Mammogram Use and Self‐Efficacy in an Urban Minority Population

Jerome-D’Emilia, Bonnie; Suplee, Patricia Dunphy

doi:10.1111/phn.12162

Cited by 15 publications

(14 citation statements)

References 30 publications

(48 reference statements)

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“…Self-efficacy refers to the "individual's belief in his or her capacity to execute behaviours necessary to produce specific performance attainments" [33]. In the health context it has been consistently found to have a positive impact in screening attendance for cervical cancer [34], breast cancer [35] and CRC [28,36].…”

Section: Psychological and Factual Variables Involved In The Decisionmentioning

confidence: 99%

Screeners vs. Non-screeners for Colorectal Cancer among People over 50 Years of Age: Factual and Psychological Discriminants

Ciucă

Moldovan

Pintea

et al. 2020

JGLD

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Background and Aims: Colorectal cancer (CRC) is the third most frequent form of cancer worldwide, and approximately one third of cases have a positive family history of CRC or associated cancers. Colonoscopy is one of the most effective methods of screening for CRC. Uptake of colonoscopy is suboptimal, and many countries lack a national screening programme. Our study aims at exploring and ranking several factual and psychological variables according to their accuracy in discriminating between screeners and non-screeners for CRC in a convenience sample of people over 50 years of age. Methods: The study included 103 individuals aged over 50 years, recruited from day centres for the elderly. We explored socio-demographic variables, frequency of colonoscopy, previous recommendations for screening, health literacy and family history of cancer. Receiver operating characteristic (ROC) analysis was used to establish the discriminative value for each variable between the positive and negative decision for colonoscopy screening. Areas under the curve (AUC) and their equivalent Cohen‘s d values were calculated. Results: Almost a quarter (25.75%) of participants reported previous colonoscopy screening. ROC curve analysis shows that colonoscopy uptake is best discriminated by perceived benefits of screening (AUC=0.71, d=0.78, p<0.001), previous recommendations for screening (AUC=0.68, d=0.69, p<0.001) and previous recommendations for preventive measures (AUC=0.67, d=0.64, p<0.001). Conclusions: Recommendations from healthcare professionals lead to improved colonoscopy uptake when emphasising the benefits of screening. Results can further inform psychosocial interventions by bringing empirical evidence to emphasize screening benefits and explicit recommendations for individuals at risk for CRC cancer.

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Section: Psychological and Factual Variables Involved In The Decisionmentioning

confidence: 99%

Screeners vs. Non-screeners for Colorectal Cancer among People over 50 Years of Age: Factual and Psychological Discriminants

Ciucă

Moldovan

Pintea

et al. 2020

JGLD

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“…29,38,39 Furthermore, Tejeda et al 40 found that Hispanic women reported barriers: more often than black women. [41][42][43] Conversely, self-reliance on health seeking 40 However, to our knowledge, it is not clear whether there are differences between women who identify or name potential barriers to timely follow-up and those who are not aware of or refuse to report their barriers.…”

Section: Patient Navigationmentioning

confidence: 99%

“…Although it is difficult to find studies examining such differences in women's ability to identify barriers and actively engage in patient navigation interventions, literature shows that higher patient self-efficacy higher patient self-efficacy has shown to improve cancer screening participation. [41][42][43] Conversely, self-reliance on health seeking and adherence to treatment appear to suggest that individuals who are more self-reliant are less likely to seek help from others, in dealing with treatment for health issues, including mental health problems. [44][45][46] The findings of these studies raise a question regarding how the ability to identify barriers is related to the follow-up of abnormal mammography results among navigated women.…”

Section: Patient Navigationmentioning

confidence: 99%

Gendered and racialized social expectations, barriers, and delayed breast cancer diagnosis

