Purpose: A retrospective subject-controlled study of an ongoing Breast Health Program, at a not-for-profit, non-government assisted, volunteer clinic, was undertaken to examine mammography usage and discovery variables.
Design and Methods: English and Spanish speaking women 40 years old and over who viewed in a 7-minute breast health DVD and were offered free mammography were eligible for the study (N= 223). The Health Belief Model (HBM) (Becker, 1974) provided the study framework that utilized radiology billing records for mammography completion and a dual-language self-administered survey. Data retrieval was from March 2004 to July 2009, with DVD viewing beginning in December 2006. Recruitment occurred between July 2009 and September 2009.
Results: Results revealed that 214 (96%) women had a mammography after viewing the DVD. Of the 120 subjects that had time to complete an annual mammography, 28 (23%) completed it in the 12th month, 48 (40%) completed it within 15 months, and 91 (75%) completed even if late. Only 37 subjects had time to complete a third mammography and of those only 8 completed a fourth. Significant findings found: (1) a greater proportion of women who received a reminder postcard participated in their annual mammography in the 12th month, Χ2(1) = 3.98, p = .046; (2) perceptions of breast cancer susceptibility scores were significantly lower (M = 6.89, SD = 3.18), in those who completed their annual mammography in the 12th month, t(118) = 2.03, p = .045; (3) a greater proportion of women who were knowledgeable about screening recommendations completed annual mammography, even if late, Χ2(1) = 4.736, p = .030 and; (4) Hispanic women completed at a significantly higher rate (n= 69; 81.2%) even if late, Χ2(2) = 6.450, p = .04.
Implications: Longitudinal studies utilizing radiology billing records for mammography completion present real findings of mammography usage. This study's findings enhance the understanding of low-income, working uninsured women and identify new variables not found in comparative research findings.","abstract_html":"Problem: Detection of breast cancer in women of low socioeconomic status, lacking health insurance, can be improved by increasing annual mammography rates, yet little is known about their screening behavior.</p><p> Purpose: A retrospective subject-controlled study of an ongoing Breast Health Program, at a not-for-profit, non-government assisted, volunteer clinic, was undertaken to examine mammography usage and discovery variables.</p><p> Design and Methods: English and Spanish speaking women 40 years old and over who viewed in a 7-minute breast health DVD and were offered free mammography were eligible for the study (N= 223). The Health Belief Model (HBM) (Becker, 1974) provided the study framework that utilized radiology billing records for mammography completion and a dual-language self-administered survey. Data retrieval was from March 2004 to July 2009, with DVD viewing beginning in December 2006. Recruitment occurred between July 2009 and September 2009.</p><p> Results: Results revealed that 214 (96%) women had a mammography after viewing the DVD. Of the 120 subjects that had time to complete an annual mammography, 28 (23%) completed it in the 12th month, 48 (40%) completed it within 15 months, and 91 (75%) completed even if late. Only 37 subjects had time to complete a third mammography and of those only 8 completed a fourth. Significant findings found: (1) a greater proportion of women who received a reminder postcard participated in their annual mammography in the 12th month, Χ2(1) = 3.98, p = .046; (2) perceptions of breast cancer susceptibility scores were significantly lower (M = 6.89, SD = 3.18), in those who completed their annual mammography in the 12th month, t(118) = 2.03, p = .045; (3) a greater proportion of women who were knowledgeable about screening recommendations completed annual mammography, even if late, Χ2(1) = 4.736, p = .030 and; (4) Hispanic women completed at a significantly higher rate (n= 69; 81.2%) even if late, Χ2(2) = 6.450, p = .04.</p><p> Implications: Longitudinal studies utilizing radiology billing records for mammography completion present real findings of mammography usage. This study's findings enhance the understanding of low-income, working uninsured women and identify new variables not found in comparative research findings.","abstract_has_math":false,"creators":["Morrison, Theresa"],"institution":null,"degree_name":"PhD","degree_level":"Immediate Access","degree_discipline":"Nursing","degree_department":null,"school":null,"contributors":["Joan Lockhart","Karen Paraska","Aysegul Timur"],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2009,"date_issued":"2009-01-01T08:00:00Z","date_published":"2009-01-01T08:00:00Z","updated_at":"2026-07-24T02:10:15Z","subjects":["Breast","Cancer","Low-income","Mammography","Uninsured","Women"],"languages":["English"],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://dsc.duq.edu/etd/950","outbound_label":"Repository record","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Joan Lockhart","Karen Paraska","Aysegul Timur"]},{"key":"dc:creator","label":"Author","values":["Morrison, Theresa"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.available","label":"Dc Date Available","values":["2018-08-03T07:00:00Z"]},{"key":"thesis:degree_discipline","label":"Discipline","values":["Nursing"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Immediate Access"]},{"key":"thesis:degree_name","label":"Degree Name","values":["PhD"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Breast","Cancer","Low-income","Mammography","Uninsured","Women"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language","label":"Dc Language","values":["English"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["https://dsc.duq.edu/etd/950"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["Problem: Detection of breast cancer in women of low socioeconomic status, lacking health insurance, can be improved by increasing annual mammography rates, yet little is known about their screening behavior.
