title: Closing the gap in mammogram screening: an experimental intervention among low-income Hispanic women in community health clinics.
abstract: A low rate of mammogram screening exists among low-income Hispanic women. To address this disparity, an experimental intervention containing audiovisual and written media was conducted using the health belief model as a framework. The purpose of this study was to determine if low-income Hispanic women, more than 40 years of age, who received targeted cancer prevention education (n = 105) had a significantly greater perceived threat of breast cancer, greater benefits and lower barriers to screening, and stronger intentions to obtain mammograms compared to a control group (n = 105). Intervention participants reported significantly greater perceived benefits, self-efficacy, and mammogram screening intentions than the control group. Predictors of mammogram screening intentions, when controlling for covariates, included receiving the intervention, and having greater perceived benefits, self-efficacy, and lower barriers. Results demonstrate the effectiveness of a low-cost, theory-based intervention aimed at increasing mammogram screening to assist in the monitoring of Healthy People 2020 objectives.
authors.affiliation: Loma Linda University, School of Public Health, CA, USA. adeavenport@llu.edu
authors.forename: Alexis
authors.initials: A
authors.lastname: Deavenport
authors.forename: Naomi
authors.initials: N
authors.lastname: Modeste
authors.forename: Helen Hopp
authors.initials: HH
authors.lastname: Marshak
authors.forename: Christine
authors.initials: C
authors.lastname: Neish
mesh_terms: D000328:Adult; D000704:Analysis of Variance; D001943:Breast Neoplasms / Q000175:diagnosis / Q000208:ethnology / Q000517:prevention & control*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice / Q000208:ethnology*; D054625:Healthcare Disparities / Q000208:ethnology*; D006630:Hispanic or Latino; D006801:Humans; D008327:Mammography / Q000191:economics / Q000523:psychology / Q000706:statistics & numerical data*; D008403:Mass Screening / Q000191:economics / Q000523:psychology / Q000706:statistics & numerical data*; D008875:Middle Aged; D008960:Models, Psychological; D010353:Patient Education as Topic / Q000379:methods*; D011203:Poverty