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Functional Limitations and Barriers to Care Influence the Likelihood of Adherence to Mammography Guideline

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Objective: In this study, we examined the influence of having a functional limitation (FL) on the likelihood of adherence to mammography guidelines, as well as the potential moderating role of barriers to care on this relationship. Methods: Women aged 50-75 years from the 2017 National Health Interview Survey were assessed for FL and barriers to care as predictors mammography screening prevalence using weighted logistic regression. Results: Of 5627 women, most were without FLs (56%), Caucasian (81%), with at least a high school education (62%), married (63%), had a usual source of care (97%), and reported barriers to care (9%). Compared to women without FLs, those with FLs were less likely to adhere to mammography guidelines in the past year. Endorsement of the items, Could not get through on the phone, Not open when you could go, and No transportation negatively moderated this association (adjusted odds ratio (AOR) = 0.60, 95% Cl [0.59, 0.60], AOR = 0.54, 95% Cl [0.54, 0.55], and AOR = 0.32, 95% [0.31, 0.33], respectively). Conclusions: Improving the ability of women with FLs to schedule appointments that will suit their functional needs within universal design guidelines may improve compliance.
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Keywords: BARRIERS TO CARE; FUNCTIONAL LIMITATIONS; MAMMOGRAPHY GUIDELINE; WOMEN'S HEALTH

Document Type: Research Article

Affiliations: 1: Rie Suzuki, Associate Professor, College of Health Sciences, University of Michigan-Flint, Flint, MI, United States;, Email: [email protected] 2: Michael J. McCarthy, Associate Professor, Department of Social Work, College of Social and Behavioral Sciences, Northern Arizona University, Flagstaff, AZ, United States 3: Sabah Ganai, Research Assistant, College of Health Sciences, University of Michigan-Flint, Flint, MI, United States

Publication date: March 1, 2021

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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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