title: Mammogram Use and Self-Efficacy in an Urban Minority Population.
abstract: OBJECTIVE
  (1) To compare a sample of low-income African American and Hispanic women in general and mammogram specific self-efficacy and other factors potentially associated with screening to identify any differences related to ethnicity and in the use of mammogram screening; and (2) to examine the association of general self-efficacy and mammography specific self-efficacy and mammogram screening in these two ethnically different groups of women.
  
  
  METHODS
  Cross-sectional. A convenience sample of 139 women.
  
  
  METHODS
  General and mammogram specific self-efficacy, having ever had a mammogram, acculturation, and demographics.
  
  
  RESULTS
  Mammogram specific self-efficacy was significantly associated with having had a mammogram (p < .001), as was insurance status (p = .027). Using logistic regression, older women (OR: 1.3) and those with insurance (OR: 4.8) were more likely to have been screened. When mammogram specific self-efficacy was added to the model, overlap between this construct and insurance prevented insurance from reaching significance.
  
  
  CONCLUSIONS
  An association between insurance status and mammogram specific self-efficacy was found. It is likely that mammogram specific self-efficacy will vary with mammogram adherence and insurance status, rather than predict screening. General self-efficacy, higher in screened women, may be an effective mediator through which to develop interventions to increase preventive health-seeking behaviors.
authors.affiliation: School of Nursing - Camden, Rutgers, The State University of New Jersey, Camden, New Jersey.
authors.forename: Bonnie
authors.initials: B
authors.lastname: Jerome-D'Emilia
authors.affiliation: School of Nursing - Camden, Rutgers, The State University of New Jersey, Camden, New Jersey.
authors.forename: Patricia Dunphy
authors.initials: PD
authors.lastname: Suplee
mesh_terms: D000069:Acculturation; D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data*; D001294:Attitude to Health / Q000208:ethnology*; D001943:Breast Neoplasms / Q000175:diagnosis / Q000208:ethnology* / Q000523:psychology; D003430:Cross-Sectional Studies; D055088:Early Detection of Cancer / Q000379:methods; D005260:Female; D015438:Health Behavior / Q000208:ethnology; D006630:Hispanic or Latino / Q000706:statistics & numerical data*; D006801:Humans; D019458:Insurance Coverage; D016015:Logistic Models; D008327:Mammography / Q000523:psychology / Q000706:statistics & numerical data*; D008875:Middle Aged; D020377:Self Efficacy; D014505:Urban Population / Q000706:statistics & numerical data*
keywords: African Americans; Hispanics; mammography; self-efficacy