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Related Experiment Videos

Evaluation of a community breast screening promotion program.

John K Worden1, Ruth M Mickey, Pamela M Vacek

  • 1Office of Health Promotion Research, University of Vermont, Burlington 05401, USA. John.Worden@uvm.edu

Preventive Medicine
|November 28, 2002
PubMed
Summary

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A community breast screening promotion program did not increase mammography use in its target area. However, breast cancer screening awareness and use rose nationwide, overshadowing the program's specific impact.

Area of Science:

  • Public Health
  • Preventive Medicine
  • Health Promotion

Background:

  • A comprehensive community program aimed to increase breast cancer screening via mammography, clinical breast examination, and breast self-examination.
  • The program utilized community organization, physician training, and public education strategies.

Purpose of the Study:

  • To evaluate the effectiveness of a community-based breast cancer screening promotion program.
  • To assess changes in screening behaviors, beliefs, and perceptions among women aged 40 and older.

Main Methods:

  • A controlled evaluation was conducted in one of three matched Florida study areas.
  • Data were collected through telephone and household surveys from 4,096 women in 1990 (baseline) and 1997 (follow-up).

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Main Results:

  • No statistically significant increase in breast screening was observed in the program area compared to control areas.
  • Mammography use and supportive beliefs/perceptions increased across all study areas between 1990 and 1997.

Conclusions:

  • The program's impact was potentially limited by widespread public attention to breast cancer screening and the effects of managed care.
  • Temporal trends in screening behaviors across the U.S. appeared to outweigh the specific effects of the community intervention.