Ethnic differences in decisional balance and stages of mammography adoption

Regina Otero-Sabogal, Susan L Stewart, Sarah J. Shema, Rena J. Pasick

Research output: Contribution to journalArticle

14 Citations (Scopus)

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 languageEnglish (US)
Pages (from-to)278-296
Number of pages19
JournalHealth Education and Behavior
Volume34
Issue number2
DOIs
StatePublished - Apr 2007

Fingerprint

Mammography
Insurance
Early Detection of Cancer
Hispanic Americans
Ethnic Groups
African Americans
Maintenance
Breast Neoplasms
Physicians
Research
Population
Multiethnic

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 journalArticle

Otero-Sabogal, Regina ; Stewart, Susan L ; Shema, Sarah J. ; Pasick, Rena J. / Ethnic differences in decisional balance and stages of mammography adoption. In: Health Education and Behavior. 2007 ; Vol. 34, No. 2. pp. 278-296.
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