To increase the proportion of women who receive the recommended follow-up for mammographic abnormalities, factors which inhibit follow-up must be identified.
Patient and health care delivery related factors were evaluated, stratified by type of follow-up recommendation, to determine reasons for inadequate follow-up.
All Caucasian and African American women at the Henry Ford Medical Group, in southeastern Michigan, with an abnormal screening mammogram result between January 1,1992 and July 31,1992 were identified.
All women with inadequate follow-up, and a random sample of women with adequate follow-up, were invited to participate in a telephone interview that assessed three major dimensions of the Health Belief Model (susceptibility, benefits, and barriers), general health and health behaviors, and related characteristics.
The relationship between these factors and inadequate follow-up was evaluated separately for women with immediate and 6-month follow-up recommendations, using univariate and multivariate analyses.
A total of 555 women were invited to participate in the study (219 with inadequate follow-up and 336 with adequate follow-up).
Interviews were completed for 418 women (75.3%). Women who were not notified of their mammographic abnormality were excluded from this study, leaving 399 women available for analysis.
Among the women who had the recommended immediate follow-up, those who reported difficulty in obtaining med...
Mots-clés Pascal : Tumeur maligne, Glande mammaire, Mammographie, Dépistage, Estimation paramètre, Cause, Homme, Femelle, Glande mammaire pathologie, Radiodiagnostic, Exploration radiologique, Perte effectif, Perdu de vue
Mots-clés Pascal anglais : Malignant tumor, Mammary gland, Mammography, Medical screening, Parameter estimation, Cause, Human, Female, Mammary gland diseases, Radiodiagnosis, Radiologic investigation
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0262482
Code Inist : 002B20E02. Création : 199608.