. [PubMed] [Google Scholar]
  6. Costanza M. E., D'Orsi C. J., Greene H. L., Gaw V. P., Karellas A., Zapka J. G. Feasibility of universal screening mammography. Lessons from a community intervention. Arch Intern Med. 1991 Sep;151(9):1851–1856. [PubMed] [Google Scholar]
  7. Degnan D., Harris R., Ranney J., Quade D., Earp J. A., Gonzalez J. Measuring the use of mammography: two methods compared. Am J Public Health. 1992 Oct;82(10):1386–1388. doi: 10.2105/ajph.82.10.1386. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Fulton J. P., Buechner J. S., Scott H. D., DeBuono B. A., Feldman J. P., Smith R. A., Kovenock D. A study guided by the Health Belief Model of the predictors of breast cancer screening of women ages 40 and older. Public Health Rep. 1991 Jul-Aug;106(4):410–420. [PMC free article] [PubMed] [Google Scholar]
  9. Gordillo C. Breast cancer screening guidelines agreed on by AMA, other medically related organizations. JAMA. 1989 Sep 1;262(9):1155–1155. doi: 10.1001/jama.262.9.1155. [DOI] [PubMed] [Google Scholar]
  10. Harris R. P., Fletcher S. W., Gonzalez J. J., Lannin D. R., Degnan D., Earp J. A., Clark R. Mammography and age: are we targeting the wrong women? A community survey of women and physicians. Cancer. 1991 Apr 1;67(7):2010–2014. doi: 10.1002/1097-0142(19910401)67:7<2010::aid-cncr2820670730>3.0.co;2-8. [DOI] [PubMed] [Google Scholar]
  11. Harris R. P., O'Malley M. S., Fletcher S. W., Knight B. P. Prompting physicians for preventive procedures: a five-year study of manual and computer reminders. Am J Prev Med. 1990 May-Jun;6(3):145–152. [PubMed] [Google Scholar]
  12. Hayward R. A., Shapiro M. F., Freeman H. E., Corey C. R. Who gets screened for cervical and breast cancer? Results from a new national survey. Arch Intern Med. 1988 May;148(5):1177–1181. [PubMed] [Google Scholar]
  13. Hayward R. S., Steinberg E. P., Ford D. E., Roizen M. F., Roach K. W. Preventive care guidelines: 1991. American College of Physicians. Canadian Task Force on the Periodic Health Examination. United States Preventive Services Task Force. Ann Intern Med. 1991 May 1;114(9):758–783. doi: 10.7326/0003-4819-114-9-758. [DOI] [PubMed] [Google Scholar]
  14. 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]
  15. King E. S., Rimer B. K., Trock B., Balshem A., Engstrom P. How valid are mammography self-reports? Am J Public Health. 1990 Nov;80(11):1386–1388. doi: 10.2105/ajph.80.11.1386. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Lane D. S., Polednak A. P., Burg M. A. Breast cancer screening practices among users of county-funded health centers vs women in the entire community. Am J Public Health. 1992 Feb;82(2):199–203. doi: 10.2105/ajph.82.2.199. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Lerman C., Rimer B., Trock B., Balshem A., Engstrom P. F. Factors associated with repeat adherence to breast cancer screening. Prev Med. 1990 May;19(3):279–290. doi: 10.1016/0091-7435(90)90028-i. [DOI] [PubMed] [Google Scholar]
  18. Levin B., Murphy G. P. Revision in American Cancer Society recommendations for the early detection of colorectal cancer. CA Cancer J Clin. 1992 Sep-Oct;42(5):296–299. doi: 10.3322/canjclin.42.5.296. [DOI] [PubMed] [Google Scholar]
  19. Lurie N., Manning W. G., Peterson C., Goldberg G. A., Phelps C. A., Lillard L. Preventive care: do we practice what we preach? Am J Public Health. 1987 Jul;77(7):801–804. doi: 10.2105/ajph.77.7.801. [DOI] [PMC free article] [PubMed] [Google Scholar]
  20. Mayer J. A., Slymen D. J., Jones J. A., Allen J. L., Eckhardt L. E., Hovell M. F., Williams S. J. Mammography knowledge and intentions among insured women. Prev Med. 1992 Jan;21(1):8–17. doi: 10.1016/0091-7435(92)90002-y. [DOI] [PubMed] [Google Scholar]
  21. Nattinger A. B., Panzer R. J., Janus J. Improving the utilization of screening mammography in primary care practices. Arch Intern Med. 1989 Sep;149(9):2087–2092. [PubMed] [Google Scholar]
  22. Rakowski W., Dube C. E., Marcus B. H., Prochaska J. O., Velicer W. F., Abrams D. B. Assessing elements of women's decisions about mammography. Health Psychol. 1992;11(2):111–118. doi: 10.1037//0278-6133.11.2.111. [DOI] [PubMed] [Google Scholar]
  23. Rakowski W., Fulton J. P., Feldman J. P. Women's decision making about mammography: a replication of the relationship between stages of adoption and decisional balance. Health Psychol. 1993 May;12(3):209–214. doi: 10.1037//0278-6133.12.3.209. [DOI] [PubMed] [Google Scholar]
  24. Reeder S., Berkanovic E., Marcus A. C. Breast cancer detection behavior among urban women. Public Health Rep. 1980 May-Jun;95(3):276–281. [PMC free article] [PubMed] [Google Scholar]
  25. Rutqvist L. E., Miller A. B., Andersson I., Hakama M., Hakulinen T., Sigfússon B. F., Tabár L. Reduced breast-cancer mortality with mammography screening--an assessment of currently available data. Int J Cancer Suppl. 1990;5:76–84. doi: 10.1002/ijc.2910460711. [DOI] [PubMed] [Google Scholar]
  26. Stein J. A., Fox S. A., Murata P. J. The influence of ethnicity, socioeconomic status, and psychological barriers on use of mammography. J Health Soc Behav. 1991 Jun;32(2):101–113. [PubMed] [Google Scholar]
  27. Vanchieri C. Medical groups' message to women: if 40 or older, get regular mammograms. J Natl Cancer Inst. 1989 Aug 2;81(15):1126–1128. doi: 10.1093/jnci/81.15.1126. [DOI] [PubMed] [Google Scholar]
  28. Zapka J. G., Hosmer D., Costanza M. E., Harris D. R., Stoddard A. Changes in mammography use: economic, need, and service factors. Am J Public Health. 1992 Oct;82(10):1345–1351. doi: 10.2105/ajph.82.10.1345. [DOI] [PMC free article] [PubMed] [Google Scholar]
  29. Zapka J. G., Stoddard A. M., Costanza M. E., Greene H. L. Breast cancer screening by mammography: utilization and associated factors. Am J Public Health. 1989 Nov;79(11):1499–1502. doi: 10.2105/ajph.79.11.1499. [DOI] [PMC free article] [PubMed] [Google Scholar]
  30. Zapka J. G., Stoddard A., Maul L., Costanza M. E. Interval adherence to mammography screening guidelines. Med Care. 1991 Aug;29(8):697–707. doi: 10.1097/00005650-199108000-00003. [DOI] [PubMed] [Google Scholar]

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