ArticleJournal of women's health (2002)2012
Differences in barriers to mammography between rural and urban women.
Article in Journal of women's health (2002), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
15 citing papers in PubMed.
- Improving mammography screening among the medically underserved.Journal of general internal medicine · 2014Trial
- The Effect of Social Associations on Mammography Screening Disparities in Rural Communities: A County-Level Secondary Analysis.Cancer medicine · 2026Article
- Determinants of Female Cancer Screening Awareness in Alabama's Black Belt Region.Asian Pacific journal of cancer prevention : APJCP · 2025Article
- Health literacy in Ireland: insights from rural and urban community perspectives.Health promotion international · 2025Article
- Inequality in mammography uptake: results from recruitment phase of first cohort study among Iranian Kurdish population.Global health research and policy · 2022Article
- Cancer Screening among Rural People Who Use Drugs: Colliding Risks and Barriers.International journal of environmental research and public health · 2022Article
- A qualitative study of rural healthcare providers' views of social, cultural, and programmatic barriers to healthcare access.BMC health services research · 2022Article
- Breast Cancer Disparities and the Impact of Geography.Surgical oncology clinics of North America · 2022Review
- Changes in Disparities in Stage of Breast Cancer Diagnosis in Pennsylvania After the Affordable Care Act.Journal of women's health (2002) · 2021Article
- Access to Care as a Barrier to Mammography for Black Women.Policy, politics & nursing practice · 2021Article
- Perceived Barriers to Mammography Adoption among Women in Iran: A Qualitative Study.Korean journal of family medicine · 2020Article
- Improvements in Colorectal Cancer Incidence Not Experienced by Nonmetropolitan Women: A Population-Based Study From Utah.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2018Article
- Perspectives of Low-Income African-American Women Non-adherent to Mammography Screening: the Importance of Information, Behavioral Skills, and Motivation.Journal of cancer education : the official journal of the American Association for Cancer Education · 2017Article
- Sustaining mammography screening among the medically underserved: a follow-up evaluation.Journal of women's health (2002) · 2015Article
- Joint breast and colorectal cancer screenings in medically underserved women.The Journal of community and supportive oncology · 2015Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
backgroundFew studies have examined differences between rural and urban women in mammography barriers, knowledge, and experiences. Exploring differences can help inform tailored interventions.
methodsWomen, aged ≥40, who had not been screened in the past 2 years were recruited from eight federally qualified health centers across Louisiana. They were given a structured interview assessing mammography knowledge, beliefs, barriers, experiences, and literacy.
resultsOf the 1189 patients who participated, 65.0% were African American, 61.6% were rural, and 44.0% had low literacy. Contrary to guidelines, most believed mammography should be done annually (74.3%) before age 40 (70.5%). Compared to urban women, rural participants were more likely to believe mammography will find small breast lumps early (34.4% vs. 6.5%, p<0.0001) and strongly disagree that mammography is embarrassing (14.6% vs. 8.4%, p=0.0002) or that they are afraid of finding something wrong (21.2% vs.12.3%, p=0.007). Rural women were more likely to report a physician recommendation for mammography (84.3% vs. 76.5%, p=0.006), but they were less likely to have received education (57.2% vs. 63.6%, p=0.06) or to have ever had a mammogram (74.8% vs. 78.1%, p=0.007). In multivariate analyses controlling for race, literacy, and age, all rural/urban differences remained significant, except for receipt of a mammogram.
conclusionsMost participants were unclear about when they should begin mammography. Rural participants reported stronger positive beliefs, higher self-efficacy, fewer barriers, and having a physician recommendation for mammography but were less likely to receive education or screening.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.