title: Psychosocial factors related to repeat mammography screening over 5 years in African American women.
abstract: The purpose of this study was to investigate health beliefs associated with repeat mammography screening in African American women 51 years or older over a 5-year period. Long-term repeat mammography screening is inconsistent in African American women; therefore, this study measured demographic, knowledge, and health belief predictors of repeat screening. The theoretical framework for this study was the health belief model. Baseline data from a larger randomized controlled trial were analyzed using descriptive statistics and logistic regression. The sample consisted of 602 African American women with no breast cancer history and at least 1 reported screening mammogram in the past 5 years. They were recruited from 3 primary care health settings. Having been screened 4 to 5 times in the past 5 years was associated with more knowledge about screening guidelines and fewer perceived barriers to screening. Results point to the importance of collaborating with African American communities to promote life-long mammography screening by increasing access to culturally appropriate information on screening guidelines and ameliorating barriers to screening within the context of the African American experience.
authors.affiliation: Indiana University School of Nursing, Indianapolis, IN 46202-5107, USA. katrusse@iupui.edu
authors.forename: Kathleen M
authors.initials: KM
authors.lastname: Russell
authors.forename: Victoria L
authors.initials: VL
authors.lastname: Champion
authors.forename: Celette Sugg
authors.initials: CS
authors.lastname: Skinner
mesh_terms: D001741:Black or African American / Q000193:education / Q000208:ethnology*; D000368:Aged; D000369:Aged, 80 and over; D004522:Educational Status; D005260:Female; D019983:Guideline Adherence; D015438:Health Behavior / Q000208:ethnology; D007722:Health Knowledge, Attitudes, Practice; D006297:Health Services Accessibility; D006301:Health Services Needs and Demand; D006801:Humans; D016015:Logistic Models; D008327:Mammography / Q000523:psychology / Q000706:statistics & numerical data*; D008403:Mass Screening / Q000523:psychology / Q000706:statistics & numerical data*; D008875:Middle Aged; D015146:Midwestern United States; D015404:Nursing Methodology Research; D010342:Patient Acceptance of Health Care / Q000208:ethnology* / Q000706:statistics & numerical data; D017410:Practice Guidelines as Topic; D018570:Risk Assessment; D020377:Self Efficacy; D011795:Surveys and Questionnaires; D013997:Time Factors; D014930:Women / Q000193:education / Q000523:psychology*