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PubMed1998

Factors affecting participation in a mammography screening program among members of an urban Detroit health maintenance organization.

Breast cancer mortality rates remain disproportionately high among black women despite recent improvements in mammography screening utilization. We conducted a telephone survey among a sample of women (N = 202) participating in a randomized controlled trial investigating the effectiveness of a mammography reminder letter that was one component of a breast cancer control intervention strategy. The objectives of the survey were to ascertain the extent to which the letter reminder was received and acted upon, and to determine attitudes and breast cancer control practices in the target population. The study was conducted among members of a large health maintenance organization serving predominantly black women in Detroit, Michigan. Forty-eight percent of the participants completed a mammogram during the year after the letter was sent. While 72% of the women remembered receiving the letter reminder, only 5% responded to the recommendations in the letter. Important predictors of mammography completion included past mammogram utilization (OR: 2.49; 95% CI: 1.05-5.93), a prior physician recommendation for a mammogram (OR: 1.99; 95% CI: 1.00-3.95) and subject's knowledge of her primary physician's name (OR: 2.05; 95% CI: 0.91-4.60). Letter reminders promoting primary care visits were relatively ineffective since few women reported being prompted by the letter recommendation. Strategies which target physician mammography referral behavior may have an important impact on mammography utilization among inner-city women.

Adult↗
PubMedDate not supplied

[Assessment of a mass screening program for breast cancer in the Milan Health Unit 1 (ASL Provincia di Milano 1)].

This study examines the early data of a breast cancer screening campaign (Progetto Donna) set up by the Milan Health Unit 1 in 1999. The authors have focused on some basic organizational aspects of such campaign and the patients' high response to the project showed a good efficiency of this initiative, aimed at informing and awakening people. The high rate of suspiciously positive results checked in several Hospitals, led to a careful assessment of the quality and the standards of radiology services.

English Abstract↗
PubMed1998

Stroke prevention screening program.

Stroke undoubtedly is one of the most devastating events experienced by humans. Stroke is the third leading cause of death in the adult population in the United States and the No. 1 cause of disability after 60 years of age. One out of four stroke victims die within 1 month. Many stroke victims would rather die than live without their dignity and quality of life. With the increase in the elderly population and the risk of stroke almost doubling every decade after 55 years of age, it is increasingly important to reduce the incidence of strokes. Stroke prevention screenings are an excellent opportunity to identify and educate persons who have significant stroke risk factors. Guidelines outlined by the National Stroke Association are described clearly in this step-by-step process of a stroke prevention screening. A unique modification of the National Stroke Association guidelines was the use of a carotid artery ultrasound screening to detect persons with significant carotid artery disease. This step in the screening replaced listening for carotid bruits. Seven carotid artery endarterectomies (of 385 participants) have been performed as a result of the screenings. Prevention of strokes through aggressive risk factor reduction cannot be overemphasized.

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