title: Multi-level barriers to obtaining mammograms for women with mobility limitations: post workshop evaluation.
abstract: OBJECTIVE
  To assess the barriers and facilitators to mammogram use in middle aged women with mobility limitations who had completed an educational workshop, Promoting Access to Health Service (PATHS), on clinical preventive services.
  
  
  METHODS
  Women aged 40 to 64 with mobility impairments who reported not receiving a mammogram in the last 2 years were randomly assigned to a PATHS workshop and received follow-up monthly phone call interviews over 6 months.
  
  
  RESULTS
  Individual (eg, comorbidities, family responsibilities), interpersonal (eg, unclear provider communication, negative history), and environmental (eg, healthcare availability, insurance coverage, finances) factors were identified as unsolved barriers and potential facilitators (eg, reminders, physical proximity), to obtaining a mammogram.
  
  
  CONCLUSIONS
  A multi-level intervention approach is required to promote mammogram use by women with disabilities.
authors.affiliation: Department of Public Health and Health Sciences, University of Michigan - Flint, Flint, MI, USA. rsuzuki@umflint.edu
authors.forename: Rie
authors.initials: R
authors.lastname: Suzuki
authors.forename: Gloria
authors.initials: G
authors.lastname: Krahn
authors.forename: Eusebius
authors.initials: E
authors.lastname: Small
authors.forename: Jana
authors.initials: J
authors.lastname: Peterson-Besse
mesh_terms: D000328:Adult; D005260:Female; D006293:Health Promotion; D006297:Health Services Accessibility; D006801:Humans; D008327:Mammography / Q000523:psychology; D008875:Middle Aged; D051346:Mobility Limitation; D016387:Women's Health