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Reverse targeting in a media‐promoted breast cancer screening project
Background. The American Cancer Society has sponsored community‐based, low‐cost, Breast Cancer Detection Awareness Projects throughout the United States. The authors hypothesized that these projects tend to exclude minorities and women of lower socioeconomic status—groups with a higher incidence of...
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Published in: | Cancer 1992-09, Vol.70 (5), p.1152-1158 |
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creator | Roetzheim, Richard G. Vandurme, Daniel J. Brownlee, Harrison J. Herold, Arthur H. Pamies, Rubens J. Woodard, Laurie Blair, Clifford |
description | Background. The American Cancer Society has sponsored community‐based, low‐cost, Breast Cancer Detection Awareness Projects throughout the United States. The authors hypothesized that these projects tend to exclude minorities and women of lower socioeconomic status—groups with a higher incidence of late‐stage disease.
Methods. A cross‐sectional survey was performed of participants in the 1990 Breast Screening Project in Tampa, Florida. The demographic profile of participants was compared with that predicted by 1990 census data.
Results. There were 13,920 women who called phone banks for additional information. Of these, 13,215 were deemed eligible and 6640 completed mammo‐graphic screening. Forty percent of participants were having mammography for the first time. Comparisons with census data indicated that elderly people, members of minority groups, and women of lower educational levels were underrepresented.
Conclusions. The results of this study support the concept that “reverse targeting” occurs with these breast cancer screening projects, and recommendations for recruiting underrepresented groups are given. |
doi_str_mv | 10.1002/1097-0142(19920901)70:5<1152::AID-CNCR2820700521>3.0.CO;2-8 |
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Methods. A cross‐sectional survey was performed of participants in the 1990 Breast Screening Project in Tampa, Florida. The demographic profile of participants was compared with that predicted by 1990 census data.
Results. There were 13,920 women who called phone banks for additional information. Of these, 13,215 were deemed eligible and 6640 completed mammo‐graphic screening. Forty percent of participants were having mammography for the first time. Comparisons with census data indicated that elderly people, members of minority groups, and women of lower educational levels were underrepresented.
Conclusions. The results of this study support the concept that “reverse targeting” occurs with these breast cancer screening projects, and recommendations for recruiting underrepresented groups are given.</description><identifier>ISSN: 0008-543X</identifier><identifier>EISSN: 1097-0142</identifier><identifier>DOI: 10.1002/1097-0142(19920901)70:5<1152::AID-CNCR2820700521>3.0.CO;2-8</identifier><identifier>PMID: 1515990</identifier><identifier>CODEN: CANCAR</identifier><language>eng</language><publisher>New York: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Adult ; Biological and medical sciences ; breast cancer ; Breast Neoplasms - prevention & control ; Community Health Services ; Female ; Gynecology. Andrology. Obstetrics ; Humans ; Life Sciences & Biomedicine ; mammography ; Mass Media ; Mass Screening - methods ; media ; Medical sciences ; Middle Aged ; Minority Groups ; Oncology ; Patient Acceptance of Health Care ; prevention ; Science & Technology ; screening ; Socioeconomic Factors</subject><ispartof>Cancer, 1992-09, Vol.70 (5), p.1152-1158</ispartof><rights>Copyright © 1992 American Cancer Society</rights><rights>1993 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>12</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wosA1992JK78300020</woscitedreferencesoriginalsourcerecordid><cites>FETCH-LOGICAL-c4141-badf55f3016f6479534393e4dcd8029c4a686df129c7342ab8377497538ef27c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,786,790,27225,27957,27958</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=4376877$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/1515990$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Roetzheim, Richard G.</creatorcontrib><creatorcontrib>Vandurme, Daniel J.</creatorcontrib><creatorcontrib>Brownlee, Harrison J.</creatorcontrib><creatorcontrib>Herold, Arthur H.</creatorcontrib><creatorcontrib>Pamies, Rubens J.</creatorcontrib><creatorcontrib>Woodard, Laurie</creatorcontrib><creatorcontrib>Blair, Clifford</creatorcontrib><title>Reverse targeting in a media‐promoted breast cancer screening project</title><title>Cancer</title><addtitle>CANCER</addtitle><addtitle>Cancer</addtitle><description>Background. The American Cancer Society has sponsored community‐based, low‐cost, Breast Cancer Detection Awareness Projects throughout the United States. The authors hypothesized that these projects tend to exclude minorities and women of lower socioeconomic status—groups with a higher incidence of late‐stage disease.
