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Health Educ Behav. 2004 Aug;31(4 Suppl):29S-44S.

Stepped-care, community clinic interventions to promote mammography use among low-income rural African American women.

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University of Arkansas Medical Sciences, College of Public Health, 4301West Markham Street, #820, Little Rock, AR72205, USA.


Few studies have investigated community clinic-based interventions to promote mammography screening among rural African American women. This study randomized older low-income rural African American women who had not participated in screening in the previous 2 years to a theory-based, personalized letter or usual care; no group differences in mammography rate were evident at 6-month follow-up. Women who had not obtained a mammogram were then randomized to a tailored call delivered by community health care workers or a tailored letter. There were no group differences in mammography rates after the second 6-month follow-up. However, among women who had never had a mammogram, the tailored call was more effective in promoting mammography use. Tailored counseling may be an effective screening promotion strategy for hard-to-reach rural African American women with no history of screening. Further research into this strategy may facilitate efforts to reduce health disparities in underserved low-income rural African American populations.

[Indexed for MEDLINE]

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