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Compliance with mammography recommendations at the work site
R B Goodspeed1, A G DeLucia, J Parravano
1Department of Community Medicine and Health Care, University of Connecticut School of Medicine, Farmington 06032.
Journal of Occupational Medicine. : Official Publication of the Industrial Medical Association
|January 1, 1988
Summary
Mammography screening compliance was low at 36% among women following a periodic health exam (PHE). Compliance was linked to physical breast exam findings, not age or prior mammography history.
Area of Science:
- Oncology
- Public Health
- Preventive Medicine
Background:
- Mammography is a key screening tool for breast cancer detection.
- Adherence to screening guidelines remains a challenge in clinical practice.
- Worksite health programs offer opportunities to promote cancer screenings.
Purpose of the Study:
- To assess mammography screening compliance after a worksite periodic health exam (PHE).
- To identify factors associated with mammography screening adherence.
- To evaluate the effectiveness of telephone follow-up in improving compliance.
Main Methods:
- A cohort of 212 women received mammography recommendations.
- Telephone follow-up was conducted at 16 weeks to assess compliance.
- A second follow-up contacted non-compliers to re-assess adherence.
- Statistical analysis explored associations between compliance and demographic/clinical factors.
Main Results:
- Initial compliance was 26% (56/212 women).
- Overall compliance reached 36% after telephone follow-up.
- Compliance was associated with the presence of fibrocystic breast disease.
- No association found with age, time to follow-up, insurance, age ≥50, or prior mammography.
Conclusions:
- Mammography screening rates following worksite PHEs are suboptimal.
- Telephone follow-up can improve screening adherence.
- Physical breast findings may indicate higher screening compliance.
- Targeted interventions may be needed to enhance screening rates in this population.