Breast cancer knowledge and barriers to mammography in a low-income managed care population

J Cancer Educ. 2009;24(4):261-6. doi: 10.1080/08858190902973077.


Background: Low-income women experience multiple barriers to screening mammography. This study explored cancer knowledge as a point of intervention to reduce overall barriers.

Methods: A survey of breast cancer knowledge and barriers was obtained from 173 low-income female residents of Middle Tennessee, > or =40 years, enrolled in the state managed care organization and nonadherent to mammography. Multiple regression models examined the effect of breast cancer knowledge on mammography screening barriers.

Results: Comprehensive breast cancer knowledge, not mere screening awareness, was the strongest contributor towards lower barrier scores.

Conclusions: Strategies to overcome mammography barriers should include comprehensive breast cancer education.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Breast Neoplasms / diagnostic imaging*
  • Educational Status
  • Female
  • Health Behavior
  • Health Knowledge, Attitudes, Practice*
  • Health Services Accessibility*
  • Humans
  • Mammography*
  • Managed Care Programs*
  • Middle Aged
  • Poverty*