Cultural constructs, stage of change, and adherence to mammography among low-Income African American women

  • Susan K. Steele-Moses
  • , Kathleen M. Russell
  • , Matthew Kreuter
  • , Patrick Monahan
  • , Sara Bourff
  • , Victoria L. Champion

Research output: Contribution to journalArticlepeer-review

22 Scopus citations

Abstract

The purpose of this study was to explore the predictive relationships between cultural belief and stage of change and mammography adherence in low-income Midwestern African American urban women (N=321). Secondary analysis of questionnaire data measuring religiosity, racial pride, family collectivism, future and present time orientation, and stage of mammography screening adoption was conducted. Religiosity (OR= 1.12; p=.002) and future time orientation (OR=1.12; p=.05) predicted mammography adherence with a positive association, while present time orientation (OR=0.91; p=.05) was significantly negatively associated. Religiosity (OR= 1.11; p=.002) and future time orientation (OR= 1.12; p=.05) were positive predictions of stage progression, whereas present time orientation (OR=0.90; p=.03) had a significant negative relationship. By identifying cultural variables that are related to mammography adherence in African American women, mammography- promoting interventions can be more effectively tailored.

Original languageEnglish
Pages (from-to)257-273
Number of pages17
JournalJournal of Health Care for the Poor and Underserved
Volume20
Issue number1
DOIs
StatePublished - Feb 2009

Keywords

  • Blacks
  • Culture
  • Health belief model
  • Mammography
  • Transtheoretical stages of change model

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