Methods. A cross‐sectional survey was performed of participants in the 1990 Breast Screening Project in Tampa, Florida. The demographic profile of participants was compared with that predicted by 1990 census data.
Results. There were 13,920 women who called phone banks for additional information. Of these, 13,215 were deemed eligible and 6640 completed mammo‐graphic screening. Forty percent of participants were having mammography for the first time. Comparisons with census data indicated that elderly people, members of minority groups, and women of lower educational levels were underrepresented.
Conclusions. The results of this study support the concept that “reverse targeting” occurs with these breast cancer screening projects, and recommendations for recruiting underrepresented groups are given.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>breast cancer</subject><subject>Breast Neoplasms - prevention & control</subject><subject>Community Health Services</subject><subject>Female</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Life Sciences & Biomedicine</subject><subject>mammography</subject><subject>Mass Media</subject><subject>Mass Screening - methods</subject><subject>media</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Minority Groups</subject><subject>Oncology</subject><subject>Patient Acceptance of Health Care</subject><subject>prevention</subject><subject>Science & Technology</subject><subject>screening</subject><subject>Socioeconomic Factors</subject><issn>0008-543X</issn><issn>1097-0142</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1992</creationdate><recordtype>article</recordtype><sourceid>EZCTM</sourceid><sourceid>HZZMR</sourceid><recordid>eNqVkd-K1DAUh4so67j6CEIvRFyk48m_JhllYai6ri4OLAqCFyFNT5csnXZNOsre-Qg-o09iyowjeiF6lYTznd85fMmyisCcANAnBLQsgHD6iGhNQQM5krAQzwgRdLFYnj4vqrfVOVUUJICg5JjNYV6tntJC3chm--6b2QwAVCE4-3A7uxPjZXpKKthBdkAEEVrDLDs5x88YIuajDRc4-v4i931u8zU23n7_-u0qDOthxCavA9o45s72DkMeXUDsJzoBl-jGu9mt1nYR7-3Ow-z9yxfvqlfF2erktFqeFY4TToraNq0QLQNStiWXWjDONEPeuEYB1Y7bUpVNS9JVMk5trZiUXEvBFLZUOnaYPdzmprmfNhhHs_bRYdfZHodNNJKRMiXxBH7cgi4MMQZszVXwaxuuDQEzaTaTKDOJMj81GwlGmEmzMUmz-V2zYQZMtTLUqJR-f7fGpk6qfmVvvab6g13dRme7NiRtPu4xzmSppEyY2mJfsB7a6Dwmu3tqOe31-o1ULH0chcqPdvRDXw2bfkytj_-9NdHtjvYdXv-fir-a-KPCfgAqgsfF</recordid><startdate>19920901</startdate><enddate>19920901</enddate><creator>Roetzheim, Richard G.</creator><creator>Vandurme, Daniel J.</creator><creator>Brownlee, Harrison J.</creator><creator>Herold, Arthur H.</creator><creator>Pamies, Rubens J.</creator><creator>Woodard, Laurie</creator><creator>Blair, Clifford</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><general>Wiley</general><general>Wiley-Liss</general><scope>17B</scope><scope>BLEPL</scope><scope>DTL</scope><scope>DVR</scope><scope>EGQ</scope><scope>EZCTM</scope><scope>HZZMR</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19920901</creationdate><title>Reverse targeting in a media‐promoted breast cancer screening project</title><author>Roetzheim, Richard G. ; Vandurme, Daniel J. ; Brownlee, Harrison J. ; Herold, Arthur H. ; Pamies, Rubens J. ; Woodard, Laurie ; Blair, Clifford</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4141-badf55f3016f6479534393e4dcd8029c4a686df129c7342ab8377497538ef27c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1992</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>breast cancer</topic><topic>Breast Neoplasms - prevention & control</topic><topic>Community Health Services</topic><topic>Female</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Life Sciences & Biomedicine</topic><topic>mammography</topic><topic>Mass Media</topic><topic>Mass Screening - methods</topic><topic>media</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Minority Groups</topic><topic>Oncology</topic><topic>Patient Acceptance of Health Care</topic><topic>prevention</topic><topic>Science & Technology</topic><topic>screening</topic><topic>Socioeconomic Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Roetzheim, Richard G.