Rural-urban differences in breast cancer screening among African American women

Baqar A. Husaini, Janice S. Emerson, Pamela C. Hull, Darren E. Sherkat, Robert S. Levine, Van A. Cain

Research output: Contribution to journalArticlepeer-review

27 Scopus citations


This study reports on rural-urban differences in the effectiveness of a church-based educational program aimed at increasing breast cancer screening among African American women ages 40 and over. The data were drawn from an intervention study in urban Nashville, and a pilot extension of the study in five rural counties of West Tennessee. The partial program was equally effective in rural Tennessee (17.6% increase in mammography attainment from baseline to Time 3) and in urban Nashville (22.3% increase). The rural women reported more barriers to mammography screening than the urban women. The rural women were more likely not to get a mammogram because they did not perceive a need, because they thought mammography was embarrassing, and because of their religious beliefs. The results of this study demonstrate that an inexpensive church-based educational program was equally effective in both rural and urban Tennessee for increasing mammography rates among African American women.

Original languageEnglish
Pages (from-to)1-10
Number of pages10
JournalJournal of Health Care for the Poor and Underserved
Issue number4 SUPPL. A
StatePublished - Nov 2005


  • African American women
  • Faith-based interventions
  • Mammography
  • Rural

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


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