Compliance rates and predictors of cancer screening recommendations among Appalachian women

被引:35
作者
Amonkar, MM [1 ]
Madhavan, S [1 ]
机构
[1] W Virginia Univ, Sch Pharm, Dept Pharmaceut Syst & Policy, Morgantown, WV 26506 USA
关键词
Appalachia; breast cancer; cervical cancer; preventive screening services; compliance rates;
D O I
10.1177/104920802762475102
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
High rates of morbidity and mortality in the Appalachian region of the country warrant examination of the preventive care behavior of its residents. This study determined compliance rates for breast and cervical cancer screening recommendations for women residing in Appalachian states and identified predictors of such compliance using the Behavioral Risk Factor Surveillance System data (1995-97). Healthy People 2000 goals were used as benchmarks for progress. Appalachian women have made good progress toward goals pertaining to breast and cervical cancer screening. Compliance with other preventive services, having insurance coverage, residing in urban areas, better self-reported health, and higher education were independently associated with increased odds of compliance with annual-screening recommendations. Risk factors of obesity and smoking were associated with decreased odds of compliance. Findings should be useful to health care providers, policy makers, and researchers in their efforts to educate, encourage, and promote preventive care behavior among residents of Appalachia.
引用
收藏
页码:443 / 460
页数:18
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