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Related Experiment Videos

Increasing mammography utilization: a controlled study

S W Fletcher1, R P Harris, J J Gonzalez

  • 1Lineberger Comprehensive Cancer Center, Department of Medicine, School of Medicine, University of North Carolina, Chapel Hill.

Journal of the National Cancer Institute
|January 20, 1993
PubMed
Summary

A community intervention significantly increased mammography screening rates for women aged 50-74. This breast cancer screening effort showed success but highlighted the need for further work to meet national goals.

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Area of Science:

  • Public Health
  • Preventive Medicine
  • Oncology

Background:

  • Breast cancer screening via mammography is crucial for women over 50.
  • Mammography screening rates in the US remain low, with only about one-third of eligible women undergoing annual screening.
  • Addressing low screening uptake is vital for early breast cancer detection and improved outcomes.

Purpose of the Study:

  • To evaluate the effectiveness of a community-wide intervention in increasing mammography screening for breast cancer.
  • To assess changes in women's knowledge and attitudes towards mammography.
  • To determine the impact on physicians' self-reported screening practices.

Main Methods:

  • A controlled study was conducted in two North Carolina communities (New Hanover and Pitt counties) from 1987 to 1990.

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  • Intervention involved community-wide efforts in New Hanover County; Pitt County served as the control.
  • Telephone interviews with 500 women (ages 50-74) and primary care physicians in each community were conducted before and after the intervention period.

    • Main Results:

    • Mammography screening rates increased from 35% to 55% in the intervention community, versus 30% to 40% in the control community (P = .03).
    • The total number of mammograms performed rose by 89% in the intervention area compared to 45% in the control area.
    • While knowledge changed little, the intention to get screened increased significantly more in the intervention community (30% vs. 17%, P < .01).

    Conclusions:

    • A community-wide intervention can successfully increase breast cancer screening mammography utilization.
    • Despite success, further efforts are required to achieve the National Cancer Institute's goal of 80% annual screening for women aged 50-74.
    • Targeted strategies may be needed to address disparities, as increases were less pronounced among Black women.