Stepped-care, community clinic interventions to promote mammography use among low-income rural African American women.
Few studies have investigated community clinic-based interventions to promote mammography screening among rural African American women. This study randomized older low-income rural African American women who had not participated in screening in the previous 2 years to a theory-based, personalized letter or usual care; no group differences in mammography rate were evident at 6-month follow-up. Women who had not obtained a mammogram were then randomized to a tailored call delivered by community health care workers or a tailored letter. There were no group differences in mammography rates after the second 6-month follow-up. However, among women who had never had a mammogram, the tailored call was more effective in promoting mammography use. Tailored counseling may be an effective screening promotion strategy for hard-to-reach rural African American women with no history of screening. Further research into this strategy may facilitate efforts to reduce health disparities in underserved low-income rural African American populations.
University of Arkansas Medical Sciences, College of Public Health, 4301West Markham Street, #820, Little Rock, AR72205, USA. dswest1@uams.edu
Delia Smith
DS
West
Paul
P
Greene
LeaVonne
L
Pulley
Polly
P
Kratt
Stacy
S
Gore
Heidi
H
Weiss
Nicole
N
Siegfried
D001741:Black or African American; D000368:Aged; D000369:Aged, 80 and over; D001943:Breast Neoplasms / Q000517:prevention & control; D003153:Community Health Services / Q000379:methods*; D005260:Female; D006293:Health Promotion; D006801:Humans; D008327:Mammography / Q000706:statistics & numerical data*; D008403:Mass Screening / Q000706:statistics & numerical data; D008875:Middle Aged; D011203:Poverty; D016387:Women's Health