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Behavioral Constructs and Mammography in Five Ethnic Groups

Helen Diller Family Comprehensive Cancer Center, University of California, San Francisco, SStewart{at}cc.ucsf.edu

William Rakowski, PhD

Department of Community Health, Brown University, Providence, Rhode Island

Rena J. Pasick, DrPH

Helen Diller Family Comprehensive Cancer Center, University of California, San Francisco

Intention, self-efficacy, perceived susceptibility, perceived benefits, and subjective norms are key constructs of health behavior theories; their predictive validity for cancer screening has not been ascertained in multiethnic populations. Participants were 1,463 African American, Chinese, Filipina, Latina, and White women aged 40 to 74 interviewed by telephone in their preferred languages. The relationship between baseline constructs and mammography 2 years later was assessed using multivariable logistic regression. Intention predicted mammography overall and among Whites (odds ratio [OR] = 5.0, 95% confidence interval [CI] = 2.4, 10), with racial/ethnic differences in association (p = .020). Self-efficacy predicted mammography overall and among Whites (OR = 3.5, 95% CI = 1.1, 11), with no racial/ethnic interaction. Perceived benefits and subjective norms were associated with screening overall and in some racial/ethnic groups. These results generally support cross-cultural applicability of four of the five constructs to screening with mixed predictive value of measures across racial/ethnic groups. Additional in-depth inquiry is required to refine assessment of constructs.

Key Words: perceived benefits • perceived susceptibility • self-efficacy • intention • subjective norms • cross-cultural measurement

Health Education & Behavior, Vol. 36, No. 5 Suppl, 36S-54S (2009)
DOI: 10.1177/1090198109338918


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