Behavioral constructs and mammography in five ethnic groups.
Intention, self-efficacy, perceived susceptibility, perceived benefits, and subjective norms are key constructs of health behavior theories; their predictive validity for cancer screening has not been ascertained in multiethnic populations. Participants were 1,463 African American, Chinese, Filipina, Latina, and White women aged 40 to 74 interviewed by telephone in their preferred languages. The relationship between baseline constructs and mammography 2 years later was assessed using multivariable logistic regression. Intention predicted mammography overall and among Whites (odds ratio [OR] = 5.0, 95% confidence interval [CI] = 2.4, 10), with racial/ethnic differences in association (p = .020). Self-efficacy predicted mammography overall and among Whites (OR = 3.5, 95% CI = 1.1, 11), with no racial/ethnic interaction. Perceived benefits and subjective norms were associated with screening overall and in some racial/ethnic groups. These results generally support cross-cultural applicability of four of the five constructs to screening with mixed predictive value of measures across racial/ethnic groups. Additional in-depth inquiry is required to refine assessment of constructs.
Stewart
Susan L
SL
Helen Diller Family Comprehensive Cancer Center, University of California, San Francisco, CA 94143-0981, USA. SStewart@cc.ucsf.edu
Rakowski
William
W
Pasick
Rena J
RJ
D000328:Adult; D001943:Breast Neoplasms / Q000208:ethnology; D003431:Cross-Cultural Comparison; D005006:Ethnicity; D005260:Female; D015438:Health Behavior; D006801:Humans; D033182:Intention; D008327:Mammography / Q000706:statistics & numerical data; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000208:ethnology*; D016032:Randomized Controlled Trials as Topic; D020377:Self Efficacy; D011795:Surveys and Questionnaires; D014481:United States