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A Program of Interventions Designed to Increase Mammography Rates in Women Ages 50 Years and Older for an Undeserved Racial Minority

Author: GAIL STELGER, JUDITH SAMKOFF, and JUDY KAROULLAS
Published in JHHSA, Vol. 26 No. 3

Although breast cancer mortality rates have declined among white
women nationally, rates have increased among African-American
women. In an effort to increase the use of screening mammography in
African-American women in Philadelphia, intervention strategies were
developed to target this segment of the population which included an
educational program delivered by members of the community with a
video as the core component; educational mailings with a prepaid
return postcard; posters with tear-off, prepaid postcards; and publilc
service messages. The educational program with the video was deli0\-
vered at 77 sites in Philadelphia attended by 4,481 people. Postcards
validated by mammography centers were returned by 454 women in the
targeted population. It was difficult to obtain feedback from members
of the targeted population who either presented or attended and educa-
tional session but the small sample that responded specified that they
appreciated having African-Americans featured in the video.

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