title: Breast cancer screening adherence: does church attendance matter?
abstract: Little is known about the health behaviors of church attendees. This article reviewed telephone interview data of 1,517 women who were church members from 45 churches located in Los Angeles County to determine their breast cancer screening status and to identify the key predictors of screening. Almost all of this sample (96%) reported attending church at least once a month. Key predictors of screening included physician-patient communication, ethnic background, and having medical insurance. Although church-related predictors were not significantly related to screening adherence, the authors compared community-based screening rates from another sample to their sample rates and found that, when controlling for income and education, church members fared better on mammography screening than women who were community residents. This finding suggests that frequent church attendance contributes to better mammography screening status and that the relationship between religious involvement and health behaviors needs further explanation.
authors.affiliation: RAND, Santa Monica, California 90407-2138, USA. Sarah_Fox@rand.org
authors.forename: S A
authors.initials: SA
authors.lastname: Fox
authors.forename: K
authors.initials: K
authors.lastname: Pitkin
authors.forename: C
authors.initials: C
authors.lastname: Paul
authors.forename: S
authors.initials: S
authors.lastname: Carson
authors.forename: N
authors.initials: N
authors.lastname: Duan
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001943:Breast Neoplasms / Q000517:prevention & control*; D002835:Christianity; D005260:Female; D015438:Health Behavior; D006801:Humans; D016015:Logistic Models; D015141:Los Angeles; D008327:Mammography / Q000706:statistics & numerical data; D008403:Mass Screening / Q000706:statistics & numerical data*; D008875:Middle Aged; D015999:Multivariate Analysis; D010808:Physical Examination / Q000706:statistics & numerical data; D010818:Practice Patterns, Physicians'; D012959:Socioeconomic Factors