TY - JOUR
T1 - Relationships of Family History-related Factors and Causal Beliefs to Cancer Risk Perception and Mammography Screening Adherence Among Medically Underserved Women
AU - Hong, Soo Jung
AU - Goodman, Melody
AU - Kaphingst, Kimberly A.
N1 - Funding Information:
Financial support for the Survey of Center for Outpatient Health Patients and the project team was provided by the Barnes-Jewish Hospital Foundation, Siteman Cancer Center [Grant#: P30CA91842], Washington University School of Medicine (WUSM), and WUSM Faculty Diversity Scholars Program. The authors would like to thank the patients who participated in this study, data collection and data entry team, Center for Outpatient Health Primary Care Clinic staff, administrators, and residents for their contributions to our work.
Publisher Copyright:
©, Copyright © Taylor & Francis Group, LLC.
PY - 2020
Y1 - 2020
N2 - This study examines how family history-related factors and causal beliefs affect underserved women’s cancer risk perceptions and adherence to mammography. 1,010 patients at a primary care safety net clinic at a large urban hospital completed a survey in 2015. Of the 1,010 patients, 467 women 45 years of age or older were included in this analysis. The majority of participants were African American (68%). We built multivariable linear and logistic regression models to examine the dependent variables of cancer risk perception and mammography screening adherence. According to the results, those with a family history of cancer were significantly more likely to be adherent to mammography. Perceived importance of family health history also significantly predicted their mammography screening adherence. However, cancer risk perceptions did not predict underserved women’s mammography adherence. Significant interaction effects on the associations 1) between family cancer history, cancer risk perceptions, and mammography screening adherence and 2) between race, behavioral causal beliefs, and risk perceptions were found. Findings suggest that implementing different strategies across racial groups and by cancer history may be necessary to promote regular mammography screening.
AB - This study examines how family history-related factors and causal beliefs affect underserved women’s cancer risk perceptions and adherence to mammography. 1,010 patients at a primary care safety net clinic at a large urban hospital completed a survey in 2015. Of the 1,010 patients, 467 women 45 years of age or older were included in this analysis. The majority of participants were African American (68%). We built multivariable linear and logistic regression models to examine the dependent variables of cancer risk perception and mammography screening adherence. According to the results, those with a family history of cancer were significantly more likely to be adherent to mammography. Perceived importance of family health history also significantly predicted their mammography screening adherence. However, cancer risk perceptions did not predict underserved women’s mammography adherence. Significant interaction effects on the associations 1) between family cancer history, cancer risk perceptions, and mammography screening adherence and 2) between race, behavioral causal beliefs, and risk perceptions were found. Findings suggest that implementing different strategies across racial groups and by cancer history may be necessary to promote regular mammography screening.
KW - African Americans/psychology
KW - Aged
KW - Breast Neoplasms/diagnosis
KW - Early Detection of Cancer/statistics & numerical data
KW - Female
KW - Genetic Predisposition to Disease/ethnology
KW - Health Care Surveys
KW - Health Knowledge, Attitudes, Practice/ethnology
KW - Humans
KW - Mammography/statistics & numerical data
KW - Medical History Taking
KW - Medically Underserved Area
KW - Middle Aged
KW - Missouri
KW - Patient Compliance/ethnology
KW - Risk Assessment
KW - Urban Population/statistics & numerical data
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U2 - 10.1080/10810730.2020.1788677
DO - 10.1080/10810730.2020.1788677
M3 - Article
C2 - 32673182
AN - SCOPUS:85091720937
SN - 1081-0730
VL - 25
SP - 531
EP - 542
JO - Journal of Health Communication
JF - Journal of Health Communication
IS - 7
ER -