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Breast Cancer Screening Paved with Good Intentions: Application of the Information–Motivation–Behavioral Skills Model to Racial/Ethnic Minority Women

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Abstract

Racial/ethnic minority women experience disparities in breast cancer. Studies suggest that this may be partly related to later stage of diagnosis. Adherence to breast cancer screening guidelines is frequently lower in racial/ethnic minority populations, which may contribute to this disparity. The purpose of this study was to examine the predictors of intentions to obtain breast cancer screening based on established guidelines using the information–motivation–behavioral skills model. Data for this study were obtained from the community-based Kin KeeperSM Cancer Prevention Intervention study and included 278 racial/ethnic minority women (Black = 138; Latina = 68; Arab = 80). Data were collected between 2009 and 2010 and analyzed in 2013. Structural equation models were tested to examining the effects of functional breast cancer literacy, motivation, and breast cancer screening behavior. Motivation was significantly associated with breast cancer screening. Breast cancer literacy (information) is positively associated with breast cancer screening. The findings indicate that the higher the level of breast cancer literacy and the more motivated patients are, the more likely they are to be screened. In addition, there was a significant association between the covariate race and other model constructs. Functional breast cancer literacy and motivation interventions are important factors to consider when designing breast cancer screening interventions in racial/ethnic minority women. These interventions should consider cultural and contextual factors that are associated with screening behavior.

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Acknowledgments

Funding for this study was provided by a grant from the National Institutes of Health National Institute of Nursing Research R21NR010366. The authors would like to thank their community partners at the Detroit Department of Health and Wellness Promotion, the Arab Community Center for Economic and Social Services, the Village Health Worker Program, and Community Health and Social Services.

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Authors and Affiliations

  1. College of Nursing, Michigan State University, Bott Building for Nursing Education and Research, 1355 Bogue Street RM C247, East Lansing, MI, 48824, USA

    Costellia H. Talley

  2. Measurement and Quantitative Methods, College of Education, Michigan State University, East Lansing, MI, 48824, USA

    Lihong Yang

  3. College of Nursing, Ohio State University, 362 Newton Hall | 1585 Neil Avenue, Columbus, OH, 43210, USA

    Karen Patricia Williams

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  1. Costellia H. Talley
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Correspondence to Costellia H. Talley.

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Talley, C.H., Yang, L. & Williams, K.P. Breast Cancer Screening Paved with Good Intentions: Application of the Information–Motivation–Behavioral Skills Model to Racial/Ethnic Minority Women. J Immigrant Minority Health 19, 1362–1371 (2017). https://doi.org/10.1007/s10903-016-0355-9

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