“…To the best of our knowledge, this is the first study in Texas to assess the effect of employer-based health programs on breast cancer screening adherence among employed women. Since employer-based health promotion interventions were found effective in reducing health risks in different areas such as obesity, nutrition, mental health, cardiovascular, and musculoskeletal disorders, we hypothesized that screen-eligible women with access to employer-based health programs would be more adherent to screening mammograms than screen eligible women who do not have access to employer-based health program ( Proper and van Oostrom, 2019 , Butler et al, 2015 , Cheon et al, 2020 , Wilkinson et al, 2020 ). However, the study results did not indicate a significant association between access to employer-based health promotion programs and screening mammogram adherence, after adjusting for income, race, residency, place of birth, marital status, occupational status, access to healthcare coverage, health and behavioral risks, and cancer beliefs.…”