Allgood Kristi L, Hunt Bijou, Kanoon Jacqueline M, Simon Melissa A
Sinai Health System, Sinai Urban Health Institute, 1500 S. Fairfield Avenue, K435, Chicago, IL, 60608, USA.
Sinai Health System, Sinai Urban Health Institute, Chicago, IL, USA.
J Cancer Educ. 2018 Oct;33(5):1061-1068. doi: 10.1007/s13187-017-1206-7.
Women of color do not have the same level of access to mammography services as their White counterparts, and this inequity may be one of the contributing factors to the documented racial disparity in breast cancer mortality in the US. The present study sought to assess the effectiveness of the mammogram party, a promising, but under-studied approach to increasing mammography uptake, particularly among under-served populations. The program targeted mammogram-eligible women in community settings on the west and southwest sides of Chicago, gathering basic demographic information, mammography history, and interest in assistance obtaining a mammogram. Women were navigated either through traditional one-on-one navigation or to a mammogram party. Seven outcome metrics were calculated for each type of navigation. We compared navigation outcomes for those who attended to those who did not attend a mammogram party using two-tailed t tests and chi-square tests. We found that the mammography completion rate for mammogram parties was comparable to that for standard one-on-one navigation (65.8 vs. 63.7%), which is more labor-intensive as evidenced by the number of contacts needed to successfully navigate a woman to mammography (10.9 vs. 15.0). Mammogram parties offer a unique opportunity for fellowship and support for clients who are particularly fearful of mammograms or identifying breast cancer. Programmatically, mammogram parties are an efficient way to complete several mammograms in 1 day. Having the option to both navigate women to mammogram parties or one-on-one navigation allows for more flexibility for scheduling and may ensure a completed a mammogram.
有色人种女性获得乳房X光检查服务的机会不如白人女性，这种不平等可能是美国有记录的乳腺癌死亡率种族差异的促成因素之一。本研究旨在评估乳房X光检查派对的有效性，这是一种有前景但研究不足的增加乳房X光检查使用率的方法，特别是在服务不足的人群中。该项目针对芝加哥西区和西南区社区环境中符合乳房X光检查条件的女性，收集基本人口统计信息、乳房X光检查历史以及获取乳房X光检查援助的兴趣。女性通过传统的一对一引导或参加乳房X光检查派对接受引导。为每种引导类型计算了七个结果指标。我们使用双尾t检验和卡方检验比较了参加和未参加乳房X光检查派对的人的引导结果。我们发现，乳房X光检查派对的乳房X光检查完成率与标准一对一引导的完成率相当（65.8%对63.7%），而标准一对一引导的劳动强度更大，成功引导一名女性进行乳房X光检查所需的联系次数就证明了这一点（10.9次对15.0次）。乳房X光检查派对为那些特别害怕乳房X光检查或发现乳腺癌的客户提供了一个独特的联谊和支持机会。从项目角度来看，乳房X光检查派对是在一天内完成多次乳房X光检查的有效方式。既可以引导女性参加乳房X光检查派对，也可以进行一对一引导，这为安排时间提供了更大的灵活性，并可能确保完成乳房X光检查。
