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Health Education & Behavior
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Ethnic Differences in Decisional Balance and Stages of Mammography Adoption

Regina Otero-Sabogal, PhD

Institute for Health and Aging, University of California–San Francisco

Susan Stewart, PhD

Comprehensive Cancer Center, University of California–San Francisco

Sarah J. Shema, MS

Northern California Cancer Center, Fremont

Rena J. Pasick, DrPH

Comprehensive Cancer Center, University of California–San Francisco

Behavioral theories developed through research with mainstream, English-speaking populations have been applied to ethnically diverse and underserved communities in the effort to eliminate disparities in early breast cancer detection. This study tests the validity of the transtheoretical model (TTM) decisional balance measure and the application of the TTM stages of change in a multiethnic, multilingual sample. A random sample of 1,463 Filipino, Latino, African American, Chinese, and White women aged 40 to 74 completed a phone survey of mammography beliefs and practices. Consistent with the TTM and independent of ethnicity, decisional balance was associated with mammography stage in all five ethnic groups when controlling for socioeconomic and other factors. In addition, having private insurance and a regular physician and being a long-time resident in the United States were positively associated with mammography maintenance. The application of the TTM for mammography is supported in a multiethnic and multilingual sample.

Key Words: attitudes • ethnicity • stages of mammography adoption • access • decisional balance

This version was published on April 1, 2007

Health Education & Behavior, Vol. 34, No. 2, 278-296 (2007)
DOI: 10.1177/1090198105277854
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T.-Y. Wu, H. F. Hsieh, and B. T. West
Stages of mammography adoption in Asian American women
Health Educ. Res., October 1, 2009; 24(5): 748 - 759.
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