Kim

Glassgow

Watson

et al. 2018

Cancer

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BACKGROUND: Black women are more likely to be diagnosed at a later stage of breast cancer in part due to barriers to timely screening mammography, resulting in poorer mortality and survival outcomes. Patient navigation that helps to overcome barriers to the early detection of breast cancer is an effective intervention for reducing breast cancer disparity. However, the ability to recognize and seek help to overcome barriers may be affected by gendered and racialized social expectations of women. METHODS: Data from a randomized controlled trial, the Patient Navigation in Medically Underserved Areas study, were used. The likelihood of obtaining a follow-up screening mammogram was compared between women who identified ≥1 barriers and those who did not. RESULTS: Of the 3754 women who received the Patient Navigation in Medically Underserved Areas navigation intervention, approximately 14% identified ≥ 1 barriers, which led to additional navigator contacts. Consequently, those women who reported barriers were more likely to obtain a subsequent screening mammogram. Black women, women living in poverty, and women with a higher level of distrust were less likely to report barriers. CONCLUSIONS: Minority women living in poverty have always been the source of social support for others. However, gendered and racialized social expectations may affect the ways in which women seek help for their own health needs. A way to improve the effectiveness of navigation would be to recognize how minority women's gender images and expectations could shape how they seek help and support. A report of no barriers does not always translate into no problems. Proactive approaches to identify potential barriers may be beneficial. Cancer 2018;124:4350-4357.

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“…The causes of this disparity in late-stage diagnosis have many origins; however, Latinas’ lower adherence to screening mammography guidelines compared to other races and ethnicities remains a major contributing factor (ACS, 2015). Healthcare factors, such as having health insurance and a usual source of care, appear to be important and may contribute to behavioral disparities (Gonzalez et al, 2012; Jerome-D’Emilia & Suplee, 2015; Nuño, Castle, Harris, Estrada, & Garcia, 2011). The impact of healthcare factors on women’s thoughts about mammograms may underlie these associations, based on psychosocial research concerning conscious thought and behavior (Baumeister, Masicampo, & Vohs, 2011).…”

mentioning

confidence: 99%

Healthcare Factors for Obtaining a Mammogram in Latinas With a Variable Mammography History

Molina

Coronado

Bishop

et al. 2017

ONF

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Purpose/Objectives To understand the relationship between mammography history and current thoughts about obtaining a mammogram among Latinas and examine the mediation effects of several healthcare factors. Design Cross-sectional survey. Setting Federally qualified health centers (Sea Mar Community Health Centers) in western Washington. Sample 641 Latinas nonadherent and adherent with screening mammography. Methods Baseline survey data from Latinas with a mammography history of never, not recent (more than two years), or recent (less than two years) were analyzed. Preacher and Hayes methods were used to estimate the mediation effect of healthcare factors. Main Research Variables The survey assessed mammography history, sociodemographic and healthcare factors, and current thoughts about obtaining a mammogram. Findings Latinas’ thoughts about obtaining a mammogram were associated with mammography history. Having had a clinical breast examination mediated 70% of differences between Latinas with a never and recent mammography history. Receipt of a provider recommendation mediated 54% of differences between Latinas with and without a recent mammography history. Conclusions These findings emphasize the importance of the patient–provider relationship during a clinic visit and help inform how nurses may be incorporated into subsequent screening mammography interventions tailored to Latinas. Implications for Nursing As providers, health educators, and researchers, nurses have critical roles in encouraging adherence to screening mammography guidelines among Latinas.

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Mammogram Use and Self‐Efficacy in an Urban Minority Population

Cited by 15 publications

References 30 publications

Screeners vs. Non-screeners for Colorectal Cancer among People over 50 Years of Age: Factual and Psychological Discriminants

Screeners vs. Non-screeners for Colorectal Cancer among People over 50 Years of Age: Factual and Psychological Discriminants

Gendered and racialized social expectations, barriers, and delayed breast cancer diagnosis

Healthcare Factors for Obtaining a Mammogram in Latinas With a Variable Mammography History

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