title: Breast cancer screening and family history among rural women in Wisconsin.
abstract: This study examines the relationship between family history of breast cancer and current compliance with mammography screening guidelines. A random telephone survey of women age 40 or older living in rural Wisconsin (N = 2398) was conducted to determine mammography screening knowledge, family history of breast cancer, attitudes, intentions, physician recommendation, and compliance with screening guidelines. Compared with women without a family history of breast cancer, women with a family history were significantly more likely to demonstrate correct knowledge (p = 0. 01); express intentions in compliance with recommended screening guidelines (p < 0.001); report having been advised by a physician to obtain a mammogram (p < 0.001); and be in current compliance with mammography screening guidelines (p < 0.001). Results of simultaneous and individual logistic regression suggest that the effects of family history on compliance with screening guidelines are directly mediated through the combination of women's knowledge, women's intentions, and physician recommendation. Thus, programs to increase compliance with mammography screening guidelines should address both women and providers.
authors.affiliation: Northern Wisconsin Area Health Education Center, Wausau, Wisconsin 54401, USA.
authors.forename: M T
authors.initials: MT
authors.lastname: Lippert
authors.forename: E D
authors.initials: ED
authors.lastname: Eaker
authors.forename: R A
authors.initials: RA
authors.lastname: Vierkant
authors.forename: P L
authors.initials: PL
authors.lastname: Remington
mesh_terms: D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000235:genetics / Q000517:prevention & control*; D003625:Data Collection; D005192:Family Health; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008327:Mammography; D008403:Mass Screening; D008875:Middle Aged; D015999:Multivariate Analysis; D012424:Rural Population; D012923:Social Class; D002583:Uterine Cervical Neoplasms / Q000517:prevention & control*; D014922:Wisconsin