Mammography screening and Pacific Islanders: role of cultural and psychosocial factors.
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.
Mishra
Shiraz I
SI
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
Bastani
Roshan
R
Huang
David
D
Luce
Pat H
PH
Baquet
Claudia R
CR
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