We are also interested in improving use of screening mammography in underserved populations. We are investigating reasons for this by conducting series of patient interviews to identify specific barriers, facilitators, attitudes, and knowledge about mammography.
Educational factors appear to be particularly important.
Many practitioners and institutions rely on brochures to provide education about mammography, brochures that many women may not be able to read. Cultural and peer group factors also seem important. I don't want to know. We believe that programs to improve use of screening mammography in underserved populations should address more than the usual barriers of cost, convenience, transportation, and access to medical care. Brief videotapes depicting peers of the target group may be useful, as may be the use of peer educators.