Purpose: A retrospective subject-controlled study of an ongoing Breast Health Program, at a not-for-profit, non-government assisted, volunteer clinic, was undertaken to examine mammography usage and discovery variables.
Design and Methods: English and Spanish speaking women 40 years old and over who viewed in a 7-minute breast health DVD and were offered free mammography were eligible for the study (N= 223). The Health Belief Model (HBM) (Becker, 1974) provided the study framework that utilized radiology billing records for mammography completion and a dual-language self-administered survey. Data retrieval was from March 2004 to July 2009, with DVD viewing beginning in December 2006. Recruitment occurred between July 2009 and September 2009.
Results: Results revealed that 214 (96%) women had a mammography after viewing the DVD. Of the 120 subjects that had time to complete an annual mammography, 28 (23%) completed it in the 12th month, 48 (40%) completed it within 15 months, and 91 (75%) completed even if late. Only 37 subjects had time to complete a third mammography and of those only 8 completed a fourth. Significant findings found: (1) a greater proportion of women who received a reminder postcard participated in their annual mammography in the 12th month, Χ2(1) = 3.98, p = .046; (2) perceptions of breast cancer susceptibility scores were significantly lower (M = 6.89, SD = 3.18), in those who completed their annual mammography in the 12th month, t(118) = 2.03, p = .045; (3) a greater proportion of women who were knowledgeable about screening recommendations completed annual mammography, even if late, Χ2(1) = 4.736, p = .030 and; (4) Hispanic women completed at a significantly higher rate (n= 69; 81.2%) even if late, Χ2(2) = 6.450, p = .04.
Implications: Longitudinal studies utilizing radiology billing records for mammography completion present real findings of mammography usage. This study's findings enhance the understanding of low-income, working uninsured women and identify new variables not found in comparative research findings."]},{"key":"dc:title","label":"Title","values":["Retrospective Analysis of a Breast Health Program on Routine Annual Mammography in Low-Income, Uninsured Women"]}]}],"canonical_facts":{"dc:contributor":["Joan Lockhart","Karen Paraska","Aysegul Timur"],"dc:creator":["Morrison, Theresa"],"dc:date.available":["2018-08-03T07:00:00Z"],"dc:description.abstract":["Problem: Detection of breast cancer in women of low socioeconomic status, lacking health insurance, can be improved by increasing annual mammography rates, yet little is known about their screening behavior.
Purpose: A retrospective subject-controlled study of an ongoing Breast Health Program, at a not-for-profit, non-government assisted, volunteer clinic, was undertaken to examine mammography usage and discovery variables.
Design and Methods: English and Spanish speaking women 40 years old and over who viewed in a 7-minute breast health DVD and were offered free mammography were eligible for the study (N= 223). The Health Belief Model (HBM) (Becker, 1974) provided the study framework that utilized radiology billing records for mammography completion and a dual-language self-administered survey. Data retrieval was from March 2004 to July 2009, with DVD viewing beginning in December 2006. Recruitment occurred between July 2009 and September 2009.
Results: Results revealed that 214 (96%) women had a mammography after viewing the DVD. Of the 120 subjects that had time to complete an annual mammography, 28 (23%) completed it in the 12th month, 48 (40%) completed it within 15 months, and 91 (75%) completed even if late. Only 37 subjects had time to complete a third mammography and of those only 8 completed a fourth. Significant findings found: (1) a greater proportion of women who received a reminder postcard participated in their annual mammography in the 12th month, Χ2(1) = 3.98, p = .046; (2) perceptions of breast cancer susceptibility scores were significantly lower (M = 6.89, SD = 3.18), in those who completed their annual mammography in the 12th month, t(118) = 2.03, p = .045; (3) a greater proportion of women who were knowledgeable about screening recommendations completed annual mammography, even if late, Χ2(1) = 4.736, p = .030 and; (4) Hispanic women completed at a significantly higher rate (n= 69; 81.2%) even if late, Χ2(2) = 6.450, p = .04.
Implications: Longitudinal studies utilizing radiology billing records for mammography completion present real findings of mammography usage. This study's findings enhance the understanding of low-income, working uninsured women and identify new variables not found in comparative research findings."],"dc:identifier":["https://dsc.duq.edu/etd/950"],"dc:language":["English"],"dc:subject":["Breast","Cancer","Low-income","Mammography","Uninsured","Women"],"dc:title":["Retrospective Analysis of a Breast Health Program on Routine Annual Mammography in Low-Income, Uninsured Women"],"thesis:degree_discipline":["Nursing"],"thesis:degree_level":["Immediate Access"],"thesis:degree_name":["PhD"]},"updated_at":"2026-07-24T02:10:15Z"}