Response to breast health screening program at a not-for-profit clinic for working poor, uninsured, ethnically diverse women

摘要

Aims and objectives. Examine the effect of an ongoing breast health screening program, at a not-for-profit, non-government assisted, volunteer clinic, specifically examining mammography usage and to discover variables to improve the rate of mammography. Background. Detection of breast cancer in women of low socio-economic status, lacking health insurance, can be improved by increasing annual mammography rates, yet little is known about their screening behaviour. Design. Quantitative, retrospective subject-controlled study. Methods. Subject-controlled, longitudinal study of English and Spanish-speaking women 40years old and over, working poor, and uninsured, who participated in a comprehensive screening program that included a 7-minute breast health educational DVD (n=223). Results. Radiology records, breast health behaviours and beliefs indicated 76% of women invited for a second test completed it over a year after viewing the educational DVD. Chi-square and t-test indicated two significant findings for completing annual mammography in the 12th month: receiving a reminder postcard and scoring lower on perceptions of breast cancer susceptibility. Two significant findings for completing annual mammography even if late are knowledgeable about screening recommendations and ethnically identifying as Hispanic. Conclusions. This study shows statistically significant actions that can be undertaken to strengthen programs: reminder postcards, assessing susceptibility score and screening recommendation education. Relevance to clinical practice. Simple, inexpensive interventions encourage working, uninsured, Hispanic women to complete mammography.