Background: Breast cancer is the second leading cause of cancer mortality among women in the developed world. Mammography screening is especially important for African-Americans because they experience a greater mortality (OR = 1.38) than Caucasians despite having a lower incidence of breast cancer.
Purpose: The purpose of this study was to compare the effects of two interventions with usual care on mammography adherence among African-American women.
Methods: A subsample of African-American women (n = 244) aged 41-65 years who had not had a mammogram in the last 15 months and no history of breast cancer was randomly assigned to receive (1) mailed interactive DVD, (2) computer-tailored telephone counseling, or (3) usual care.
Results: The DVD intervention was five times more effective than usual care for promoting mammography screening at 6 months follow-up among women who earned less than $30,000 (OR = 5.3). Compared to usual care, neither the DVD nor phone produced significant effects for women with household incomes >$30,000.
Conclusion: Use of a mailed DVD for low-income African-American women may be an effective way to increase mammography adherence.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4744150 | PMC |
| http://dx.doi.org/10.1007/s12160-015-9733-0 | DOI Listing |
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