A multi-theory model based analysis of correlates for initiating and sustaining mammography screening behavior among Hispanic American women in the United States.

IF 2.4 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Health Promotion Perspectives Pub Date : 2022-05-29 eCollection Date: 2022-01-01 DOI:10.34172/hpp.2022.14
Manoj Sharma, Kavita Batra, Amanda H Wilkerson, Francesco Chirico, Siddharth Raich
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Abstract

Background: Despite the known advantages of mammography, screening rates among Hispanic American women are lower compared to other ethnic groups. Therefore, this cross-sectional study aimed to explore correlates of mammography screening behavior among a sample of Hispanic women aged 45-54 years living in the United States using the multi-theory model (MTM). Methods: A 50-item web-based survey consisting of psychometrically valid tools based on MTM theoretical framework was administered through non-random sampling procedures using Qualtrics. Univariate, bivariate, and multivariate statistics were used to analyze the data. Results: Out of 370 participants, nearly 49% (n=189) reported not having a mammogram in the past two years. The mean age of the sample was 48.8±2.8 years. A greater proportion of participants who have had a mammogram reported having health insurance compared to those who have not had a mammogram (93.1% vs. 75.7%, P <0.001). Results of hierarchical regression suggest that all MTM constructs, including participatory dialogue, behavioral confidence, and changes in the physical environment explained 33.4% of variance in initiating mammography behavior among those who have not had a mammogram. Similarly, practice for change, emotional transformation, and changes in the social environment explained 53% of the variance in sustenance of the behavior change. Conclusion: Along with the MTM subscales, this study points to the important correlates such as health insurance and messaging by healthcare providers to promote the mammography seeking behavior among Hispanic women.

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一项基于多理论模型的分析美国西班牙裔美国妇女开始和维持乳房x光检查行为的相关因素。
背景:尽管乳房x光检查具有众所周知的优势,但与其他种族相比,西班牙裔美国妇女的筛查率较低。因此,本横断面研究旨在利用多理论模型(MTM)探讨生活在美国的45-54岁西班牙裔女性样本中乳房x光检查行为的相关因素。方法:采用基于MTM理论框架的心理测量学有效工具,采用非随机抽样方法,采用质量量表进行50项网络调查。采用单因素、双因素和多因素统计分析数据。结果:在370名参与者中,近49% (n=189)报告在过去两年中没有做过乳房x光检查。患者平均年龄48.8±2.8岁。与未接受乳房x光检查的参与者相比,接受过乳房x光检查的参与者报告有健康保险的比例更大(93.1%对75.7%),P结论:随着MTM亚量表,本研究指出了重要的相关因素,如健康保险和医疗服务提供者的信息,以促进西班牙裔妇女寻求乳房x光检查的行为。
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来源期刊
Health Promotion Perspectives
Health Promotion Perspectives PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
7.10
自引率
2.30%
发文量
27
审稿时长
13 weeks
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