Mammogram Compliance Among Low-Income Middle-Aged Women in Puerto Rico
Annual rept. 1 Aug 1999-1 Aug 2000
PUERTO RICO UNIV SAN JUAN
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Despite evidence in favor of breast cancer screening with mammograms and that screening has increased in the last years, mammogram compliance among low-income, minority and women over 50 years of age has been slow. This three-year project contemplates a study of womens compliance with 1997 NIH screening mammogram guidelines and physicians observance of NIH guidelines in Puerto Rico. Two-hundred low-income women age 40 to 64 in Puerto Rico will be interviewed to assess factors that affect compliance with screening mammogram in order to determine self- assessment cancer risks. Fifty clinicians will be interviewed to obtain data about mammogram referral patterns. Physicians will be asked permission to examine a random number of records to document referral patterns and select potential survey participants. The first stage of the project was directed to obtain qualitative data to develop the instruments to be administered to the physicians and the women. Focus groups were conducted for this purpose. The womens focus groups served to incorporate pertinent issues and appropriate vocabulary. The physicians focus group was directed to assess an instrument developed by the research team consisting of case-studies by which to probe if physicians were familiar with 1997 NIH screening mammogram guidelines.
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