Skip Navigation



American Journal of Epidemiology Advance Access published online on October 12, 2005
American Journal of Epidemiology, doi:10.1093/aje/kwi337
This Article
Right arrow FREE Full Text (PDF) Freely available
Right arrow All Versions of this Article:
162/12/1215    most recent
kwi337v1
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Calvocoressi, L.
Right arrow Articles by Jones, B. A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Calvocoressi, L.
Right arrow Articles by Jones, B. A.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

American Journal of Epidemiology Copyright © 2005 by the Johns Hopkins Bloomberg School of Public Health All rights reserved; printed in U.S.A.
Received February 9, 2005
Accepted July 8, 2005

ORIGINAL CONTRIBUTIONS

Applying Recursive Partitioning to a Prospective Study of Factors Associated with Adherence to Mammography Screening Guidelines

Lisa Calvocoressi 1*, Marilyn Stolar 2, Stanislav V. Kasl 2, Elizabeth B. Claus 2, and Beth A. Jones 2

1 Department of Epidemiology and Public Health, Yale University School of Medicine, New Haven, CT; Department of Medical Education, Griffin Hospital, Derby, CT
2 Department of Epidemiology and Public Health, Yale University School of Medicine, New Haven, CT

* To whom correspondence should be addressed.
Lisa Calvocoressi, E-mail: lisa.calvocoressi{at}yale.edu


  Abstract

Although a number of predictors of adherence to mammography screening guidelines have been identified using traditional statistical methods, many women are not screening according to these guidelines. Recursive partitioning may aid in developing novel intervention strategies to promote this screening behavior by identifying subgroups of women that differ on adherence across predictor variables. In a prospective study of 1,229 African-American and White women in Connecticut whose adherence to mammography screening guidelines was ascertained over a 26-month follow-up period from initial screening in 1996-1998, recursive partitioning selected six of 22 candidate predictors and identified subgroups that differed on adherence across predictors by age (40-49 and 50-79 years). Among the five subgroups identified for women aged 50-79 years, the subgroup most adherent to screening guidelines during follow-up included four predictors: a history of adherence, annual family income of $15,000 or more, a belief that mammograms were very useful, and low or moderate perceived breast cancer susceptibility. Among the three subgroups identified for women aged 40-49 years, the most adherent subgroup included only one predictor: receipt of a health-care provider's recommendation to obtain a mammogram. These findings suggest that recursive partitioning may be a useful statistical tool and may aid in developing interventions to promote adherence to mammography screening guidelines.

Keywords: age factors; epidemiologic methods; mammography; mass screening; risk assessment.
Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 Cancer Epidemiol. Biomarkers Prev.Home page
A. B. Dailey, S. V. Kasl, T. R. Holford, L. Calvocoressi, and B. A. Jones
Neighborhood-Level Socioeconomic Predictors of Nonadherence to Mammography Screening Guidelines
Cancer Epidemiol. Biomarkers Prev., November 1, 2007; 16(11): 2293 - 2303.
[Abstract] [Full Text] [PDF]

Home page
 Am J EpidemiolHome page
A. B. Dailey, S. V. Kasl, T. R. Holford, and B. A. Jones
Perceived Racial Discrimination and Nonadherence to Screening Mammography Guidelines: Results from the Race Differences in the Screening Mammography Process Study
Am. J. Epidemiol., June 1, 2007; 165(11): 1287 - 1295.
[Abstract] [Full Text] [PDF]

Home page
 AJPHHome page
B. A. Jones, K. Reams, L. Calvocoressi, A. Dailey, S. V. Kasl, and N. M. Liston
Adequacy of Communicating Results From Screening Mammograms to African American and White Women
Am J Public Health, March 1, 2007; 97(3): 531 - 538.
[Abstract] [Full Text] [PDF]

Home page
 Am J EpidemiolHome page
M. Radespiel-Troger, T. Hothorn, A. B. Pfahlberg, and O. Gefeller
RE: "APPLYING RECURSIVE PARTITIONING TO A PROSPECTIVE STUDY OF FACTORS ASSOCIATED WITH ADHERENCE TO MAMMOGRAPHY SCREENING GUIDELINES"
Am. J. Epidemiol., August 15, 2006; 164(4): 400 - 401.
[Full Text] [PDF]

Home page
 Am J EpidemiolHome page
L. Calvocoressi, M. Stolar, S. V. Kasl, E. B. Claus, and B. A. Jones
THE AUTHORS REPLY
Am. J. Epidemiol., August 15, 2006; 164(4): 401 - 402.
[Full Text] [PDF]


Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.