Background: In spite of increasing prevalence of screening mammography relatively little success has been seen in increasing adherence to recommended guidelines. Optimal utilization of mammography, adherence to screening guidelines and better understanding of factors associated with adherence to screening behavior are crucial for prevention programs. Methods: This study explored the screening mammography utilization patterns, measured adherence to screening guidelines based on age and family history and examined the selected theory-based factors associated with adherence to screening among Asian and Pacific Islander women aged 40 years and older in 1994-1998 time period. Results: Only 35.8% of women had age and family history-appropriate (Women aged 40-49 with family history and aged 50 plus, 12 months interval screening, aged 40-49 without family history 24 months interval screening) screening intervals (n=1128). Based on Andersen’s Behavioral Model of Health care utilization and Health Belief Model, significant predictors to be adherent to the guidelines were: age-group 50-59 (OR=1.8, CI=1.0-3.0), age-group 60-69 (OR=2.8, CI=1.4-5.7), Family history of BC (OR=2.8, CI=1.2-6.1), CES (median income per zip code) >15,000 USD compared to <15,000 (OR=3.0, CI=1.1-8.2). Other non-significant factors were: Insurance status (OR=0.8, CI=0.0-8.7), Follow-up test recommendation (OR=1.2, CI=0.5-2.6), Current breast problems (OR=1.09, CI=0.3-3.3), CES > 55,000 USD (OR=2.3, CI=0.9-6.3) Conclusion: Small percentage of women from Asian and Pacific Islanders were adherent to screening guidelines. Family history may have acted as ‘cues to action’. Preventive programs need to focus on adherence, and theory based interventions to achieve the Year 2010 Health Goals for the Nation.
Learning Objectives: To examine screening mammography utilization pattern and theory-based factors associated with adherence to screening mammography guidelines among Asian women age-group 40 and older.
Keywords: Adherence, Mammography
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: Colorado mammography Advocacy Projects (CMAP)
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.