Targeted intervention strategies to increase and maintain mammography utilization among African American women.

Academic Article


  • OBJECTIVES: We assessed the impact of a theory-based, culturally relevant intervention designed to increase mammography screening among African American women in 8 underserved counties in Alabama. METHODS: Using principles derived from the Stages of Change, Community Health Advisor, and Community Empowerment models, we developed strategies to increase mammography screening. Trained volunteers (N = 143) provided tailored messages to encourage adoption and maintenance of mammography screening. We collected baseline and follow-up data on 1513 women in the communities targeted for the intervention. Our goal was to decrease the number of women in stage 1 (never screened) while increasing the number of women in stage 2 (infrequently screened) and stage 3 (regularly screened). RESULTS: At baseline, 14% (n = 211) of the women were in stage 1, 16% (n = 247) were in stage 2, and 70% (n = 1055) were in stage 3. After the 2-year intervention, 4% (n = 61) of the women remained in stage 1, 20% (n = 306) were in stage 2, and 76% (n = 1146) were in stage 3. CONCLUSIONS: Tailored motivational messages and peer support can increase mammography screening rates for African American women.
  • Published In


  • Adult, African Americans, Aged, Alabama, Breast Neoplasms, Community Health Services, Culture, Female, Follow-Up Studies, Health Promotion, Humans, Mammography, Mass Screening, Medically Underserved Area, Middle Aged, Patient Acceptance of Health Care
  • Digital Object Identifier (doi)

    Author List

  • Fouad MN; Partridge E; Dignan M; Holt C; Johnson R; Nagy C; Person S; Wynn T; Scarinci I
  • Start Page

  • 2526
  • End Page

  • 2531
  • Volume

  • 100
  • Issue

  • 12