FIGURE 4-2 Breast cancer mortality rates by race/ethnicity, all ages.

SOURCE: National Cancer Institute, 2002.

and Richardson, 2000) indicate that African-American and Hispanic women had the longest intervals between abnormal mammogram and diagnosis of breast cancer, while Asian women and women in the “other/unknown” category had the longest treatment intervals.

A fourth reason for choosing this exemplar is that important lessons from mammography may be applied successfully to other health behaviors. These include the effectiveness of simple interventions, such as tailored and untailored reminders and brief counseling, that are effective for all populations. The addition of access-enhancing interventions improves mammography outcomes for diverse populations.

Most important, there is an extensive literature on interventions and their effectiveness for increasing the use of mammogra-

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