Journal of Behavioral Medicine

, Volume 17, Issue 4, pp 391–406 | Cite as

Health belief model variables as predictors of screening mammography utilization

  • Ruth Bernstein Hyman
  • Stephen Baker
  • Robert Ephraim
  • Alyson Moadel
  • Joanne Philip
Article

Abstract

Despite its efficacy, screening mammography is not widely utilized due to various factors. The Health Belief Model (HBM) has previously been used as one conceptualization of relevant patient attitudes. No psychometrically validated measure of these variables has previously been utilized, however, nor have prospective studies of women all of whom have been referred by their physicians for mammography been reported. The research reported here addressed both of those issues. A psychometrically validated measure of the HBM variables, perceived susceptibility, barriers, and benefits, was used. along with age, education, ethnicity, and family breast cancer history to predict mammography utilization in a prospective study of hospital employees. Being white, perceiving fewer benefits of and barriers to mammography, and having a family history of breast cancer were predictive of noncompliance. The avoidant behavior of employees with a family history of breast cancer must be addressed in attempts to increase mammography utilization. In addition, results of the study imply the need for full discussion with women referred for mammography of all issues related to its use, both its benefits and possible barriers.

Key Words

screening mammography health belief model patient attitudes 

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Copyright information

© Plenum Publishing Corporation 1994

Authors and Affiliations

  • Ruth Bernstein Hyman
    • 1
  • Stephen Baker
    • 2
  • Robert Ephraim
    • 3
  • Alyson Moadel
    • 1
    • 4
  • Joanne Philip
    • 5
  1. 1.Department of Epidemiology and Social MedicineAlbert Einstein College of MedicineBronx
  2. 2.Department of RadiologyNew Jersey Medical School-UMDNJUSA
  3. 3.Department of Community MedicineMt. Sinai HospitalNew York
  4. 4.Ferkauf Graduate School of PsychologyYeshiva UniversityBronx
  5. 5.Department of RadiologyJack D. Weiler Hospital of Albert Einstein College of MedicineBronx

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