Mammogram Compliance Among Low-Income Middle-Women in Puerto Rico
Abstract
The purpose of this phase of a larger study was to obtain data about factors that explain screening mammogram referral patterns among physicians in Puerto Rico. It focused on compliance with 1997 NIH Guidelines to mammogram screening for women age 40 to 49 and 50 to 64. A self-administered questionnaire containing twelve hypothetical case studies and open questions was distributed to 50 physicians; 48 answered. Our hypothesis was: Physicians will correctly follow the NIH screening mammogram guidelines for less than 90% of their female patients in each age category. When comparing the physicians' responses with the NIH guidelines for women age 40 to 49 years old, 49.9% of the physicians coincided with the guidelines in recommending an annual exam if there are potential risk factors. For women age 50 to 64, 78% of the physicians recommended an annual mammogram according to the established guidelines. Our hypothesis was correct for both age categories: less than 90% of the physicians followed the NIH guidelines. For women age 40 to 49, where the guidelines are not as specific as for those 50 to 64 and physician- patient communication is highly recommended, the results for physicians following NIH guidelines were much less than anticipated.
Document Details
- Document Type
- Technical Report
- Publication Date
- Sep 01, 2001
- Accession Number
- ADA400641
Entities
People
- Melba M. Sanchez-ayendez
Organizations
- University of Puerto Rico