|Factors Associated with Screening Mammogram Adherence Among Sociodemographically Diverse Women: Findings From the 2013 Health Information National Trends Survey|
Uploaded by: Pocket Masters
Pockets: 2015 (May) Teachers College Columbia University Ed.D. Dissertations, Gottesman Libraries Archive, Historical Dissertations
Tags: Adherence, Screening Mammograms
Description/Abstract: Screening mammograms are the best mass screening test for breast cancer. However, despite decades of theoretical and interventional research, strong public consensus on breast cancer screening, and national recommendations for screening, screening mammogram uptake rates have remained unchanged in the past 10 years and are still low. Based on a heuristic framework adapted from the Health Belief Model and The Adherence Model, this study aimed to investigate a recent nationally representative dataset collected by the National Cancer Institute in order to help identify the characteristics of an adherent and non-adherent population to mammogram screening. The study sample included 1080 women, 42-69 years of age with no history of any cancer. A secondary analysis of available cross-sectional data abstracted from the Health Information National Trends Survey 4 Cycle 2 was conducted using selected univariate and multivariate approaches. The research showed women who had no confidence in searching cancer-related information and advice when they need it and women who had no one to provide emotional support were more likely to be non-adherent to the screening mammogram guidelines. Cancer information seeking self-efficacy, emotional support, household income, and health insurance were the most important predictors of mammogram adherence (P < 0.05). This study provides encouraging preliminary evidence that women who have received emotional support and are confident in seeking cancer-related information are more likely to keep up with the national recommended mammogram screening guidelines. Future studies need to test a broader theoretical framework to more fully uncover the complexity of breast cancer screening. In addition to access barriers, cancer screening and prevention programs need to address cognitive and social capital barriers.