Multi-level Barriers to Obtaining Mammograms for Women with Mobility Limitations: Post Workshop Evaluation
Source: American Journal of Health Behavior, Volume 37, Number 5, September 2013 , pp. 711-718(8)
Publisher: PNG Publications
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.
Document Type: Research Article
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: September 2013
- 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.
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