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Showing content from https://pubmed.ncbi.nlm.nih.gov/19609176/ below:

A meta-analysis of interventions to promote mammography among ethnic minority women

Review

Affiliations

• ¹ School of Nursing, School of Nursing, The Johns Hopkins University, Baltimore, Maryland 21205-2110, USA. hhan@son.jhmi.edu

• PMID: 19609176
• PMCID: PMC2862462
• DOI: 10.1097/NNR.0b013e3181ac0f7f

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Review

Hae-Ra Han et al. Nurs Res. 2009 Jul-Aug.

• ¹ School of Nursing, School of Nursing, The Johns Hopkins University, Baltimore, Maryland 21205-2110, USA. hhan@son.jhmi.edu

• PMID: 19609176
• PMCID: PMC2862462
• DOI: 10.1097/NNR.0b013e3181ac0f7f

Item in Clipboard

Background: Although many studies have been focused on interventions designed to promote mammography screening among ethnic minority women, few summaries of the effectiveness of the interventions are available.

Objective: The aim of this study was to determine the effectiveness of the interventions for improving mammography screening among asymptomatic ethnic minority women.

Methods: A meta-analysis was performed on intervention studies designed to promote mammography use in samples of ethnic minority women. Random-effects estimates were calculated for interventions by measuring differences in intervention and control group screening rates postintervention.

Results: The overall mean weighted effect size for the 23 studies was 0.078 (Z = 4.414, p < .001), indicating that the interventions were effective in improving mammography use among ethnic minority women. For mammography intervention types, access-enhancing strategies had the biggest mean weighted effect size of 0.155 (Z = 4.488, p < .001), followed by 0.099 (Z = 6.552, p < .001) for individually directed approaches such as individual counseling or education. Tailored, theory-based interventions resulted in a bigger effect size compared with nontailored interventions (effect sizes = 0.101 vs. 0.076, respectively; p < .05 for all models). Of cultural strategies, ethnically matched intervention deliveries and offering culturally matched intervention materials had effect sizes of 0.067 (Z = 2.516, p = .012) and 0.051 (Z = 2.365, p = .018), respectively.

Discussion: Uniform improvement in mammography screening is a goal to address breast cancer disparities in ethnic minority communities in this country. The results of this meta-analysis suggest a need for increased use of a theory-based, tailored approach with enhancement of access.

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Summary of the study selection…

Summary of the study selection process.

Summary of the study selection process.

• The effectiveness of interventions to promote mammography among women with historically lower rates of screening.

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• Systematic Review of Mammography Screening Educational Interventions for Hispanic Women in the United States.

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• Interventions to increase mammography screening uptake among women living in low-income and middle-income countries: a systematic review.

  Nduka IJ, Ejie IL, Okafor CE, Eleje GU, Ekwunife OI. Nduka IJ, et al. BMJ Open. 2023 Feb 7;13(2):e066928. doi: 10.1136/bmjopen-2022-066928. BMJ Open. 2023. PMID: 36750281 Free PMC article.

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