A two-step intervention of increase mammography among women aged 65 and older

Am J Public Health. 1997 Oct;87(10):1683-6. doi: 10.2105/ajph.87.10.1683.


Objectives: This study evaluated a two-step intervention for mammography screening among older women.

Methods: Four hundred and sixty women, identified from physician practices, were randomized to a control or a two-step intervention (physician letter and peer counseling call) group. Women in the intervention group who obtained a mammogram received a grocery coupon.

Results: Over the 12 months of the study, more women in the intervention group than in the control group obtained mammograms (38% vs 16%). The most dramatic difference was in the higher odds that women in the intervention group would obtain a mammogram within 2 months (odds ratio = 10.5).

Conclusions: The intervention significantly increased screening mammography. Future efforts must be multifaceted and incorporate the unique concerns of older women.

Publication types

  • Clinical Trial
  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Female
  • Geriatrics
  • Health Promotion / methods*
  • Humans
  • Logistic Models
  • Mammography / statistics & numerical data*