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Melba Sanchez-Ayendez, PhD, Human Development/School of Public Health, University of Puerto Rico-Medical Sciences Campus, P.O. Box 365067, San Juan, PR 00936-5067, 787 731-6998, sanc369@attglobal.net, Cruz Maria Nazario, PhD, Epidemiology/School of Public Health, University of Puerto Rico, P.O. Box 365067, San Juan, PR 00936-5067, Johan Hernández, MPH, Medical Sciences Campus, Cancer Center, University of Puerto Rico, P.O. Box 365067, San Juan, PR 00936-5067, Ana L. Davila, PhD, Demography/Public Health, University of Puerto Rico, P.O. Box 365067, San Juan, PR 00936-5067, and Nayda Figueroa-Vallés, MD, Cancer Center, Medical Sciences Campus/University of Puerto Rico, P.O. Box 365067, San Juan, PR 00936-5067.
Mammography for low-income and minority women is an important intervention issue as it is still under-used. This investigation aimed to understand which variables are better predictors of screening mammogram compliance among medically-indigent middle-aged women in Puerto Rico once they have received a referral from a physician. Research questions were: How does a woman's self-assessment of breast cancer risk affect compliance with screening mammogram referral? Are physicians adhering to the screening mammogram guidelines for women 40-64?
One hundred and eighty five were interviewed. Participants were selected from clients from two health centers (metropolitan and non-metropolitan areas). Thirty eight percent of the women had not complied with their last mammogram referral; 50% of these had never undergone a mammogram. Most important reasons for non-compliance were attitudes and cost of the procedure. Almost one-third of the women were not satisfied with the doctor-patient relationship. The physician interview consisted of a self-administered questionnaire containing hypothetical case studies and open questions. Less than 90% followed the guidelines. The majority of the physicians assume that they are the patient’s primary source of information and do not contemplate participation from other health professionals nor think that written materials are being used more than themselves as a source of information.
Results indicate the need to educate physicians on current screening guidelines. Attitudes continue to be important in a woman's decision to compliance and strategies to overcome issues such as fear of discomfort from mammogram and perception as non vulnerable to breast cancer should be addressed in health promotion.
Learning Objectives: At the conclusion of the session the participant will be able to
Keywords: Breast Cancer Screening, Women's Health
Presenting author's disclosure statement:
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.