title: Mutually dependent health beliefs associated with breast self-examination in British female university students.
abstract: OBJECTIVE
  Whereas research suggests young women's beliefs about breast cancer (susceptibility/severity) and its early detection (barriers/benefits) reliably distinguish breast self-examiners from nonexaminers, this study assessed whether these impressions are interreliant, especially in the context of familial risk.
  
  
  METHODS
  The sample comprised over 200 female undergraduates from a university in England, United Kingdom.
  
  
  METHODS
  Participants completed a self-administered survey on their attitudes concerning breast cancer and early detection. Data were analyzed using logistic regression analysis.
  
  
  RESULTS
  Nonexaminers were distinguished by a combination of greater perceived hindrances to self-examinations and stronger appraisals of breast cancer severity, and also by a permutation of fewer perceived benefits in self-examinations and lower perceived susceptibility to breast cancer. The latter interaction persisted after accounting for family history.
  
  
  CONCLUSIONS
  Interwoven attitudes may depict sophisticated efforts on the part of nonexaminers to justify inaction. Clinical implications for college health providers are considered.
authors.affiliation: School of Natural Sciences and Psychology, Liverpool John Moores University, Liverpool, United Kingdom. f.k.umeh@ljmu.ac.uk
authors.forename: Kanayo
authors.initials: K
authors.lastname: Umeh
authors.forename: Leonnie
authors.initials: L
authors.lastname: Jones
mesh_terms: D000293:Adolescent; D000328:Adult; D001943:Breast Neoplasms / Q000175:diagnosis* / Q000523:psychology; D016504:Breast Self-Examination / Q000523:psychology*; D055088:Early Detection of Cancer; D004739:England; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D013334:Students / Q000523:psychology / Q000706:statistics & numerical data; D055815:Young Adult