Date of Defense:
September 17, 2013
Purpose: Neighborhood HealthSource (NHS) a gr oup of three clinic s in Minneapolis that serve low-income uninsured and underinsured people. The purpose of our study was to survey a mammogram-eligible sample at NH S to assess barriers and attitudes related to having a mammogram. The impetus for the survey was that mammogram compliance rates at NHS were 49% in 2009, well be low the 2010 national average of 67%.
Methods: A 10-item telephone interview questionnaire was administered by NHS staff to a convenience sample of 320 40-75 year-old women. The covariates are family history of breast cancer and how important a mammogram is to the respondent. These covariates were analyzed against maternal mammogram utilization, greatest concern about mammogram, biggest reason not to have a mammogram, when the respondent would like to know that they had breast cancer, social support of having a mammogram, and if prevention, detection, or treatment is more important. The data was recorded in excel and analyzed using SAS.
Results: 22% of the participants described themselves as having a family history of breast cancer and 89% reported that mammogram s were very important or important to their health. Women with a family history of breast cancer were mo re likely to identify family as having been a primary support in encouraging receipt of a mammogram. Those who perceived that mammograms as important , compared to those who did not, were more likely to report that their mother had ever received a mammogram. Women who perceived mammograms as important also varied significantly in concerns about having a mammogram, reasons why they would not obtain a mammogram, reported that they would prefer to know early the progression of breast cancer, and reported their primary source of encouragement for mammogram receipt was medical people at NHS.
Conclusions: At least a third of the NHS respondent s reported pain as the largest barrier that they encounter in having a mammogram. Pain management needs to be approached more seriously and strides need to be made in keeping women comfortable in this lifesaving procedure. A quarter of the NHS respondents reported that cost was the largest barrier for mammogram compliance. The Afford able Care Act will change the landscape of women’s health and mammography because women will no longer be responsible for a co-pay if they are insured thereby reducing the cost barrier.