ERIC Number: EJ827983
Record Type: Journal
Publication Date: 2004
Pages: 16
Abstractor: As Provided
ISBN: N/A
ISSN: ISSN-1090-1981
EISSN: N/A
Stepped-Care, Community Clinic Interventions to Promote Mammography Use among Low-Income Rural African American Women
West, Delia Smith; Greene, Paul; Pulley, LeaVonne; Kratt, Polly; Gore, Stacy; Weiss, Heidi; Siegfried, Nicole
Health Education & Behavior, v31 n4 p29S-44S 2004
Few studies have investigated community clinic-based interventions to promote mammography screening among rural African American women. This study randomized older low-income rural African American women who had not participated in screening in the previous 2 years to a theory-based, personalized letter or usual care; no group differences in mammography rate were evident at 6-month follow-up. Women who had not obtained a mammogram were then randomized to a tailored call delivered by community health care workers or a tailored letter. There were no group differences in mammography rates after the second 6-month follow-up. However, among women who had never had a mammogram, the tailored call was more effective in promoting mammography use. Tailored counseling may be an effective screening promotion strategy for hard-to-reach rural African American women with no history of screening. Further research into this strategy may facilitate efforts to reduce health disparities in underserved low-income rural African American populations. (Contains 2 figures.)
Descriptors: Low Income, Females, Public Health, Clinics, African Americans, Intervention, Diagnostic Tests, Cancer, Rural Areas, Telecommunications, Letters (Correspondence), Screening Tests, Health Behavior, Health Promotion
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Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A
Grant or Contract Numbers: N/A