Comparison of factors affecting repeat mammography screening of low-income Mexican American women.
OBJECTIVE
To examine the level of cancer fatalism and other sociocognitive behavioral determinants in Mexican American women categorized as regular mammography screeners and infrequent mammography screeners.


METHODS
Cross-sectional, descriptive.


METHODS
A southwestern American city on the U. S.-Mexico border.


METHODS
68 Mexican American women with low incomes recruited from a cancer consortium database.


METHODS
Women who had been identified as regular or infrequent screeners based on screening history were contacted and invited to participate in a telephone survey. Participation consisted of completing the Powe Fatalism Inventory (PFI) and the Mammography Beliefs and Attitudes Questionnaire (MBAQ) in English or Spanish.


METHODS
Total scores on the PFI and total scores on each of the MBAQ subscales.


RESULTS
Differences between the two groups were noted in cancer fatalism, perceived control over their participation in screening activities, and family history of cancer. No significant differences were noted in demographic characteristics.


CONCLUSIONS
Cancer fatalism, generally believed to be highly related to socioeconomic status, may be mediated by women's perceptions of control over screening behavior or choices and by family history of cancer.


CONCLUSIONS
Further research is needed to explore cancer fatalism among Hispanic women, including other factors that can affect the level of cancer fatalism and perceived control over mammography screening participation. With this knowledge, culturally sensitive interventions may be developed to increase self-efficacy and facilitate perceived control.
Lopez-McKee
Gloria
G
The School of Nursing, The University of Texas, El Paso, TX, USA. gmckee@utep.edu
McNeill
Jeanette A
JA
Bader
Julia
J
Morales
Pat
P
D001294:Attitude to Health; D001943:Breast Neoplasms / Q000453:epidemiology / Q000523:psychology*; D003430:Cross-Sectional Studies; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008327:Mammography / Q000523:psychology* / Q000706:statistics & numerical data; D017058:Mexican Americans / Q000523:psychology*; D010342:Patient Acceptance of Health Care / Q000523:psychology / Q000706:statistics & numerical data*; D026684:Personal Autonomy; D011203:Poverty; D012494:Sampling Studies; D012649:Self Concept; D013781:Texas