Mobile Mammography Unit Utilization: Perceptions and Interests Among African American Women
American Journal of Health Research
Volume 5, Issue 6, November 2017, Pages: 193-197
Received: Nov. 5, 2017;
Accepted: Nov. 21, 2017;
Published: Dec. 25, 2017
Views 1223 Downloads 36
Marla B. Hall, Department of Public Health, Brody School of Medicine, East Carolina University, Greenville, North Carolina, USA
Jeffrey J. Guidry, Department of Health and Kinesiology, College of Education and Human Development, Texas A&M University, College Station, Texas, USA
Lovell A. Jones, Department of Biology, Marvin D. and June Samuel Brailsford College of Arts and Sciences, Prairie View A&M University, Prairie View, Texas, USA
Among women globally, breast cancer is the most frequently diagnosed malignancy and the leading cause of cancer mortality. Moreover, for racial/ethnic minorities and those of low socioeconomic status (SES), these groups experience a poorer quality of life and diminished survival. This is due, in part, to underutilization of mammography screening and a lack of adherence to subsequent follow-up guidelines. The purpose of this study is to gain insight on perceptions of and interest in mobile mammography unit (MMU) utilization among African American (AA) women, primarily of low SES; as well as obtain strategies for effective information dissemination. Researchers partnered with local grocery stores, community centers, churches, shopping centers and hair salons to act as recruitment sites. Each establishment was within a 10 mile radius of the multi-service center being used to conduct the focus groups. Participant eligibility included: (a) the individual must be female, (b) between 35 and 65 years of age, (c) a current resident of Harris County, Texas, (d) self-identified as AA and (e) had no previous cancer history. Sixty-one AA women participated across six focus groups. The focus groups revealed that participants perceived the availability of MMUs as an effective strategy to increase guideline adherence. In addition, all participants stated MMUs would be of interest to women in their communities. Various suggestions to strengthen engagement were conveyed by participants as well. Specifically, offering services during non-traditional hours and in highly accessible locations; and partnering with community venues and incorporating principles of social support were conveyed.
Marla B. Hall,
Jeffrey J. Guidry,
Lovell A. Jones,
Mobile Mammography Unit Utilization: Perceptions and Interests Among African American Women, American Journal of Health Research.
Vol. 5, No. 6,
2017, pp. 193-197.
Mizuguchi S, Barkley L, Rai S, Pan J, Roland L, Crawford S, Riley EC. Mobile mammography, race, and insurance: use trends over a decade at a comprehensive urban cancer center. J Oncol Pract. 2015;11(1):75-80.
Coronado GD, Beresford SAA, McLerran D, Jimenez R, Patrick DL, Ornelas I, Bishop S, Scheel JR, Thompson B. Multi-level intervention raises Latina participation in mammography screening: findings from ¡Fortaleza Latina!. Cancer Epidemiol Biomarkers Prev. 2016;25(4):584-92.
U.S. Cancer Screening Statistics Working Group. United States cancer statistics: 1999-2014 incidence and mortality web-based report. Retrieved from, http://www.cdc.gov/uscs.(http://nccd.cdc.gov/uscs/.
Guillaume E, Launay L, Dejardin O, Bouvier V, Guittet L, Dean P, Notari A, De Mil R, Launoy G. Could mobile mammography reduce social and geographic inequalities in breast cancer screening participation?. Prev Med. 2017;100:84-8.
Chen Y, Chang-Halpenny C, Kumarasamy NA, Venegas A, Braddock CH. Perspectives of mobile versus fixed mammography in Santa Clara County, California: a focus group study. Cureus. 2016;8(2):e494.
Roland KB, Milliken EL, Rohan EA, DeGroff A, White S, Melillo S, Rorie WE, Signes CC, Young PA. Use of community health workers and patient navigators to improve cancer outcomes among patients served by federally qualified health centers: A systematic literature review. Health Equity. 2017;1(1):61-76.
Roen EL, Roubidoux MA, Joe AI, Russell TR, Soliman AS. Adherence to screening mammography among American Indian women of the northern plains. Breast Cancer Res Treat. 2013;139(3):897-905.
Vyas A, Madhavan S, Kelly K, Metzger A, Schreiman J, Remick S. Do Appalachian women attending a mobile mammography program different from those visiting a stationary mammography facility?. J Community Health. 2013;38(4):698-706.
Gathirua-Mwangi WG, Monahan PO, Stump T, Rawl SM, Skinner CS, Champion VL. Mammography adherence in African-American women; results of a randomized controlled trial. Ann Behav Med. 2016;50(1):70-8.
