Patterns of Mammography Use and Constraints to Screening Among Disabled and Nondisabled Older Women

2.50
Hdl Handle:
http://hdl.handle.net/10755/156735
Type:
Presentation
Title:
Patterns of Mammography Use and Constraints to Screening Among Disabled and Nondisabled Older Women
Abstract:
Patterns of Mammography Use and Constraints to Screening Among Disabled and Nondisabled Older Women
Conference Sponsor:Sigma Theta Tau International
Conference Year:2004
Conference Date:July 22-24, 2004
Author:Wood, Robin Y., EdD, RN
P.I. Institution Name:Boston College
Title:Assistant Professor
Co-Authors:Karen Giuliano, RN, MSN, CCRN, FAAN
Purpose: To describe the patterns of mammography use in a sample of older disabled and non-disabled women and to identify factors distinguishing between those who receive mammograms at recommended intervals and those who do not receive mammograms at recommended intervals. To identify constraints to mammography use among older women who underutilize this screening procedure. Design: A comparative descriptive design with a convenience sample of 98 women aged 60 years or older recruited from community settings and assisted-living sites in the United States. Methods: Self-report interviews were completed in senior centers or assisted-living sites. Instruments included the Katz Activities of Daily Living scale (ADL) and Instrumental Activities of Daily Living scale (IADL) and an Activity Limitation (AL) scale modified from the Medical Outcomes Survey Short Form (MOS-SF36). Demographic variables, health status, and co-existing medical conditions (comorbidity) were also measured. Discriminant function analysis identified which variables functioned as significant predictors for mammography use or non-use. Narrative data regarding constraints to mammography underutilization were collected. Findings: Predictors of age, ADL, IADL, AL, and comorbidity were significant for predicting group mammography use or non-use. Constraints to mammography among non-users were identified as lack of provider recommendation or a personal belief that a mammogram was not needed. Pain, fear of radiation, cost, and fear of finding cancer were not frequently identified constraints. Conclusions: Women who are older, have more comorbid conditions and activity limitations, and who are limited in activities of daily living and instrumental activities of daily living should be targeted in breast cancer screening initiatives. Given the complexity of health issues prevalent in vulnerable communities of disabled elders, providers are encouraged to prioritize breast cancer screening and risk education for older women while considering relevant life expectancy and quality of life issues as age increases.
Repository Posting Date:
26-Oct-2011
Date of Publication:
22-Jul-2004
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titlePatterns of Mammography Use and Constraints to Screening Among Disabled and Nondisabled Older Womenen_GB
dc.identifier.urihttp://hdl.handle.net/10755/156735-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Patterns of Mammography Use and Constraints to Screening Among Disabled and Nondisabled Older Women</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2004</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">July 22-24, 2004</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Wood, Robin Y., EdD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Boston College</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">woodr@bc.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Karen Giuliano, RN, MSN, CCRN, FAAN</td></tr><tr><td colspan="2" class="item-abstract">Purpose: To describe the patterns of mammography use in a sample of older disabled and non-disabled women and to identify factors distinguishing between those who receive mammograms at recommended intervals and those who do not receive mammograms at recommended intervals. To identify constraints to mammography use among older women who underutilize this screening procedure. Design: A comparative descriptive design with a convenience sample of 98 women aged 60 years or older recruited from community settings and assisted-living sites in the United States. Methods: Self-report interviews were completed in senior centers or assisted-living sites. Instruments included the Katz Activities of Daily Living scale (ADL) and Instrumental Activities of Daily Living scale (IADL) and an Activity Limitation (AL) scale modified from the Medical Outcomes Survey Short Form (MOS-SF36). Demographic variables, health status, and co-existing medical conditions (comorbidity) were also measured. Discriminant function analysis identified which variables functioned as significant predictors for mammography use or non-use. Narrative data regarding constraints to mammography underutilization were collected. Findings: Predictors of age, ADL, IADL, AL, and comorbidity were significant for predicting group mammography use or non-use. Constraints to mammography among non-users were identified as lack of provider recommendation or a personal belief that a mammogram was not needed. Pain, fear of radiation, cost, and fear of finding cancer were not frequently identified constraints. Conclusions: Women who are older, have more comorbid conditions and activity limitations, and who are limited in activities of daily living and instrumental activities of daily living should be targeted in breast cancer screening initiatives. Given the complexity of health issues prevalent in vulnerable communities of disabled elders, providers are encouraged to prioritize breast cancer screening and risk education for older women while considering relevant life expectancy and quality of life issues as age increases.</td></tr></table>en_GB
dc.date.available2011-10-26T15:04:57Z-
dc.date.issued2004-07-22en_GB
dc.date.accessioned2011-10-26T15:04:57Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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