Self-Report Versus Medical Record for Mammography Screening Among Minority Women

West J Nurs Res. 2016 Dec;38(12):1627-1638. doi: 10.1177/0193945916647059. Epub 2016 May 2.


Self-report is the most common means of obtaining mammography screening data. The purpose of this study was to assess the accuracy of minority women's self-reported mammography by comparing their self-reported dates of mammograms with those in their medical records from a community-based randomized control trial. We found that out of 192 women, 116 signed the Health Information Portability and Accountability Act form and, among these, 97 had medical records that could be verified (97 / 116 = 83.6%). Ninety-two records matched where both sources confirmed a mammogram; 48 of 92 (52.2%) matched perfectly on self-reported date of mammogram. Complexities in the verification process warrant caution when verifying self-reported mammography screening in minority populations. In spite of some limitations, our findings support the usage of self-reported data on mammography as a validated tool for other researchers investigating mammography screening among minority women who continue to have low screening rates.

Keywords: breast cancer screening; mammography; medical records; self-report; validation.

Publication types

  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural

MeSH terms

  • Asian
  • Breast Neoplasms / diagnosis
  • Female
  • Humans
  • Mammography / statistics & numerical data*
  • Mass Screening
  • Medical Records / standards*
  • Middle Aged
  • Minority Groups*
  • Self Report*
  • Surveys and Questionnaires