title: The influence of social support on breast cancer screening in a multicultural community sample.
abstract: OBJECTIVE
  To examine the relationship between women's reported social support and their adherence to recommended breast cancer screening guidelines.
  
  
  METHODS
  Descriptive, cross-sectional survey.
  
  
  METHODS
  Community women's organizations throughout the San Francisco Bay Area.
  
  
  METHODS
  833 mostly low-income women with a mean age of 46.2 years from three racial or ethnic groups (i.e., Latina, Caucasian, and African American) who were not breast cancer survivors.
  
  
  METHODS
  Social support was measured with a five-item, four-point, Likert scale developed for the study (Cronbach's alpha = 0.7248). Adherence to screening guidelines was measured by asking frequency of performing breast self-examination (BSE) and frequency of obtaining a clinical breast examination (CBE) and a mammogram. Research assistants and leaders of women's organizations conducted the survey in work and community settings.
  
  
  METHODS
  Social support, performance of BSE, obtaining a CBE and a mammogram, income, education, spoken language, and level of acculturation.
  
  
  RESULTS
  Higher levels of social support were related to higher income and higher education. Lower levels of social support were associated with being Latina, completing the survey in Spanish, and being born abroad. Women who did not adhere to screening guidelines (for BSE or CBE) reported less social support.
  
  
  CONCLUSIONS
  Social support is associated with adherence to breast cancer screening guidelines.
  
  
  CONCLUSIONS
  Nurses should assess women's levels of social support as a factor when evaluating adherence to breast cancer screening guidelines.
authors.affiliation: Department of Physiological Nursing, University of California, San Francisco, CA, USA. mkatapo@itsa.ucsf.edu
authors.forename: Maria C
authors.initials: MC
authors.lastname: Katapodi
authors.forename: Noreen C
authors.initials: NC
authors.lastname: Facione
authors.forename: Christine
authors.initials: C
authors.lastname: Miaskowski
authors.forename: Marilyn J
authors.initials: MJ
authors.lastname: Dodd
authors.forename: Catherine
authors.initials: C
authors.lastname: Waters
mesh_terms: D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data; D000368:Aged; D000369:Aged, 80 and over; D001943:Breast Neoplasms / Q000517:prevention & control* / Q000523:psychology*; D003430:Cross-Sectional Studies; D018864:Cultural Diversity; D005260:Female; D015438:Health Behavior / Q000208:ethnology*; D006630:Hispanic or Latino / Q000706:statistics & numerical data; D006801:Humans; D008327:Mammography / Q000706:statistics & numerical data; D008403:Mass Screening / Q000523:psychology*; D008875:Middle Aged; D010349:Patient Compliance / Q000208:ethnology* / Q000523:psychology*; D011159:Population Surveillance; D012495:San Francisco / Q000453:epidemiology; D012944:Social Support; D044465:White People / Q000706:statistics & numerical data