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05.08.2019 | Original Paper

Examining Breast Cancer Screening Behavior Among Southern Black Women After the 2009 US Preventive Services Task Force Mammography Guideline Revisions

verfasst von: Deeonna E. Farr, Heather M. Brandt, Swann Arp Adams, Venice E. Haynes, Andrea S. Gibson, Dawnyéa D. Jackson, Kimberly C. Rawlinson, John R. Ureda, James R. Hébert

Erschienen in: Journal of Community Health

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Abstract

Updated United States Preventive Services Task Force (USPSTF) and American Cancer Society mammography screening recommendations push for increased age of initiation and lengthened breast cancer screening intervals. These changes have implications for the reduction of breast cancer mortality in Black women. The purpose of this study was to examine breast cancer screening behavior in a cohort of Southern Black women after the release of the 2009 USPSTF recommendations. Surveys assessing cancer screening information were collected from members of Black churches between 2006 and 2013. The sample was restricted to women aged 40 to 74 years, who did not report a breast cancer diagnosis, or a recent diagnostic mammogram (n = 789). Percentages of women ever completing a mammogram (age 40–49) and annual mammography (age 50–74) in 2006–2009 and 2010–2013 were compared using chi-square statistics. Logistic regression models were fit to determine the predictors of adherence to pre-2010 screening guidelines. No significant changes in mammography rates were found for women in the 40–49 age group (X² = 0.42, p = 0.52) nor for those in the 50–74 age group (X² = 0.67, p = 0.41). Completing an annual clinical breast exam was a significant predictor of adherence to pre-2010 screening guidelines for both age groups (OR 19.86 and OR 33.27 respectively) and participation in education sessions (OR 4.26). Stability in mammography behavior may be a result of PCP’s advice, or community activities grounded pre-2010 screening recommendations. More research is needed to understand how clinical interactions and community-based efforts shape Black women’s screening knowledge and practices.

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Titel: Examining Breast Cancer Screening Behavior Among Southern Black Women After the 2009 US Preventive Services Task Force Mammography Guideline Revisions
verfasst von: Deeonna E. Farr
Heather M. Brandt
Swann Arp Adams
Venice E. Haynes
Andrea S. Gibson
Dawnyéa D. Jackson
Kimberly C. Rawlinson
John R. Ureda
James R. Hébert
Publikationsdatum: 05.08.2019
Verlag: Springer US
Erschienen in: Journal of Community Health
Print ISSN: 0094-5145
Elektronische ISSN: 1573-3610
DOI: https://doi.org/10.1007/s10900-019-00697-8

Springer Medizin

Abstract

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