Abstract
Behavioral theories developed through research with mainstream, English-speaking populations have been applied to ethnically diverse and underserved communities in the effort to eliminate disparities in early breast cancer detection. This study tests the validity of the transtheoretical model (TTM) decisional balance measure and the application of the TTM stages of change in a multiethnic, multilingual sample. A random sample of 1,463 Filipino, Latino, African American, Chinese, and White women aged 40 to 74 completed a phone survey of mammography beliefs and practices. Consistent with the TTM and independent of ethnicity, decisional balance was associated with mammography stage in all five ethnic groups when controlling for socioeconomic and other factors. In addition, having private insurance and a regular physician and being a long-time resident in the United States were positively associated with mammography maintenance. The application of the TTM for mammography is supported in a multiethnic and multilingual sample.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 278-296 |
| Number of pages | 19 |
| Journal | Health Education and Behavior |
| Volume | 34 |
| Issue number | 2 |
| DOIs | |
| State | Published - Apr 2007 |
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Keywords
- Access
- Attitudes
- Decisional balance
- Ethnicity
- Stages of mammography adoption
ASJC Scopus subject areas
- Health Policy
- Public Health, Environmental and Occupational Health
- Nursing(all)
Cite this
Ethnic differences in decisional balance and stages of mammography adoption. / Otero-Sabogal, Regina; Stewart, Susan L; Shema, Sarah J.; Pasick, Rena J.
In: Health Education and Behavior, Vol. 34, No. 2, 04.2007, p. 278-296.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Ethnic differences in decisional balance and stages of mammography adoption
AU - Otero-Sabogal, Regina
AU - Stewart, Susan L
AU - Shema, Sarah J.
AU - Pasick, Rena J.
PY - 2007/4
Y1 - 2007/4
N2 - Behavioral theories developed through research with mainstream, English-speaking populations have been applied to ethnically diverse and underserved communities in the effort to eliminate disparities in early breast cancer detection. This study tests the validity of the transtheoretical model (TTM) decisional balance measure and the application of the TTM stages of change in a multiethnic, multilingual sample. A random sample of 1,463 Filipino, Latino, African American, Chinese, and White women aged 40 to 74 completed a phone survey of mammography beliefs and practices. Consistent with the TTM and independent of ethnicity, decisional balance was associated with mammography stage in all five ethnic groups when controlling for socioeconomic and other factors. In addition, having private insurance and a regular physician and being a long-time resident in the United States were positively associated with mammography maintenance. The application of the TTM for mammography is supported in a multiethnic and multilingual sample.
AB - Behavioral theories developed through research with mainstream, English-speaking populations have been applied to ethnically diverse and underserved communities in the effort to eliminate disparities in early breast cancer detection. This study tests the validity of the transtheoretical model (TTM) decisional balance measure and the application of the TTM stages of change in a multiethnic, multilingual sample. A random sample of 1,463 Filipino, Latino, African American, Chinese, and White women aged 40 to 74 completed a phone survey of mammography beliefs and practices. Consistent with the TTM and independent of ethnicity, decisional balance was associated with mammography stage in all five ethnic groups when controlling for socioeconomic and other factors. In addition, having private insurance and a regular physician and being a long-time resident in the United States were positively associated with mammography maintenance. The application of the TTM for mammography is supported in a multiethnic and multilingual sample.
KW - Access
KW - Attitudes
KW - Decisional balance
KW - Ethnicity
KW - Stages of mammography adoption
UR - http://www.scopus.com/inward/record.url?scp=33947371723&partnerID=8YFLogxK
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U2 - 10.1177/1090198105277854
DO - 10.1177/1090198105277854
M3 - Article
VL - 34
SP - 278
EP - 296
JO - Health education & behavior : the official publication of the Society for Public Health Education
JF - Health education & behavior : the official publication of the Society for Public Health Education
SN - 1090-1981
IS - 2
ER -