title: Mammography screening and Pacific Islanders: role of cultural and psychosocial factors.
abstract: BACKGROUND
  There is little information on the associations between cultural and psychosocial factors and not receiving a mammogram by Samoan women.
  
  
  METHODS
  Survey of 809 Samoan women aged 42 years and older.
  
  
  RESULTS
  The likelihood of nonreceipt was lower for women who had higher perceptions of severity, agreement with a mammogram's efficacy, higher group norms, higher self-efficacy, and those who placed greater importance on the breast. The likelihood of nonreceipt was higher for women who harbored misconceptions and endorsed culture-specific beliefs.
  
  
  CONCLUSIONS
  Samoan women need specifically tailored breast cancer education which incorporates cultural and psychosocial factors important for behavior change.
authors.affiliation: Department of Family and Community Medicine, Office of Policy and Planning, University of Maryland School of Medicine, University of Maryland School of Medicine, Street, Baltimore, MD 21201, USA. smishra@som.umaryland.edu
authors.forename: Shiraz I
authors.initials: SI
authors.lastname: Mishra
authors.forename: Roshan
authors.initials: R
authors.lastname: Bastani
authors.forename: David
authors.initials: D
authors.lastname: Huang
authors.forename: Pat H
authors.initials: PH
authors.lastname: Luce
authors.forename: Claudia R
authors.initials: CR
authors.lastname: Baquet
mesh_terms: D000328:Adult; D001294:Attitude to Health; D001943:Breast Neoplasms / Q000000981:diagnostic imaging / Q000208:ethnology / Q000523:psychology*; D003466:Cultural Characteristics; D005260:Female; D006801:Humans; D008327:Mammography / Q000706:statistics & numerical data*; D008403:Mass Screening; D008875:Middle Aged; D018947:Samoa / Q000208:ethnology