Targeted intervention strategies to increase and maintain mammography utilization among African American women

Mona N. Fouad, Edward Partridge, Mark Dignan, Cheryl Holt, Rhoda Johnson, Chris Nagy, Sharina Person, Theresa Wynn, Isabel Scarinci

Research output: Contribution to journalArticlepeer-review

29 Scopus citations

Abstract

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.

Original languageEnglish
Pages (from-to)2526-2531
Number of pages6
JournalAmerican Journal of Public Health
Volume100
Issue number12
DOIs
StatePublished - Dec 1 2010

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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