Health Care for Women International
Volume 17, Issue 4, 1996, Pages 281-291

Financial incentive and the use of mammography among Hispanic migrants to the united states (Article)

Skaer T.L.* , Robison L.M. , Sclar D.A. , Harding G.H.
  • a College of Pharmacy, Washington State University, Pullman, WA, United States
  • b College of Pharmacy, Washington State University, Pullman, WA, United States
  • c College of Pharmacy, Washington State University, Pullman, WA, United States
  • d SAC Health System, Loma Linda University, School of Public Health, Loma Linda, CA, United States

Abstract

Researchers in migrant health clinics in Washington state found cost to be the single most commonly reported reason given by foreignborn Hispanic women for never having had a mammogram. The true significance of this finding beyond self-report was unknown. A randomized intervention trial designed to test the effect of fully subsidized mammograms on utilization was conducted within this population. Women in the intervention group received standard clinic instruction plus a voucher for a free mammogram. Controls received standard clinic instruction alone. Eighty-seven percent of women receiving vouchers obtained a mammogram within 30 days, compared with 17.5% of controls. Logistic regression analysis revealed that women receiving vouchers were 47 times more likely to obtain a mammogram than controls. This confirms women's selfreport that cost is a major barrier to accessing screening mammograms in this low-income migrant population, and that women are more likely to utilize this service when financial barriers are removed. © 1996 Taylor & Francis.

Author Keywords

[No Keywords available]

Index Keywords

controlled clinical trial economics psychological aspect clinical trial motivation human middle aged controlled study randomized controlled trial Logistic Models ethnology Washington Hispanic Americans United States Humans Mammography Hispanic female Article adult migration Utilization Review patient attitude Patient Acceptance of Health Care statistical model Transients and Migrants Health Services Accessibility health care delivery
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-0030183653&doi=10.1080%2f07399339609516245&partnerID=40&md5=204160042101a2ca9357fe21265e3f46
DOI: 10.1080/07399339609516245
ISSN: 07399332
Cited by: 29
Original Language: English