MAMMOGRAM USE BY AFRICAN AMERICAN WOMEN AGE 50 AND OVER

描述：该项目建议确定以下具体因素 对非裔美国女性使用乳房X光检查服务的影响 年龄在50岁及以上的低收入城市社区，并确定 与持续筛查出勤率相关的因素 一次性使用或不定期使用。尽管众所周知，低收入、年长、 非洲裔美国女性面临筛查模式不佳的风险，晚年- 乳腺癌的分期诊断和相关死亡率较低 关于女性在这种高风险中的区别，有哪些信息是可用的 定期接受筛查和随访的组和没有接受筛查和随访的组。 尤其令人担忧的是那些可能认为自己是 进行了充分的筛查，但只接受了零星的筛查 没有充分随访的乳房X光检查。 拟议研究的目的是收集有关 知识、态度、以前的卫生保健利用模式，以及 参加乳腺癌筛查的妇女的筛查史 计划，并将该信息与匹配的女性样本进行比较 在同一社区内没有参加筛查计划的。这个 调查人员假设将会有重要的差异 在六个领域中的每个领域的病例和对照之间(癌症信念， 身体健康，疾病和治疗的信仰模式，社会领域， 医疗保健使用和事先筛查)。身份的鉴定 与以下方面相关的社会、行为和卫生保健获取因素 低筛查率将导致针对特定领域的建议 用于干预，旨在增加定期筛查和 对目前缺乏适当筛查的妇女进行跟踪。 在这个为期三年的项目中，调查人员将亲自进行 采访400名50岁的非裔美国女性进入性服务中心 霍普金斯乳房中心社区健康计划筛查。40岁的人 会议纪要，包括开放式和结构化措施， 将收集关于每个妇女对 乳腺癌及其治疗，当前和以前的健康状况，健康 护理利用和心理社会福利。每一位女性也将成为 被要求提名五名女性作为潜在的“控制组”；朋友 或同年龄段的邻居当前未收到常规 乳房X光检查。400次对照访谈(每个病例一次)将是 指挥。第三年的配对病例对照分析 确定与筛查相关的因素。调查人员还将 将持续参加筛查的女性与只接受一次筛查的女性进行比较。 该项目的结果将用于东巴尔的摩社区 增加筛查上座率，并与州和国家共享 与老年、低收入和少数族裔妇女合作的组织 健康。 另一个直接的好处是教育和潜在的 招募所有提名的对照参加乳房中心筛查 程序。

DESCRIPTION: This project proposes to identify specific factors that influence mammography services utilization among African-American women age 50 and older in a low income urban community, and to identify factors associated with consistent screening attendance compared to onetime or irregular use. Although it is known that low income, older, African-American women are at risk for poor screening patterns, late- stage diagnosis and associated mortality from breast cancer, less information is available on what distinguishes women in this high risk group who receive regular screening and follow-up and those who do not. Of particular concern are women who may believe themselves to be adequately screened, and yet have received only sporadic screening mammograms without adequate follow-up. The objectives of the proposed study are to gather information on the knowledge, attitudes, prior health care utilization patterns, and screening histories of women attending a breast cancer screening program, and compare this information to a matched sample of women within the same community who do not attend the screening program. The investigators hypothesize that there will be important differences between cases and controls in each of six areas (cancer beliefs, physical health, belief models of disease and healing, social sphere, healthcare use, and prior screening). The identification of sociological, behavioral and health care access factors associated with low rates of screening will lead to recommendations for specific areas for intervention, aimed at increasing the use of regular screening and follow up among the women currently lacking adequate screening. In this three year project, the investigators will conduct personal interviews with 400 African-American women age 50+ who enter the Johns Hopkins Breast Center Community Health Program for screening. The 40 minute interview, containing both open-ended and structured measures, will collect information on each woman's perceptions of the burden of breast cancer and its treatment, current and prior health status, health care utilization, and psychosocial well-being. Each woman will also be asked to nominate five women to serve as potential 'controls'; friends or neighbors of the same age who are not currently receiving regular mammography screening. 400 control interviews (one per case) will be conducted. A matched case-control analysis during Year Three will identify factors associated with screening. The investigators will also compare women who attend consistently to those screened only once. Results from the project will be used with the East Baltimore Community to increase screening attendance, and shared with state and national organizations working with older, low income, and minority women's health. One additional immediate benefit will be to educate and potentially recruit all nominated controls to attend the Breast Center Screening Program.