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Journal of Aging and Health
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Mammography Interventions for 65- to 74-Year-Old HMO Women

Program Effectiveness and Predictors of Use

Eunice S. King, RN, PhD

Villanova University, College of Nursing

Eric Ross, ScM

Fox Chase Cancer Center

Janet Seay, MPH

Visiting Nurse Association of Morris County

Andrew Balshem, BA

Fox Chase Cancer Center

Barbara Rimer, DrPH

Duke Comprehensive Cancer Center

This study evaluated the impact of two interventions designed to encourage mammography use among HMO women aged 65-74 who had not had a mammogram within the past year and had not used their referral for a free mammogram. Ninety days after the referral mailing, women were randomized to receive (a) a survey, (b) a survey in addition to telephone mammography counseling, or (c) a survey, telephone counseling, and a letter. Follow-up data indicated that only 13% of control group women compared to 27% who received phone counseling and 32% who received counseling and a letter obtained a mammogram within 120 days following the baseline survey and/or intervention. Results of the logistic regression analysis indicated that having received either of the interventions, mammography history, access ease, breast cancer/mammography beliefs, and having a friend or family member with breast cancer were independently and significantly related to mammography use.

Journal of Aging and Health, Vol. 7, No. 4, 529-551 (1995)
DOI: 10.1177/089826439500700404
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