A randomized clinical trial to assess the benefit of offering on-site mobile mammography in addition to health education for older women.

Full Abstract

OBJECTIVE:
We conducted a cluster randomized clinical trial to compare the benefit of offering on-site mobile mammography in addition to an outreach program designed to increase mammography use by educating patients.

SUBJECTS AND METHODS:
We recruited a consecutive volunteer sample of 499 women ranging in age from 60 to 84 years who had not undergone mammography in the previous year to participate in a cluster randomized clinical trial about the benefit of on-site mobile mammography. Subjects were recruited from 60 community-based sites where seniors gather. The intervention included a structured on-site multicomponent educational program with or without available on-site mobile mammography. The primary outcome measure was self-reported receipt of mammography within 3 months of the intervention.

RESULTS:
Women in the group offered access to on-site mammography and health education were significantly more likely than those in the group offered health education only to undergo mammography within 3 months (55% vs 40%, p = 0.001; adjusted [for clustering] odds ratio, 1.83; 95% confidence interval, 1.22-2.74). Gains from offering on-site mammography were shown for several ethnic and sociodemographic subgroups and were especially large for Asian American women.

CONCLUSION:
Offering on-site mammography at community-based sites where older women gather is an effective method for increasing breast cancer screening rates among older women and may be particularly effective for some subgroups of women who traditionally have had low screening rates.

Learn Faster Today Improve your study skills

Author information

Author/s: Reuben, David B (DB); Bassett, Lawrence W (LW); Hirsch, Susan H (SH); Jackson, Catherine A (CA); Bastani, Roshan (R);

Affiliation: UCLA Multicampus Program in Geriatric Medicine and Gerontology, University of California, 10945 Le Conte Ave., Ste. 2339, Los Angeles, CA 90095-1687, USA.

Journal and publication information

Publication Type: Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't

Journal: AJR. American journal of roentgenology (AJR Am J Roentgenol), published in United States. (Language: eng)

Reference: 2002-Dec; vol 179 (issue 6) : pp 1509-14

Dates: Created 2002/11/19; Completed 2002/12/19; Revised 2008/02/15;

PMID: 12438046, 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.

External Links for this article (including full text providers, if available):

Click Electronic Full-text Provider Links to see options for finding the electronic full text links to this article. Note there may be a subscription or fee required for access to the full text. See our FAQ for information on finding FREE full text articles.

This article may also be located in paper journal collections available in many libraries. Use the Journal and Publication Information above to find the full article.

MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Humans
Mammography - utilization
Middle Aged
Mobile Health Units

This article has not been indexed for related articles as yet, however you can still use the live related article search links below.

See 100+ related articles.