Breast Cancer Screening Paved with Good Intentions: Application of the Information–Motivation–Behavioral Skills Model to Racial/Ethnic Minority Women

Abstract

Racial/ethnic minority women experience disparities in breast cancer. Studies suggest that this may be partly related to later stage of diagnosis. Adherence to breast cancer screening guidelines is frequently lower in racial/ethnic minority populations, which may contribute to this disparity. The purpose of this study was to examine the predictors of intentions to obtain breast cancer screening based on established guidelines using the information-motivation-behavioral skills model. Data for this study were obtained from the community-based Kin Keeper Cancer Prevention Intervention study and included 278 racial/ethnic minority women (Black = 138; Latina = 68; Arab = 80). Data were collected between 2009 and 2010 and analyzed in 2013. Structural equation models were tested to examining the effects of functional breast cancer literacy, motivation, and breast cancer screening behavior. Motivation was significantly associated with breast cancer screening. Breast cancer literacy (information) is positively associated with breast cancer screening. The findings indicate that the higher the level of breast cancer literacy and the more motivated patients are, the more likely they are to be screened. In addition, there was a significant association between the covariate race and other model constructs. Functional breast cancer literacy and motivation interventions are important factors to consider when designing breast cancer screening interventions in racial/ethnic minority women. These interventions should consider cultural and contextual factors that are associated with screening behavior.

Cancer Screening Literacy among Vietnamese Population: Does Annual Checkup Improve Cancer Screening Literacy?

“…Kandula (2006) reported that low rates of colorectal, cervical, and breast cancer screening were associated with the belief that cancer screening was not needed unless the presence of symptoms. Comparatively, Talley (2017) suggested that patients with higher cancer literacy were more likely to be motivated to get cancer screenings. Besides, a variety of studies on specific types of cancers, such as breast cancer (Pearlman et al, 1999) and cervical cancer (Pearlman et al, 1999;Lee, 2000;Juon et al, 2003), also supported the strong relationship between cancer literacy and the uptakes of cancer screenings.…”

Lali'an Versus Improved Cook Stoves: How Change Happens in Urban Households in Timor‐Leste

“…; Talley, Yang, and Williams. ), the IMB model is composed of three pillars: information—the knowledge needed to support behavior change; motivation, which refers to attitudes towards behavior change; and behavior, which refers to the skills acquired that are necessary to maintain the behavior change (Fisher and Fisher ).…”

“…In collecting and analyzing the data on decision-making, this article draws on theories of decision-making and the information-motivationbehavioral (IMB) skills model. Introduced by Fisher and Fisher in 1992 and used extensively in health behavior research (see, e.g., Ritterband et al 2009;Talley, Yang, and Williams. 2016), the IMB model is composed of three pillars: information-the knowledge needed to support behavior change; motivation, which refers to attitudes towards behavior change; and behavior, which refers to the skills acquired that are necessary to maintain the behavior change (Fisher and Fisher 1992).…”

The Impact of Race, and Insurance Status on Breast Cancer Screening: Results from the Behavioral Risk Factor Surveillance System Data

“…Mammogram screening has reliably decreased breast cancer mortality by approximately 40% since 1990 and most of this improvement is ascribed to early detection 2 . Although the national efforts by the Center for Disease Control and Prevention and the Breast and Cervical Cancer Early Detection Program were effective in increasing breast cancer screening rates, there are still substantial disparities in breast cancer screening utilization and breast cancer mortality among racial and ethnic minority women 4 .…”