Progress in breast cancer screening: Vermont's efforts.

To impact Vermont's high breast cancer death rate, a statewide survey was conducted to identify barriers to screening. An awareness campaign was implemented that included community meetings, worksite education, television and radio ads, and physician education. A follow-up survey showed a significant increase in women ever having a mammogram and a significant decrease in women who felt that mammograms were not needed, the greatest identified barrier to screening. Despite increased awareness of breast cancer nationwide, it is likely that the education strategy successfully targeted and impacted women's behavior. Continued educational efforts are needed, particularly in women 50 and older.