TY - JOUR
T1 - Community attitudes and mammography use
T2 - Does it really matter what other people think?
AU - Andersen, M. Robyn
AU - Urban, Nicole
AU - Etzioni, Ruth
N1 - Funding Information:
The Community Trial of Mammography Promotion is part of the NCI Breast Cancer Screening Consortium. The authors acknowledge collaboration with investigators in the NCI Breast Cancer Screening Consortium in the design of the mammography use and socio-demographic questions included in the survey instruments. This research was supported by Grant CA60131 from the National Cancer Institute.
PY - 1999
Y1 - 1999
N2 - This study examined whether community characteristics, particularly community attitudes regarding mammography use, are associated with women's use of mammography in rural communities. Forty communities in predominantly rural areas of Washington State were selected for inclusion in this study based on their size and distance from an urban center. Characteristics of the communities were assessed as were characteristics of women living in the communities. From each community, random samples of 352 women between 50 and 80 years old participated by completing a telephone survey that included questions on a variety of tonics, including their use of mammography. Logistic regression analyses revealed community of residence to be a significant predictor of individual women's mammography use after adjusting for individual level predictors of mammography use including age, education, employment, marital status, financial situation, and ease of access to medical services. An examination of the influence of community characteristics revealed women living in communities with supportive community attitudes towards mammography use report higher levels of mammography use than do women living in communities with less supportive attitudes. The presence or absence of male or female physicians or of mammography facilities in a local community was not associated with statistically significant effects on women's mammography use. Community attitudes are associated with mammography use in rural communities. Public health interventions that change community attitudes may have effects that extend beyond the people directly contacted by these interventions.
AB - This study examined whether community characteristics, particularly community attitudes regarding mammography use, are associated with women's use of mammography in rural communities. Forty communities in predominantly rural areas of Washington State were selected for inclusion in this study based on their size and distance from an urban center. Characteristics of the communities were assessed as were characteristics of women living in the communities. From each community, random samples of 352 women between 50 and 80 years old participated by completing a telephone survey that included questions on a variety of tonics, including their use of mammography. Logistic regression analyses revealed community of residence to be a significant predictor of individual women's mammography use after adjusting for individual level predictors of mammography use including age, education, employment, marital status, financial situation, and ease of access to medical services. An examination of the influence of community characteristics revealed women living in communities with supportive community attitudes towards mammography use report higher levels of mammography use than do women living in communities with less supportive attitudes. The presence or absence of male or female physicians or of mammography facilities in a local community was not associated with statistically significant effects on women's mammography use. Community attitudes are associated with mammography use in rural communities. Public health interventions that change community attitudes may have effects that extend beyond the people directly contacted by these interventions.
KW - Mammography
KW - Social norms
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U2 - 10.1300/J013v29n03_06
DO - 10.1300/J013v29n03_06
M3 - Article
C2 - 10466512
AN - SCOPUS:0032778619
SN - 0363-0242
VL - 29
SP - 83
EP - 95
JO - Women and Health
JF - Women and Health
IS - 3
ER -