</creatorcontrib><creatorcontrib>Vandurme, Daniel J.</creatorcontrib><creatorcontrib>Brownlee, Harrison J.</creatorcontrib><creatorcontrib>Herold, Arthur H.</creatorcontrib><creatorcontrib>Pamies, Rubens J.</creatorcontrib><creatorcontrib>Woodard, Laurie</creatorcontrib><creatorcontrib>Blair, Clifford</creatorcontrib><collection>Web of Knowledge</collection><collection>Web of Science Core Collection</collection><collection>Science Citation Index Expanded</collection><collection>Social Sciences Citation Index</collection><collection>Web of Science Primary (SCIE, SSCI & AHCI)</collection><collection>Web of Science - Science Citation Index Expanded - 1992</collection><collection>Web of Science - Social Sciences Citation Index - 1992</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Roetzheim, Richard G.</au><au>Vandurme, Daniel J.</au><au>Brownlee, Harrison J.</au><au>Herold, Arthur H.</au><au>Pamies, Rubens J.</au><au>Woodard, Laurie</au><au>Blair, Clifford</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Reverse targeting in a media‐promoted breast cancer screening project</atitle><jtitle>Cancer</jtitle><stitle>CANCER</stitle><addtitle>Cancer</addtitle><date>1992-09-01</date><risdate>1992</risdate><volume>70</volume><issue>5</issue><spage>1152</spage><epage>1158</epage><pages>1152-1158</pages><issn>0008-543X</issn><eissn>1097-0142</eissn><coden>CANCAR</coden><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>Background. The American Cancer Society has sponsored community‐based, low‐cost, Breast Cancer Detection Awareness Projects throughout the United States. The authors hypothesized that these projects tend to exclude minorities and women of lower socioeconomic status—groups with a higher incidence of late‐stage disease.
Methods. A cross‐sectional survey was performed of participants in the 1990 Breast Screening Project in Tampa, Florida. The demographic profile of participants was compared with that predicted by 1990 census data.
Results. There were 13,920 women who called phone banks for additional information. Of these, 13,215 were deemed eligible and 6640 completed mammo‐graphic screening. Forty percent of participants were having mammography for the first time. Comparisons with census data indicated that elderly people, members of minority groups, and women of lower educational levels were underrepresented.
Conclusions. The results of this study support the concept that “reverse targeting” occurs with these breast cancer screening projects, and recommendations for recruiting underrepresented groups are given.</abstract><cop>New York</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>1515990</pmid><doi>10.1002/1097-0142(19920901)70:5<1152::AID-CNCR2820700521>3.0.CO;2-8</doi><tpages>7</tpages></addata></record> |
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subjects | Adult Biological and medical sciences breast cancer Breast Neoplasms - prevention & control Community Health Services Female Gynecology. Andrology. Obstetrics Humans Life Sciences & Biomedicine mammography Mass Media Mass Screening - methods media Medical sciences Middle Aged Minority Groups Oncology Patient Acceptance of Health Care prevention Science & Technology screening Socioeconomic Factors |
title | Reverse targeting in a media‐promoted breast cancer screening project |
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