MARC Record from bcl_marc

LEADER: 03767nam 2200397 4500
004 NDA5828
005 20000524102900.0
008 970516s1994 ||||||||||||||||| ||||| d
035 $a(UnM)AAI9426240
035 9 $aNDA5828
040 $aUnM$cUnM
100 1 $aMiller, Anna Marie.
245 10 $aMAMMOGRAPHY IN WOMEN 50 YEARS AND OLDER: PREDISPOSING, ENABLING, AND NEED CHARACTERISTICS.
300 $a404 p.
500 $aSource: Dissertation Abstracts International, Volume: 55-05, Section: B, page: 1805.
502 $aThesis (D.N.S.)--INDIANA UNIVERSITY SCHOOL OF NURSING, 1994.
520 $aAlthough mammography is effective in decreasing breast cancer mortality, an age-related decline in mammography use continues. The purpose of this cross-sectional correlation study was to determine what combination of predisposing, enabling, and need variables best predicted mammography utilization in women $\ge$50 years.
520 $aThe convenience sample of 1083 women church members was 78% white, 22% African American, with a mean age of 65.7 years. The mean educational level was 13.6 years; mean income was $30,000--\$40,000. Data were collected with a mailed survey developed and pilot-tested by the investigator, using questions from prior mammography and health services utilization research. Utilization rates for one-time and recent mammography were 84.7% and 48.8%; three-and five-year adherence rates were 20.6% and 12.8%.
520 $aPredisposing and enabling variables with significant odds ratios were combined in logistic regression equations. Across categories of mammography use, knowledge, annual Pap tests, and willingness to pay $\ge$50 for mammography were most consistently predictive.
520 $aBenefits, knowledge, intention, family history of breast cancer, and internist as physician predicted increased likelihood of ever having mammography, while susceptibility, control, and middle income predicted decreased likelihood. Increased likelihood of having a mammogram one year ago was predicted by knowledge, intention, white race, physician recommendation for mammography, physician checkup last year, annual Pap tests, OB/Gynecologist as physician, and willingness to pay $\ge$50 for mammography. Decreased likelihood was predicted by barriers and control.
520 $aGreater likelihood of three-year adherence to mammography guidelines was predicted by benefits, knowledge, annual Pap tests, OB/Gynecologist as physician, willingness to pay $\ge$50 for mammography, and HMO insurance, while decreased likelihood was predicted by some BSE use (vs. no BSE). For five-year adherence, only health care and economic characteristics were predictive. Physician recommendation for mammography, annual Pap tests, willingness to pay $ ge$\$50 for mammography, and upper income predicted increased likelihood of five-year adherence.
520 $aResults suggested the need to incorporate mammography into regular medical and health care, make lower cost mammography more available to older and minority women, and increase older women's knowledge about breast cancer and mammography guidelines. To meet the Year 2000 goal of annual mammography for 80% of women $\ge$50 years, concerted efforts must be directed toward promoting adherence to mammography guidelines.
590 $aSchool code: 0815.
650 4 $aHealth Sciences, Nursing.
650 4 $aHealth Sciences, Public Health.
650 4 $aHealth Sciences, Radiology.
690 $a0569
690 $a0573
690 $a0574
710 2 $aIndiana University School of Nursing.
791 $aD.N.S.
773 0 $tDissertation Abstracts International$g55-05B.
790 $a0815
792 $a1994
852 0 $aMChB$bMICRO$cFICHE$hRT42$i.N86
948 $aLTI 08/08/2000