Abstract:
BACKGROUND:Initial U.S.A. breast cancer screening rates have risen, but not repeat screening, especially among low-income minority populations. Latinas are particularly at-risk of underscreening. Consequently, late-detection is common, with increased risk of dying after diagnosis. Why women with low-income, particularly Latinas, who had initial mammography, were not regularly screened was examined. PATIENTS AND METHODS:An expanded model was tested, incorporating the Theory of Planned Behavior (TPB), cultural factors, potential facilitators and barriers. Participants were 112 women, 72 of whom were Latinas, who had contacted an Early-Detection Program and received a mammogram 3-4 years earlier. RESULTS:The TPB did not explain mammography rescreening behavior among Latinas. The cultural factors: high familism and low fatalism showed significant multivariate associations with recent mammogram among Latinas. A major barrier for Latinas was "distorted familism": neglecting own health because family was first priority. CONCLUSION:A cultural model is proposed, which can guide interventions for improving on-time mammography among Latinas.
journal_name
Anticancer Resjournal_title
Anticancer researchauthors
Terán L,Baezconde-Garbanati L,Márquez M,Castellanos E,Belkić Ksubject
Has Abstractpub_date
2007-11-01 00:00:00pages
4325-38issue
6Ceissn
0250-7005issn
1791-7530journal_volume
27pub_type
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journal_title:Anticancer research
pub_type: 杂志文章
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更新日期:2008-05-01 00:00:00
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pub_type: 杂志文章,多中心研究
doi:
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更新日期:2019-09-01 00:00:00
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pub_type: 杂志文章,评审
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pub_type: 临床试验,杂志文章
doi:
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pub_type: 临床试验,杂志文章
doi:
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journal_title:Anticancer research
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