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| Research article summary (published 30 Mar 2002): |
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Increasing use of mammography among older, rural African American women: results from a community trial.
Full Abstract
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 [CI] = -1, 14) in community-wide 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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Author information
Author/s: Earp, Jo Anne (JA); Eng, Eugenia (E); O'Malley, Michael S (MS); Altpeter, Mary (M); Rauscher, Garth (G); Mayne, Linda (L); Mathews, Holly F (HF); Lynch, Kathy S (KS); Qaqish, Bahjat (B);
Affiliation: Department of Health Behavior and Health Education, CB #7400, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7400, USA. jearp(-atsign-)sph.unc.edu
Grants: CA 57726 (Agency:United States NCI) ; CA 58233 (Agency:United States NCI)
Journal and publication information
Publication Type: Evaluation Studies; Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.
Journal: American journal of public health (Am J Public Health), published in United States. (Language: eng)
Reference: 2002-Apr; vol 92 (issue 4) : pp 646-54
Dates: Created 2002/03/28; Completed 2002/04/05; Revised 2007/11/14;
PMID: 11919066, status: MEDLINE (last retrieval date: 11/6/2008)
Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.
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