Abstract B89: Understanding changes in the USPSTF mammography screening guidelines: The role of the Avon Breast Health Outreach Program in reaching underserved women.

2012 ◽  
Author(s):  
Shirley M. Bluethmann ◽  
Jennifer D. Allen ◽  
Hannah L. Mills ◽  
Kelly Morrison Opdyke ◽  
Kathryn Gates-Ferris ◽  
...  
Keyword(s):  
Mammography Screening ◽  
Outreach Program ◽  
Breast Health ◽  
Screening Guidelines ◽  
Underserved Women

Barriers to mammography among underserved women in a breast health center outreach program.

2012 ◽  
Vol 30 (27_suppl) ◽  
pp. 13-13
Author(s):  
Oluwadamilola M. Fayanju ◽  
Susan Kraenzle ◽  
Bettina F. Drake ◽  
Xuemei Si ◽  
Masayoshi Oka ◽  
...  
Keyword(s):  
Health Center ◽  
Demographic Data ◽  
Bad News ◽  
Medically Underserved ◽  
Procedural Pain ◽  
Outreach Program ◽  
Breast Health ◽  
Mobile Mammography ◽  
Underserved Women ◽  
Record Data

13 Background: An outreach registry of Breast Health Center patients was developed in 2006 to evaluate the effectiveness of mobile mammography among the medically underserved. Registry included collection of medical record data, demographic data, and answers to a questionnaire about perceptions of breast cancer screening. Here, we examine barriers to mammography. Methods: Between April 2006 and May 2011, 9,082 women were registered. Data from registrants’ first screening visit (n= 8,916) were analyzed using multivariable logistic regression examining three outcomes identified as barriers to mammography: cost, fear of pain during the procedure, and fear of receiving bad news. Two-tailed p<0.05 was considered significant. Results: The majority of registrants were black (54%), uninsured (74%), screened on a van (83%), resided in the greater St. Louis region (84%), had an annual income <$20,000 (87%), and reported a good or excellent experience as part of the outreach program (92%). Fears of cost, mammogram-related pain, and bad news were reported by 40%, 13%, and 13% of registrants, respectively. Regression analyses revealed that being employed (odds ratio [OR] 1.109, p=0.0323) and living in the Bootheel of Missouri (OR 2.319, p<0.0001) were associated with a higher likelihood of perceiving cost as a barrier to mammography, while those who had insurance (OR 0.439) and were Hispanic (compared to non-Hispanic [NH] whites [OR 0.338]) were less likely to report cost as a barrier (both p<0.0001). Registrants who were screened on the van (OR 1.633), had insurance (OR 1.391), and were NH black (OR 1.324) were more likely to report fear of procedural pain as a barrier (all p<0.0001). Having insurance (OR 1.378), being NH black (OR 2.458), and being Hispanic (OR 2.980) were associated with reporting fear of receiving bad news as a barrier (all p>0.0001), while older women (OR 0.985, p=0.0001) and women who were screened on the van (OR 0.772, p=0.0026) were less likely to report this concern. Conclusions: Despite provision of free services, cost, fear of procedural pain, and fear of abnormal results remain barriers to mammography utilization among medically underserved women, suggesting the need for more breast health education in this population.

scholarly journals Perceived barriers to mammography among underserved women in a Breast Health Center Outreach Program

2014 ◽  
Vol 208 (3) ◽  
pp. 425-434 ◽  
Author(s):  
Oluwadamilola M. Fayanju ◽  
Susan Kraenzle ◽  
Bettina F. Drake ◽  
Masayoshi Oka ◽  
Melody S. Goodman
Keyword(s):  
Health Center ◽  
Perceived Barriers ◽  
Outreach Program ◽  
Breast Health ◽  
Underserved Women

scholarly journals Patient and Clinical Perspectives on Changes to Mammography Screening Guidelines

