title: Mammography Adherence in African-American Women: Results of a Randomized Controlled Trial.
abstract: BACKGROUND
  Breast cancer is the second leading cause of cancer mortality among women in the developed world. Mammography screening is especially important for African-Americans because they experience a greater mortality (OR = 1.38) than Caucasians despite having a lower incidence of breast cancer.
  
  
  OBJECTIVE
  The purpose of this study was to compare the effects of two interventions with usual care on mammography adherence among African-American women.
  
  
  METHODS
  A subsample of African-American women (n = 244) aged 41-65 years who had not had a mammogram in the last 15 months and no history of breast cancer was randomly assigned to receive (1) mailed interactive DVD, (2) computer-tailored telephone counseling, or (3) usual care.
  
  
  RESULTS
  The DVD intervention was five times more effective than usual care for promoting mammography screening at 6 months follow-up among women who earned less than $30,000 (OR = 5.3). Compared to usual care, neither the DVD nor phone produced significant effects for women with household incomes >$30,000.
  
  
  CONCLUSIONS
  Use of a mailed DVD for low-income African-American women may be an effective way to increase mammography adherence.
authors.affiliation: Department of Epidemiology, Richard M. Fairbanks School of Public Health, Indiana University, 714 N Senate Avenue, Suite EF 209, Indianapolis, IN, 46202, USA. ggathiru@iupui.edu.
authors.forename: Wambui G
authors.initials: WG
authors.lastname: Gathirua-Mwangi
authors.affiliation: Department of Epidemiology, Richard M. Fairbanks School of Public Health, Indiana University, 714 N Senate Avenue, Suite EF 209, Indianapolis, IN, 46202, USA.|Indiana University Melvin and Bren Simon Cancer Center, Indianapolis, IN, USA.
authors.forename: Patrick O
authors.initials: PO
authors.lastname: Monahan
authors.affiliation: Department of Biostatistics, Indiana University School of Medicine, Indianapolis, IN, USA.
authors.forename: Timothy
authors.initials: T
authors.lastname: Stump
authors.affiliation: Indiana University Melvin and Bren Simon Cancer Center, Indianapolis, IN, USA.|School of Nursing, Indiana University, Indianapolis, IN, USA.
authors.forename: Susan M
authors.initials: SM
authors.lastname: Rawl
authors.affiliation: University of Texas Southwestern Harold C Simmons Cancer Center, Dallas, TX, USA.
authors.forename: Celette Sugg
authors.initials: CS
authors.lastname: Skinner
authors.affiliation: Indiana University Melvin and Bren Simon Cancer Center, Indianapolis, IN, USA.|School of Nursing, Indiana University, Indianapolis, IN, USA.
authors.forename: Victoria L
authors.initials: VL
authors.lastname: Champion
mesh_terms: D000328:Adult; D001741:Black or African American / Q000523:psychology*; D000368:Aged; D001943:Breast Neoplasms / Q000175:diagnosis* / Q000523:psychology*; D003376:Counseling; D005260:Female; D006266:Health Education / Q000379:methods; D006801:Humans; D008327:Mammography / Q000523:psychology*; D008875:Middle Aged; D013689:Telephone; D014741:Video Recording
keywords: African-American; Controlled trial; Health disparities; Interactive DVD; Mammography adherence; Randomized intervention