Mammography screening and pacific islanders: role of cultural and psychosocial factors
Background. There is little information on the associations between cultural and psychosocial factors and not receiving a mammogram by Samoan women.Methods. Survey of 809 Samoan women aged 42 years and older.Results. The likelihood of nonreceipt waslower for women who had higher perceptions of severity, agreement with a mammogram’s efficacy, higher group norms, higher self-efficacy, and those who placed greater importance on the breast. The likelihood of nonreceipt washigher for women who harbored misconceptions and endorsed culture-specific beliefs.Conclusions. Samoan women need specifically tailored breast cancer education which incorporates cultural and psychosocial factors important for behavior change.
KeywordsBreast Cancer Screening Mammography Screening Cervical Cancer Screening National Health Interview Survey Specific Belief
- 6.Mishra SI, Luce-Aoelua PH, Hubbell FA. Identifying the cancer control needs of American Samoans. Asian Am Pac Isl J Health. Summer 1998;6:277–285.Google Scholar
- 7.Curry SJ, Emmons KM. Theoretical models for predicting and improving compliance with breast cancer screening. Annals of Behavioral Medicine. 1994;16:302–316.Google Scholar
- 8.U.S. Census Bureau. The Native Hawaiian and Other Pacific Islander Population: 2000. Washington, DC: U.S. Department of Commerce, Economics and Statistics Administration, U.S. Census Bureau; 2001.Google Scholar
- 12.Cochran WG. Sampling Techniques. New York, NY: W. W. Wiley; 1977.Google Scholar
- 17.U.S. Department of Health and Human Services. Healthy People 2010. Washington, DC: U.S. Department of Health and Human Services; January 2000.Google Scholar