Barriers to mammography and Pap smear screening among women who recently had neither, one or both types of screening

Citation
Re. Glasgow et al., Barriers to mammography and Pap smear screening among women who recently had neither, one or both types of screening, ANN BEHAV M, 22(3), 2000, pp. 223-228
Citations number
31
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Psycology
Journal title
ANNALS OF BEHAVIORAL MEDICINE
ISSN journal
0883-6612 → ACNP
Volume
22
Issue
3
Year of publication
2000
Pages
223 - 228
Database
ISI
SICI code
0883-6612(200022)22:3<223:BTMAPS>2.0.ZU;2-0
Abstract
There is legitimate concern about whether cancer screening programs and oth er types of prevention and early detection programs are designed to reach t hose most in need of services. Previous research on barriers to screening h as generally addressed screening for specific cancers. The purpose of this study was to evaluate and compare the types and strengt hs of barriers to both mammography and Pap smear screening experienced by t hree groups of women. Five hundred and twenty-two women, aged 52-69, who we re members of a large health maintenance organization (HMO), completed a su rvey about cancer screening and associated barriers. Women with no mammogra m in the preceding 2 years and with no Pap smear in 3 years were classified into a "safety net" program. We classified women as falling into both (Pap smear and mammography), one (Pap smear or mammography), or neither safety nets. Results consistently revealed that women needing both tests had more numerous and more intense barriers than other women to both types of screen ing. Factor analyses and descriptive analyses both shoM,ed that the types o f barriers experienced were very similar for mammography and Pap smear scre ening. The discussion addresses intervention implications and the additiona l research needed on women who need both mammogram and Pap smear screening and who have much higher cancer risk than other women.