MAMMOGRAM USE BY AFRICAN AMERICAN WOMEN AGE 50 AND OVER

描述：该项目提出确定特定因素， 影响非裔美国妇女使用乳房X光检查服务 50岁及以上的低收入城市社区，并确定 与一致的筛查出勤率相关的因素， 一次性或不定期使用。虽然众所周知，低收入，老年人， 非裔美国妇女有筛查模式不佳的风险，晚- 乳腺癌的分期诊断和相关死亡率，较少 关于妇女在这一高风险中的特点， 接受定期筛查和随访的人群和不接受定期筛查和随访的人群。 特别令人关注的是那些可能认为自己是 充分筛查，但仅接受零星筛查 未经充分随访的乳房X光检查。 拟议研究的目的是收集关于 知识、态度、先前的卫生保健利用模式，以及 参加乳腺癌筛查的女性的筛查史 程序，并将此信息与匹配的女性样本进行比较 在同一个社区谁不参加筛选程序。 的 研究人员假设， 在六个方面（癌症信念， 身体健康，疾病和治疗的信仰模式，社会领域， 保健使用和预先筛选）。 的识别 社会学、行为学和卫生保健获取因素 低筛查率将导致对特定领域的建议 进行干预，旨在增加定期筛查的使用， 在目前缺乏适当筛查的妇女中开展后续工作。 在这个为期三年的项目中，研究人员将进行个人 采访了400名年龄在50岁以上的非洲裔美国妇女，她们进入了约翰 霍普金斯乳腺中心社区健康计划进行筛查。 的40 分钟访谈，包含开放式和结构化的措施， 将收集关于每个妇女对家庭负担的看法的信息， 乳腺癌及其治疗，目前和以前的健康状况，健康 护理利用率和社会心理健康。 每个女人也会 要求提名五名女性作为潜在的“控制”;朋友 或同龄的邻居谁是目前没有收到定期 乳房X光检查 将进行400次对照访谈（每例一次）， 进行。 第三年的配对病例对照分析将 确定与筛查相关的因素。 调查人员还将 将坚持参加筛查的妇女与只接受过一次筛查的妇女进行比较。 该项目的结果将用于东巴尔的摩社区 提高筛查出勤率，并与州和国家 为老年人、低收入者和少数民族妇女提供服务的组织 健康 一个额外的直接好处将是教育和潜在的 招募所有指定对照参加乳腺中心筛查 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.