TY - JOUR
T1 - Targeted intervention strategies to increase and maintain mammography utilization among African American women
AU - Fouad, Mona N.
AU - Partridge, Edward
AU - Dignan, Mark
AU - Holt, Cheryl
AU - Johnson, Rhoda
AU - Nagy, Chris
AU - Person, Sharina
AU - Wynn, Theresa
AU - Scarinci, Isabel
PY - 2010/12/1
Y1 - 2010/12/1
N2 - Objectives. We assessed the impact of a theory-based, culturally relevant intervention designed to increase mammography screening among African American women in 8 underserved counties in Alabama. Methods. Using principles derived from the Stages of Change, Community Health Advisor, and Community Empowerment models, we developed strategies to increasemammography screening. Trained volunteers (N=143) provided tailored messages to encourage adoption and maintenance of mammography screening. We collected baseline and follow-up data on 1513 women in the communities targeted for the intervention. Our goal was to decrease the number of women in stage 1 (never screened) while increasing the number of women in stage 2 (infrequently screened) and stage 3 (regularly screened). Results. At baseline, 14% (n=211) of the women were in stage 1, 16% (n=247) were in stage 2, and 70% (n=1055) were in stage 3. After the 2-year intervention, 4% (n=61) of the women remained in stage 1, 20% (n=306) were in stage 2, and 76% (n=1146) were in stage 3. Conclusions. Tailored motivational messages and peer support can increase mammography screening rates for African American women.
AB - Objectives. We assessed the impact of a theory-based, culturally relevant intervention designed to increase mammography screening among African American women in 8 underserved counties in Alabama. Methods. Using principles derived from the Stages of Change, Community Health Advisor, and Community Empowerment models, we developed strategies to increasemammography screening. Trained volunteers (N=143) provided tailored messages to encourage adoption and maintenance of mammography screening. We collected baseline and follow-up data on 1513 women in the communities targeted for the intervention. Our goal was to decrease the number of women in stage 1 (never screened) while increasing the number of women in stage 2 (infrequently screened) and stage 3 (regularly screened). Results. At baseline, 14% (n=211) of the women were in stage 1, 16% (n=247) were in stage 2, and 70% (n=1055) were in stage 3. After the 2-year intervention, 4% (n=61) of the women remained in stage 1, 20% (n=306) were in stage 2, and 76% (n=1146) were in stage 3. Conclusions. Tailored motivational messages and peer support can increase mammography screening rates for African American women.
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U2 - 10.2105/AJPH.2009.167312
DO - 10.2105/AJPH.2009.167312
M3 - Article
C2 - 21068422
AN - SCOPUS:78649875622
SN - 0090-0036
VL - 100
SP - 2526
EP - 2531
JO - American Journal of Public Health
JF - American Journal of Public Health
IS - 12
ER -