title: Do Appalachian women attending a mobile mammography program differ from those visiting a stationary mammography facility?
abstract: To compare the characteristics (demographic, access to care, health-related behavioral, self and family medical history, psychosocial) of women aged 40 years and above who utilize a mobile mammography unit with those women aged 40 years and above who obtain mammography screening at a stationary facility. A cross-sectional study design was used with participant cohorts comprised of women age 40 years and above throughout West Virginia (WV) who utilized mobile mammography unit to get mammogram and those who had mammography screening at the stationary facility and completed the Mammography Screening and Preventive Care Survey. A total of 1,161 women who utilized the mobile mammography unit and 1,104 women who utilized stationary facility were included in the analysis. In logistic regression after adjusting for all the variables, women who utilized mobile mammography unit were more likely to be in age group 40-49, with lower income, with no health insurance coverage, not visit doctor or obstetrician/gynecologist (OB/GYN) in the past year, not adherent to clinical breast exam and mammography screening guidelines, with lower perceived five-year risk of developing breast cancer and with high knowledge about mammography screening. Women who utilize mobile unit are not adherent to mammography screening guidelines thereby suggesting that the mobile mammography unit is indeed reaching a rural vulnerable population who may not routinely access preventive health services. Financial and insurance constraints, as well as access to medical care, restricted WV women from receiving mammography screening from the stationary screening facilities.
authors.affiliation: Department of Pharmaceutical Systems and Policy, School of Pharmacy, Robert C. Byrd Health Sciences Center (North), West Virginia University, P.O. Box 9510, Morgantown, WV 26506-9510, USA. avyas@hsc.wvu.edu
authors.forename: Ami
authors.initials: A
authors.lastname: Vyas
authors.forename: Suresh
authors.initials: S
authors.lastname: Madhavan
authors.forename: Kimberly
authors.initials: K
authors.lastname: Kelly
authors.forename: Aaron
authors.initials: A
authors.lastname: Metzger
authors.forename: Judith
authors.initials: J
authors.lastname: Schreiman
authors.forename: Scot
authors.initials: S
authors.lastname: Remick
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D001061:Appalachian Region / Q000453:epidemiology; D001943:Breast Neoplasms / Q000175:diagnosis; D055088:Early Detection of Cancer / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D007182:Income / Q000706:statistics & numerical data; D019458:Insurance Coverage / Q000706:statistics & numerical data; D007348:Insurance, Health / Q000706:statistics & numerical data; D008327:Mammography / Q000706:statistics & numerical data*; D008875:Middle Aged; D008952:Mobile Health Units / Q000706:statistics & numerical data*; D014903:West Virginia / Q000453:epidemiology