Keeping mammography referral appointments: Motivation, health beliefs, and access barriers experienced by older minority women

被引:21
作者
Bernstein, J
Mutschler, P
Bernstein, E
机构
[1] Brandeis Univ, Heller Sch, Waltham, MA 02254 USA
[2] Boston Univ, Sch Publ Hlth, Dept Maternal & Child Hlth, Boston, MA 02118 USA
[3] Boston Univ, Sch Med, Boston, MA 02118 USA
关键词
D O I
10.1016/S1526-9523(00)00037-4
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Older women of color tend to have much lower rates of regular mammography screening for breast cancer than younger Caucasian women; yet, they have higher rates of mortality. This study was designed to increase mammography rates among inner-city women aged 50 years or older. Another goal was to investigate differences in mammography utilization related to race/ethnicity and language after barriers associated with cost and the difficulty of making an appointment are removed. A peer delivered intervention, which consisted of interview, mammography referral, and the scheduling of a next-day appointment, was conducted among a convenience sample of 151 culturally and racially diverse older women through a primary care referral project operating within an urban emergency department (ED). A brief motivational interview and mammography referral at the One of an ED visit, including scheduling of a next-day no cost appointment, was followed by a cross-sectional telephone survey of utilization and motivating and hindering factors. Follow-up was achieved with 96 women (66%). Fifty-eight women (60%) had a post-intervention mammogram: of those, 69% were first time users. More than 90% planned a repeat mammogram the following year. Of the 27 who did not receive a mammogram, 21 (77%) requested a "second try" appointment. These findings demonstrate that an interactive intervention among older women of color has the potential to dramatically increase mammography rates. (C) 2000 by the American College of Nurse-Midwives.
引用
收藏
页码:308 / 313
页数:6
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