Abstract 1360: Reaching minority and low-income women with breast cancer prevention mobile messages: Implications for health promotion and clinical office collaboration.

Abstract

Background: While growing literature for breast cancer information supports the use of the Internet, little is known about breast cancer prevention and the use of mobile messages especially for women of different ages, race/ethnicity, income, and education levels. Minority and low-income women are more likely to be diagnosed with breast cancer at a later stage. Purpose: We examined differences for breast cancer risk factor knowledge, current channels, and mobile message preferences among Hispanic and non-Hispanic women in southern New Mexico. The study was guided using a conceptual framework of McGuire's Input-Output Persuasion Model. Methods: Women ages 40 and older at an imaging center completed a survey assessing their knowledge of breast cancer risk factors, channels of information, mobile message preferences, and demographics. In bivariate analysis, relationships between age, income, race/ethnicity and education of women and their mobile message preferences were examined. Results: A total of 157 women ages 40 to 91 (mean = 61, SD = 12.07) completed the survey. Breast cancer risk factor knowledge was significantly higher for non-Hispanic (p=.035), women with higher education levels (p=.023) and higher income levels (p=.000). The most common channels were television, magazines, Internet, and brochures. Overall, 87% used cell phones. Cell phone use was more likely among younger women ages 40-59 (p=.017), non-Hispanic women (p=.013), and women with incomes $20,000 or higher (p=.032). Of the cell phone users, 20% preferred breast cancer prevention messages. Breast cancer prevention cell message preferences were more likely among younger women ages 40-59 (p=.001), Hispanic women (p=.000), and women with lower incomes (p=.011). Nearly 47% used text messaging. Of the text users, 36% preferred breast cancer prevention text messages and 37% preferred mammogram appointment text reminders. Text message preferences were more likely among Hispanic women (p=.001). Conclusions: Traditional and mobile messages for breast cancer information are preferred by women. Targeting lower income, Hispanic, and younger women with mobile messages may help to reduce health disparities. Further research is needed for mobile technology use in health promotion. Health promotion specialists may partner with clinical offices to develop and target breast cancer prevention mobile messages for improved mammography adherence, patient education, and best practices in managing screening appointments.

Citation Format: Cynthia Kratzke, Hugo Vilchis. Reaching minority and low-income women with breast cancer prevention mobile messages: Implications for health promotion and clinical office collaboration. [abstract]. In: Proceedings of the 104th Annual Meeting of the American Association for Cancer Research; 2013 Apr 6-10; Washington, DC. Philadelphia (PA): AACR; Cancer Res 2013;73(8 Suppl):Abstract nr 1360. doi:10.1158/1538-7445.AM2013-1360