Health beliefs, salience of breast cancer family history, and involvement with breast cancer issues: Adherence to annual mammography screening recommendations

Lila J Rutten, Ronald J. Iannotti

Research output: Contribution to journalArticle

42 Citations (Scopus)

Abstract

Involvement in breast cancer (BC) issues, and the degree to which family history of BC influences perceived risk (salience of family history), have been proposed as additions to the Health Belief Model as applied to mammography adherence. Barriers and benefits of mammography, perceived susceptibility, severity, cues to action, salience of family history, and issue involvement with respect to BC were examined in adherent (n = 97) and non-adherent (n = 213) women. Adherent women with positive family histories reported greater benefits of mammography, greater response to cues to action, and higher salience of family history than women with negative family histories. Non-adherent women with positive family histories reported fewer benefits of mammography and greater issue involvement, and perceived BC as less severe than those with negative family histories. Benefits (OR = 1.51), susceptibility (OR = 1.41), issue involvement (OR = 1.59), severity (OR = 0.66), and cues to action (OR = 0.75) were significantly associated with adherence. Results have implications for evidence-based interventions.

Original languageEnglish (US)
Pages (from-to)353-359
Number of pages7
JournalCancer Detection and Prevention
Volume27
Issue number5
DOIs
StatePublished - 2003
Externally publishedYes

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Mammography
Breast Neoplasms
Health
Cues

Keywords

  • Health belief model
  • Patient adherence
  • Reminder systems
  • Screening adherence

ASJC Scopus subject areas

  • Cancer Research
  • Oncology

Cite this

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abstract = "Involvement in breast cancer (BC) issues, and the degree to which family history of BC influences perceived risk (salience of family history), have been proposed as additions to the Health Belief Model as applied to mammography adherence. Barriers and benefits of mammography, perceived susceptibility, severity, cues to action, salience of family history, and issue involvement with respect to BC were examined in adherent (n = 97) and non-adherent (n = 213) women. Adherent women with positive family histories reported greater benefits of mammography, greater response to cues to action, and higher salience of family history than women with negative family histories. Non-adherent women with positive family histories reported fewer benefits of mammography and greater issue involvement, and perceived BC as less severe than those with negative family histories. Benefits (OR = 1.51), susceptibility (OR = 1.41), issue involvement (OR = 1.59), severity (OR = 0.66), and cues to action (OR = 0.75) were significantly associated with adherence. Results have implications for evidence-based interventions.",
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