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Abstract. Howard University Cancer Center, Delmarva Foundation, Mid- Atlantic Cancer Information Service and Men Against Breast Cancer formed a partnership to offer Mammo Days. The primary purpose of the project is to provide free

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Presentation Transcript
Abstract
Abstract

Howard University Cancer Center, Delmarva Foundation, Mid- Atlantic Cancer

Information Service and Men Against Breast Cancer formed a partnership to

offer Mammo Days. The primary purpose of the project is to provide free

mammography screening to women who receive Medicare with the intent of

promoting the habit of obtaining annual mammograms. Additionally, the

project explores the knowledge and utilization of Medicare mammography

benefits among African American women in the District of Columbia.

Participants are identified through various means including churches, media

promotions and other screening programs. Women who come in for screening

complete a brief survey to determine their knowledge and utilization of

Medicare benefits. Preliminary data indicate that the majority of women

surveyed to date are not aware that Medicare provides coverage for

mammograms and the rates of usage among those who are aware are low.

Information from this program will be utilized to develop broader targeted

public education programs.


Background
Background

African American women living in the District of Columbia are less likely to

have mammograms if they are elderly or living in less affluent Wards.

Analysis of Medicare claims by the Delmarva Foundation show that 51% of

African American women age 50-67 living in DC had mammograms in 2001

and 2002 compared to 61% of white women. The highest usage rates of

Medicare mammography screening occurred in the District Wards with

affluent and ethnically diverse residents while the Wards that are

predominantly African American and less affluent had participation rates of

51 percent or less.


Objectives
Objectives

  • Provide mammograms to at least 60 Medicare recipients annually

  • Assess the knowledge and usage levels of Medicare mammography benefits among African American women age 50 and older living the District of Columbia

  • Determine barriers to utilizing Medicare benefits among African American women

  • Determine the best channels for reaching the target population


Methods
Methods

Participants are identified through targeted promotions in the areas of

greatest need. Churches, CDC Breast and Cervical Early Detection Program,

Community Based Organizations, and local media promotions are used to

notify women of Mammo Day screenings. Women attending Mammo Days

receive a clinical breast exam and mammograms free of charge. Prior to

getting screened participants are asked to complete a short questionnaire

regarding their knowledge and usage of Medicare mammography benefits

and barriers to use.


Results
Results

To date eight Mammo Days have been held and 76 surveys have been

completed. Based upon the completed surveys to the majority of

women were not aware of the Medicare mammography benefit. Among the

women who were aware of the benefit the majority had not utilized it to

obtain a mammogram. Several key channels were noted as resources for

obtaining information about the Medicare benefit. Mammo Days was

most often mentioned as a source for finding out more information about

Medicare coverage for mammograms.


Results cont
Results Cont.

Q1). Do you know that Medicare pays for mammograms?

Yes 12% Yes 6%

Age 50-64 Age 65 and older

No 39% No 6% No Response 37%

Age 50-64 Age 65 and older

Q2). Have you ever used Medicare to pay for mammograms?

Yes 0% Yes 6%

Age 50-64 Age 65 and older

No 53% No 41%

Age 50-64 Age 65 and older


Results cont1
Results Cont.

Q3). How did you find out about Medicare coverage for

mammograms?

1. Mammo Days

2. Television program promoting Mammo Days

3. Friends and family members


Discussion
Discussion

Preliminary information collected from the Mammo Days project indicates a

need to increase public education to promote Medicare benefits for

mammography. Programs specifically aimed at targeting African American

women in urban areas are needed. Collecting more information to

understand barriers to utilizing Medicare mammography benefits among

women who are aware of coverage is an important next step for this project.


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