title: Cultural constructs, stage of change, and adherence to mammography among low-income African American women.
abstract: The purpose of this study was to explore the predictive relationships between cultural belief and stage of change and mammography adherence in low-income Midwestern African American urban women (N=321). Secondary analysis of questionnaire data measuring religiosity, racial pride, family collectivism, future and present time orientation, and stage of mammography screening adoption was conducted. Religiosity (OR=1.12; p=.002) and future time orientation (OR=1.12; p=.05) predicted mammography adherence with a positive association, while present time orientation (OR=0.91; p=.05) was significantly negatively associated. Religiosity (OR=1.11; p=.002) and future time orientation (OR=1.12; p=.05) were positive predictions of stage progression, whereas present time orientation (OR=0.90; p=.03) had a significant negative relationship. By identifying cultural variables that are related to mammography adherence in African American women, mammography-promoting interventions can be more effectively tailored.
authors.affiliation: Our Lady of the Lake Regional Medical Center, Baton Rouge, LA 70808, USA. susan.steele@ololrmc.com
authors.forename: Susan K
authors.initials: SK
authors.lastname: Steele-Moses
authors.forename: Kathleen M
authors.initials: KM
authors.lastname: Russell
authors.forename: Matthew
authors.initials: M
authors.lastname: Kreuter
authors.forename: Patrick
authors.initials: P
authors.lastname: Monahan
authors.forename: Sara
authors.initials: S
authors.lastname: Bourff
authors.forename: Victoria L
authors.initials: VL
authors.lastname: Champion
mesh_terms: D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data*; D000368:Aged; D003466:Cultural Characteristics; D005260:Female; D006801:Humans; D008327:Mammography / Q000706:statistics & numerical data*; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D011203:Poverty / Q000706:statistics & numerical data*; D012067:Religion; D012307:Risk Factors; D012944:Social Support; D012959:Socioeconomic Factors