Patient and Clinical Site Factors Associated With Rescreening Behavior Among Older Multiethnic, Low-Income Women
Purpose: Our goal was to identify factors predictive of mammography rescreening within 18 months of baseline screening in multiethnic, low-income older women. Design and Methods: We interviewed a cross-sectional survey of staff of 102 randomly selected clinics that provided screening and diagnostic...
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| Veröffentlicht in: | The Gerontologist 2004-02, Vol.44 (1), p.76-84 |
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| container_title | The Gerontologist |
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| creator | Fox, Patrick Arnsberger, Pamela Owens, Desi Nussey, Brenda Zhang, Xiluan Golding, Jacqueline M. Tabnak, Farzaneh Otero-Sabogal, Regina |
| description | Purpose: Our goal was to identify factors predictive of mammography rescreening within 18 months of baseline screening in multiethnic, low-income older women. Design and Methods: We interviewed a cross-sectional survey of staff of 102 randomly selected clinics that provided screening and diagnostic services. We also surveyed a random sample of 391 older women served by these clinics to retrospectively assess their experiences of the screening process. Results: We found that 59% of the sample returned for a repeat mammogram. Education level and the belief it is important to get an annual mammogram were significant patient-level predictors of rescreening. Offering pap smears and using hands-on demonstrations with breast models were significant clinic-level variables predictive of rescreening. Of note, among the variables that did not prove significant in the final model were those reflecting ethnicity and income. Implications: Individual and health-care-delivery-system factors play important roles in the obtaining of regular mammograms by low-income women. These findings highlight the importance of both factors in improving rescreening rates among older women. |
| doi_str_mv | 10.1093/geront/44.1.76 |
| format | Article |
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Design and Methods: We interviewed a cross-sectional survey of staff of 102 randomly selected clinics that provided screening and diagnostic services. We also surveyed a random sample of 391 older women served by these clinics to retrospectively assess their experiences of the screening process. Results: We found that 59% of the sample returned for a repeat mammogram. Education level and the belief it is important to get an annual mammogram were significant patient-level predictors of rescreening. Offering pap smears and using hands-on demonstrations with breast models were significant clinic-level variables predictive of rescreening. Of note, among the variables that did not prove significant in the final model were those reflecting ethnicity and income. Implications: Individual and health-care-delivery-system factors play important roles in the obtaining of regular mammograms by low-income women. These findings highlight the importance of both factors in improving rescreening rates among older women.</description><identifier>ISSN: 0016-9013</identifier><identifier>EISSN: 1758-5341</identifier><identifier>DOI: 10.1093/geront/44.1.76</identifier><identifier>PMID: 14978323</identifier><identifier>CODEN: GRNTA3</identifier><language>eng</language><publisher>United States: Oxford University Press</publisher><subject>Age Factors ; Aged ; Breast-cancer screening ; California ; Clinics ; Cross-Sectional Studies ; Education ; Elderly ; Ethnic Groups ; Female ; Females ; Health care delivery ; Health Status ; Humans ; Income ; Low Income Groups ; Mammograms ; Mammography ; Mass Screening ; Middle Aged ; Middle Aged Adults ; Multiracial people ; Older people ; Older women ; Papanicolaou Test ; Patients ; Principals ; Retrospective Studies ; Time Factors ; Vaginal Smears ; Women</subject><ispartof>The Gerontologist, 2004-02, Vol.44 (1), p.76-84</ispartof><rights>Copyright Gerontological Society of America, Incorporated Feb 2004</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c480t-7997f618fe4434076c981532238645d96786a4aff34475bcdd5654281971edc13</citedby><cites>FETCH-LOGICAL-c480t-7997f618fe4434076c981532238645d96786a4aff34475bcdd5654281971edc13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904,33753,33754</link.rule.ids><backlink>$$Uhttp://eric.ed.gov/ERICWebPortal/detail?accno=EJ696033$$DView record in ERIC$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/14978323$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fox, Patrick</creatorcontrib><creatorcontrib>Arnsberger, Pamela</creatorcontrib><creatorcontrib>Owens, Desi</creatorcontrib><creatorcontrib>Nussey, Brenda</creatorcontrib><creatorcontrib>Zhang, Xiluan</creatorcontrib><creatorcontrib>Golding, Jacqueline M.</creatorcontrib><creatorcontrib>Tabnak, Farzaneh</creatorcontrib><creatorcontrib>Otero-Sabogal, Regina</creatorcontrib><title>Patient and Clinical Site Factors Associated With Rescreening Behavior Among Older Multiethnic, Low-Income Women</title><title>The Gerontologist</title><addtitle>The Gerontologist</addtitle><description>Purpose: Our goal was to identify factors predictive of mammography rescreening within 18 months of baseline screening in multiethnic, low-income older women. 