Mammography Interventions for 65- to 74-Year-Old HMO Women: Program Effectiveness and Predictors of Use

Eunice S. King, Eric Ross, Andrew Balshem, Janet Seay, Barbara Rimer

Research output: Contribution to journalArticlepeer-review

22 Scopus citations

Abstract

This study evaluated the impact of two interventions designed to encourage mammography use among HMO women aged 65-74 who had not had a mammogram within the past year and had not used their referral for a free mammogram. Ninety days after the referral mailing, women were randomized to receive (a) a survey, (b) a survey in addition to telephone mammography counseling, or (c) a survey, telephone counseling, and a letter. Follow-up data indicated that only 13% of control group women compared to 27% who received phone counseling and 32% who received counseling and a letter obtained a mammogram within 120 days following the baseline survey and/or intervention. Results of the logistic regression analysis indicated that having received either of the interventions, mammography history, access ease, breast cancer/mammography beliefs, and having a friend or family member with breast cancer were independently and significantly related to mammography use.

Original languageEnglish
Pages (from-to)529-551
Number of pages23
JournalJournal of Aging and Health
Volume7
Issue number4
DOIs
StatePublished - Nov 1995

Keywords

  • Aged
  • Breast Neoplasms/epidemiology
  • Correspondence as Topic
  • Counseling
  • Female
  • Health Knowledge, Attitudes, Practice
  • Health Maintenance Organizations
  • Health Surveys
  • Humans
  • Logistic Models
  • Mammography/statistics & numerical data
  • Mass Screening
  • Program Evaluation
  • Telephone
  • United States

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