Underusers of Mammogram Screening

Stage of Adoption in Five U.S. Subpopulations

Published in: Preventive Medicine, v. 27, no. 3, May/June 1998, p. 478-487

Posted on RAND.org on January 01, 1998

by Anne M. Stoddard, Barbara K. Rimer, Dorothy Lane, Sarah Fox, Isaac Lipkus, Roger Luckmann, Jill Spitz Avrunin, Susan Sprachman, Mary S. Costanza, Nicole Urban

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The purpose of this report is to describe the characteristics of women ages 50 to 80 who do not follow commonly accepted mammography screening guidelines. It provides unique understanding of the robustness of characteristics of underusers across five different U.S. subpopulations. The findings suggest a need to encourage regular screening through effective communication from a health care provider. Intervention messages should be designed to increase the pros of mammography, decrease the cons, and highlight these differentially according to the soman's stage of adoption.

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