The effectiveness of mammography promotion by volunteers in rural communities

M. Robyn Andersen, Yutaka Yasui, Hendrika Meischke, Alan Kuniyuki, Ruth Etzioni, Nicole Urban

Research output: Contribution to journalArticlepeer-review

54 Scopus citations


Introduction: The Community Trial of Mammography Promotion assessed the effectiveness of mammography promotion by community volunteer groups in rural areas. Three interventions were tested. One used an individual counseling strategy, one used a community activities strategy, and a third combined the two strategies. Methods: The effects of the interventions were tested by randomizing 40 communities either to the study interventions or to a control group. A cohort of 352 women from each community was randomly selected and used to evaluate the interventions' effectiveness. Of these, 6592 women were eligible for screening mammography at baseline and follow-up and were successfully interviewed prior to and after study intervention activities. Results: Although the interventions did not significantly increase women's overall use of mammography, the community activities intervention increased use at follow-up by regular users over baseline by 2.9% (p = 0.01). Intervention appears to have increased the use of mammography among certain groups of women who were not regular users at baseline, including those in communities without female physicians (10% to 16%; p < 0.05), and among women with no health insurance (10% to 23%; p ≤ 0.05). Conclusion: Volunteers can effectively promote mammography in rural communities. (C) 2000 American Journal of Preventive Medicine.

Original languageEnglish (US)
Pages (from-to)199-207
Number of pages9
JournalAmerican journal of preventive medicine
Issue number3
StatePublished - Apr 2000
Externally publishedYes


  • Intervention study
  • Mammography
  • Rural population
  • Voluntary workers

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health


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