2013 ◽  
Vol 20 (1) ◽  
pp. 105-106 ◽  
Author(s):  
Gloria D. Coronado ◽  
Javiera Martinez Gutierrez ◽  
Esther Jhingan ◽  
Antoinette Angulo ◽  
Ricardo Jimenez
Keyword(s):  
Mammography Screening ◽  
Screening Guidelines

scholarly journals Older Women’s Perspectives Driving Mammography Screening Use and Overuse: a Narrative Review of Mixed-Methods Studies

2020 ◽  
Vol 7 (4) ◽  
pp. 274-289
Author(s):  
Jessica D. Austin ◽  
Rachel C. Shelton ◽  
Erica J. Lee Argov ◽  
Parisa Tehranifar
Keyword(s):  
Mixed Methods ◽  
Older Women ◽  
Mammography Screening ◽  
Screening Mammography ◽  
Narrative Review ◽  
System Level ◽  
Quantitative Evidence ◽  
Screening Guidelines ◽  
Positive Attitudes ◽  
The Usa

Abstract Purpose of Review Examining what older women know and perceive about mammography screening is critical for understanding patterns of under- and overuse, and concordance with screening mammography guidelines in the USA. This narrative review synthesizes qualitative and quantitative evidence around older women’s perspectives toward mammography screening. Recent Findings The majority of 43 identified studies focused on promoting mammography screening in women of different ages, with only four studies focusing on the overuse of mammography in women ≥ 70 years old. Older women hold positive attitudes around screening, perceive breast cancer as serious, believe the benefits outweigh the barriers, and are worried about undergoing treatment if diagnosed. Older women have limited knowledge of screening guidelines and potential harms of screening. Summary Efforts to address inequities in mammography access and underuse need to be supplemented by epidemiologic and interventional studies using mixed-methods approaches to improve awareness of benefits and harms of mammography screening in older racially and ethnically diverse women. As uncertainty around how best to approach mammography screening in older women remains, understanding women’s perspectives along with healthcare provider and system-level factors is critical for ensuring appropriate and equitable mammography screening use in older women.

scholarly journals Linking Reminders and Physician Breast Cancer Screening Recommendations: Results From a National Survey

2017 ◽  
pp. 1-10 ◽  
Author(s):  
Elizabeth J. Siembida ◽  
Archana Radhakrishnan ◽  
Sarah A. Nowak ◽  
Andrew M. Parker ◽  
Craig Evan Pollack
Keyword(s):  
Breast Cancer ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Mammography Screening ◽  
Primary Care Physicians ◽  
Age Groups ◽  
National Sample ◽  
Average Risk ◽  
Screening Guidelines ◽  
Practice Characteristics

Purpose Physician reminders have successfully increased rates of mammography. However, considering recent changes to breast cancer screening guidelines that disagree on the optimal age to start and stop mammography screening, we sought to examine the extent to which reminders have been deployed for breast cancer screening targeting younger and older patients. Methods A mailed survey was sent to a national sample of 2,000 primary care physicians between May and September 2016. Physicians were asked whether they received reminders to screen women in various age groups (40 to 44, 45 to 49, and ≥ 75 years), the organizational screening guidelines they trusted most, and whether they recommended routine breast cancer screening to average-risk women in the different age groups. Using regression models, we assessed the association between reminders and physician screening recommendations, controlling for physician and practice characteristics, and evaluated whether the association varied by the guidelines they trusted. Results A total of 871 physicians responded (adjusted response rate, 52.3%). Overall, 28.9% of physicians reported receiving reminders for patient ages 40 to 44 years, 32.5% for patient ages 45 to 49 years, and 16.5% for patient ages ≥ 75 years. Receiving reminders significantly increased the likelihood of physicians recommending mammography screening. In adjusted analyses, 84% (95% CI, 77% to 90%) of physicians who received reminders recommended screening for women ages ≥ 75 versus 65% (95% CI, 62% to 69%) of those who did not receive reminders. The associations between reminders and screening recommendations remained consistent regardless of which guidelines physicians reported trusting. Conclusion Reminders were significantly associated with increases in physician screening recommendations for mammography, underscoring the need for careful implementation in scenarios where guidelines are discordant.

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