Tangka FK, Subramanian S, Mobley LR, Hoover S, Wang J, Hall IJ, Singh SD. Racial and ethnic disparities among state Medicaid programs for breast cancer screening. Prev Med. 2017; doi: 10.1016/j.ypmed.2017.06.024.
Fayanju OM, Kraenzle S, Drake BF, Oka M, Goodman MS. Perceived barriers to mammography among underserved women in a breast health center outreach program. Am J Surg. 2014;208(3):425-34.
Atkins E, Madhavan S, LeMasters T, Vyas A, Gainor SJ, Remick S. Are obese women more likely to participate in a mobile mammography program? J Community Health. 2013;38(2):338-48.
Peek ME, Han J. Mobile mammography: assessment of self-referral in reaching medically underserved women. J Natl Med Assoc. 2007;99(4):398-403.
Drake BF, Abadin SS, Lyons S, Chang S, Steard LT, Kraenzle S, Goodman MS. Mammograms on-the-go – predictors of repeat visits to mobile mammography vans in St Louis, Missouri, USA: a case-control study. BMJ Open. 2015;5(3):e006960.
Reuben DB, Bassett LW, Hirsch SH, Jackson CA, Bastani, R. A randomized clinical trial to assess the benefit of offering on-site mobile mammography in addition to health education for older women. AJR Am J Roentgenol. 2002;179(6):1509-14.
Brooks SE, Hembree TM, Shelton BJ, Beache SC, Aschbacher G, Schervish PH, Dignan MB. Mobile mammography in underserved populations: analysis of outcomes of 3,923 women. J Community Health. 2013;38(5):900-6.
Hall MB, Carter-Francique AR, Lloyd SM, Eden T, Zuniga A, Guidry JJ, Jones LA. Bias within: examining the role of cultural competence perceptions in mammography adherence. SAGE Open. 2015;5(1):1-7.
Strauss A, Corbin J. Basics of qualitative research: grounded theory procedures and techniques. Newbury Park, CA: SAGE; 1990.
McIlfatrick S, Taggart L, Truesdale-Kennedy M. Supporting women with intellectual disabilities to access breast cancer screening: a healthcare professional perspective. Eur J Cancer Care. 2011;20(3):412-20.
Vyas A, Madhavan S, LeMasters T, Atkins E, Gainor S, Kennedy S, Kelly K, Vona-Davis L, Remick S. Factors influencing adherence to mammography screening guidelines in Appalachian women participating in a mobile mammography program. J Community Health. 2012;37:632-46.
Coughlin SS. Intervention approaches for addressing breast cancer disparities among African American women. Ann Transl Med Epidemiol. 2014;1(1):1001.
Klassen AC, Washington C. How does social integration influence breast cancer control among urban African-American women? Results from a cross-sectional survey. BMC Womens Health. 2008;8:4.
Massin-Short SB, Grullón MA, Judge CM, Ruderman KR, Grullón M, Lora V. A mobile mammography pilot project to increase screening among Latina women of low socioeconomic status. Public Health Rep. 2010;125(5):765-71.
Hall MB, Eden TM, Bess JJ, Landrine H, Corral I, Guidry JJ, Efird JT. Rural shop-based health program planning: a formative research approach among owners. J Racial Ethn Health Disparities. 2017;4(3):507-14.
Santos SL, Tagai EK, Scheirer MA, Bowie J, Haider M, Slade J, Wang MQ, Holt CL. Adoption, reach, and implementation of a cancer education intervention in African American Churches. Implement Sci. 2017;12(1):36.
Shelton RC, Dunston SK, Leonce N, Jandorf L, Thompson HS, Erwin DO. Advancing understanding of the characteristics and capacity of African American women who serve as lay health advisors in community-based settings. Health Educ Behav. 2017;44(1):153-64.
Teal R, Moore AA, Long DG, Vines AI, Leeman J. A community-academic partnership to plan and implement an evidence-based lay health advisor program for promoting breast cancer screening. J Health Care Poor Underserved. 2012;23(2Suppl):109-20.
Shelton RC, Dunston SK, Leoce N, Jandorf L, Thompson HS, Crookes DM, Erwin DO. Predictors of activity level and retention among African American lay health advisors (LHAs) from the national witness project: implications for the implementation and sustainability of community- based LHA programs from a longitudinal study. Implement Sci. 2016;11:41.
Van Gompel EC, Jerant AF, Franks PM. Primary care attributes associated with receipt of preventive care services: a national study. J Am Board Fam Med. 2015;28(6):733-41.
O’Malley AS. After-hours access to primary care practices linked with lower emergency department use and less unmet medical need. Health Aff. 2013;32:175–83.