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These findings highlight the importance of both factors in improving rescreening rates among older women.</description><subject>Age Factors</subject><subject>Aged</subject><subject>Breast-cancer screening</subject><subject>California</subject><subject>Clinics</subject><subject>Cross-Sectional Studies</subject><subject>Education</subject><subject>Elderly</subject><subject>Ethnic Groups</subject><subject>Female</subject><subject>Females</subject><subject>Health care delivery</subject><subject>Health Status</subject><subject>Humans</subject><subject>Income</subject><subject>Low Income Groups</subject><subject>Mammograms</subject><subject>Mammography</subject><subject>Mass Screening</subject><subject>Middle Aged</subject><subject>Middle Aged Adults</subject><subject>Multiracial people</subject><subject>Older people</subject><subject>Older women</subject><subject>Papanicolaou Test</subject><subject>Patients</subject><subject>Principals</subject><subject>Retrospective Studies</subject><subject>Time Factors</subject><subject>Vaginal Smears</subject><subject>Women</subject><issn>0016-9013</issn><issn>1758-5341</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BHHNA</sourceid><recordid>eNqFkc1vEzEQxS0EomnhygkhiwO9sKm_1l4fQ9S0RUEtUFTUi-V6vY3bXTvYDh__PY42KhIHuMxo9H7zNKMHwAuMphhJenRrY_D5iLEpngr-CEywqJuqpgw_BhOEMK8kwnQP7Kd0h8pMiHgK9jCToqGETsD6QmdnfYbat3DeO--M7uFnly1caJNDTHCWUjBOZ9vCK5dX8JNNJlrrnb-F7-xKf3chwtkQynjetzbCD5u-eOZV8XoLl-FHdeZNGCy8KsU_A0863Sf7fNcPwJfF8eX8tFqen5zNZ8vKsAblSkgpOo6bzjJGGRLcyAbXlBDacFa3kouGa6a7jjIm6hvTtjWvGWmwFNi2BtMD8Gb0XcfwbWNTVoNLxva99jZskmoQFkxyVMDDf4KCM4JpXdP_WnJMiSCSFfD1X-Bd2ERf3lUEY0RRObVA0xEyMaQUbafW0Q06_lIYqW22asxWMaZwuaIsvNq5bm4G2_7Bd2EW4OUI2OjMg3z8nm_f3MrVKLuU7c8HXcd7xQUVtTr9eq0uLhf0ekE_qhP6G4CEtws</recordid><startdate>20040201</startdate><enddate>20040201</enddate><creator>Fox, Patrick</creator><creator>Arnsberger, Pamela</creator><creator>Owens, Desi</creator><creator>Nussey, Brenda</creator><creator>Zhang, Xiluan</creator><creator>Golding, Jacqueline M.</creator><creator>Tabnak, Farzaneh</creator><creator>Otero-Sabogal, Regina</creator><general>Oxford University Press</general><general>Gerontological Society of America</general><scope>BSCLL</scope><scope>7SW</scope><scope>BJH</scope><scope>BNH</scope><scope>BNI</scope><scope>BNJ</scope><scope>BNO</scope><scope>ERI</scope><scope>PET</scope><scope>REK</scope><scope>WWN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7U3</scope><scope>7U4</scope><scope>ASE</scope><scope>BHHNA</scope><scope>DWI</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>WZK</scope><scope>7X8</scope></search><sort><creationdate>20040201</creationdate><title>Patient and Clinical Site Factors Associated With Rescreening Behavior Among Older Multiethnic, Low-Income Women</title><author>Fox, Patrick ; 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Design and Methods: We interviewed a cross-sectional survey of staff of 102 randomly selected clinics that provided screening and diagnostic services. We also surveyed a random sample of 391 older women served by these clinics to retrospectively assess their experiences of the screening process. Results: We found that 59% of the sample returned for a repeat mammogram. Education level and the belief it is important to get an annual mammogram were significant patient-level predictors of rescreening. Offering pap smears and using hands-on demonstrations with breast models were significant clinic-level variables predictive of rescreening. Of note, among the variables that did not prove significant in the final model were those reflecting ethnicity and income. Implications: Individual and health-care-delivery-system factors play important roles in the obtaining of regular mammograms by low-income women. These findings highlight the importance of both factors in improving rescreening rates among older women.</abstract><cop>United States</cop><pub>Oxford University Press</pub><pmid>14978323</pmid><doi>10.1093/geront/44.1.76</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | The Gerontologist, 2004-02, Vol.44 (1), p.76-84 |
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| source | MEDLINE; Sociological Abstracts; Oxford University Press Journals All Titles (1996-Current) |
| subjects | Age Factors Aged Breast-cancer screening California Clinics Cross-Sectional Studies Education Elderly Ethnic Groups Female Females Health care delivery Health Status Humans Income Low Income Groups Mammograms Mammography Mass Screening Middle Aged Middle Aged Adults Multiracial people Older people Older women Papanicolaou Test Patients Principals Retrospective Studies Time Factors Vaginal Smears Women |
| title | Patient and Clinical Site Factors Associated With Rescreening Behavior Among Older Multiethnic, Low-Income Women |
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