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Multi-level Barriers to Obtaining Mammograms for Women with Mobility Limitations: Post Workshop Evaluation

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Abstract:

Objectives: To assess the barriers and facilitators to mammogram use in middle aged women with mobility limitations who had completed an educational workshop, Promoting Access to Health Service (PATHS), on clinical preventive services. Methods: Women aged 40 to 64 with mobility impairments who reported not receiving a mammogram in the last 2 years were randomly assigned to a PATHS workshop and received follow-up monthly phone call interviews over 6 months. Results: Individual (eg, comorbidities, family responsibilities), interpersonal (eg, unclear provider communication, negative history), and environmental (eg, healthcare availability, insurance coverage, finances) factors were identified as unsolved barriers and potential facilitators (eg, reminders, physical proximity), to obtaining a mammogram. Conclusions: A multi-level intervention approach is required to promote mammogram use by women with disabilities.

Keywords: DISABILITY; HEALTH PROMOTION; INTERVENTION; MAMMOGRAM; QUALITATIVE ANALYSIS

Document Type: Research Article

DOI: https://doi.org/10.5993/AJHB.37.5.15

Affiliations: 1: Assistant Professor, Department of Public Health and Health Sciences, University of Michigan - Flint, Flint, MI 2: Director, Division of Human Development and Disability, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA 3: Assistant Professor, School of Social Work, University of Texas, Arlington, Arlington, TX 4: Assistant Professor, Public Health, Pacific University, Forest Grove, OR

Publication date: 2013-09-01

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  • The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.

    The Journal aims to provide a comprehensive understanding of the impact of personal attributes, personality characteristics, behavior patterns, social structure, and processes on health maintenance, health restoration, and health improvement; to disseminate knowledge of holistic, multidisciplinary approaches to designing and implementing effective health programs; and to showcase health behavior analysis skills that have been proven to affect health improvement and recovery.

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