TY - JOUR
T1 - Using the health belief model to examine differences in adherence to mammography among African-American and Caucasian women
AU - Vadaparampil, Susan Thomas
AU - Champion, Victoria L.
AU - Miller, Theodore K.
AU - Menon, Usha
AU - Skinner, Celette Sugg
N1 - Funding Information:
The research was supported by Grant No. R01 NR 04081 01A1 from the National Institute of Nursing Research. The authors wish to thank Jennifer Davis and Helen Smith Tudora, the project managers from Indiana University and Washington University.
PY - 2003
Y1 - 2003
N2 - Current studies indicate that rates of mammography use in the general population fall below objectives set by leading health agencies. This is even more true in the African-American community. This study used the health belief model as the theoretical basis of a secondary data analysis to establish differences in health beliefs among African-American and Caucasian women related to mammography. Data were obtained from members of the Indiana University Medical Group and from outpatients of the General Medicine Clinic, Barnes-Jewish Hospital, in St. Louis, Missouri. Data analysis was conducted using structural equation modeling. The results indicated that the health belief model explained approximately 13% of the variance associated with Caucasian women's compliance with mammography and approximately 9% of the variance for African-American women, with differences between specific variables that appeared to have the most explanatory power. These findings indicate that the model, although a good starting point, does not completely explain the differences that exist between health beliefs or behavior regarding mammography among the two groups of women.
AB - Current studies indicate that rates of mammography use in the general population fall below objectives set by leading health agencies. This is even more true in the African-American community. This study used the health belief model as the theoretical basis of a secondary data analysis to establish differences in health beliefs among African-American and Caucasian women related to mammography. Data were obtained from members of the Indiana University Medical Group and from outpatients of the General Medicine Clinic, Barnes-Jewish Hospital, in St. Louis, Missouri. Data analysis was conducted using structural equation modeling. The results indicated that the health belief model explained approximately 13% of the variance associated with Caucasian women's compliance with mammography and approximately 9% of the variance for African-American women, with differences between specific variables that appeared to have the most explanatory power. These findings indicate that the model, although a good starting point, does not completely explain the differences that exist between health beliefs or behavior regarding mammography among the two groups of women.
KW - Health belief model
KW - Mammography
KW - Race
KW - Structural equation modeling
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U2 - 10.1300/J077v21n04_04
DO - 10.1300/J077v21n04_04
M3 - Article
AN - SCOPUS:4344703506
SN - 0734-7332
VL - 21
SP - 59
EP - 79
JO - Journal of Psychosocial Oncology
JF - Journal of Psychosocial Oncology
IS - 4
ER -