Автор |
Meischke, Hendrika |
Автор |
Andersen, Robyn |
Автор |
Bowen, Deborah |
Автор |
Kuniyuki, Alan |
Автор |
Urban, Nicole |
Дата выпуска |
1998 |
dc.description |
This study describes and empirically tests a health priorities model. This model predicts underuse of regular mammography screening among adult women within the larger health context in which such decisions are made. The model incorporates women's comparative illness threats, comparative importance of health behaviors, and demographic variables. A telephone survey was conducted with a sample of women (N = 887) older than 50, in 40 rural communities in the state of Washington. Logistic regression analyses showed that women who perceived themselves at low risk for getting breast cancer and/or who perceived another disease (i.e. heart attack) as an equal or greater threat than breast cancer were less likely to be regular screeners of mammography. In addition, women who perceived other health behaviors as more important than regular mammography screening were less likely to be regular screeners than those women who perceived regular mammography screening as more important. Current or anticipated health problems were not related to screening behavior. The results are discussed in light of the practical, theoretical, and empirical implications. |
Издатель |
Sage Publications |
Название |
A Health Priorities Model: Application to Mammography Screening |
Тип |
Journal Article |
DOI |
10.1177/109019819802500311 |
Print ISSN |
1090-1981 |
Журнал |
Health Education & Behavior |
Том |
25 |
Первая страница |
383 |
Последняя страница |
395 |
Аффилиация |
Meischke, Hendrika, Department of Health Services, P.O. Box 357660, University of Washington, Seattle, WA 98195; phone: (206) 616-2945; fax: (206) 296-4866; hendrika@u.washington.edu |
Аффилиация |
Urban, Nicole, Fred Hutchinson Cancer Research Center, Seattle. |
Выпуск |
3 |
Библиографическая ссылка |
1. MMWR Morb Mortal Wkly Rep 45:484-487, 1996. |
Библиографическая ссылка |
2. Zapka JG, Stoddard A, Maul L, Constanza ME: Interval adherence to mammography screening guidelines. Med Care 29:697-708, 1991. |
Библиографическая ссылка |
3. Taylor VM, Taplin SH, Urban N, White E, Peacock S: Repeat mammography use among women ages 50-75. Canc Epid, Biomarkers, and Prev 4:409-413, 1995. |
Библиографическая ссылка |
4. Howe HL: Repeat mammography among women who are 50 years of age. Am J Prev Med 8:182-185, 1992. |
Библиографическая ссылка |
5. Lerman C, Rimer B, Trock B, Balshem A, Engstrom PF: Factors associated with repeat adherence to breast cancer screening. Prev Med 19:279-290, 1990. |
Библиографическая ссылка |
6. Rosenstock IM: The health belief model and preventive health behavior. Health Educ Monographs 2:354-387, 1974. |
Библиографическая ссылка |
7. Champion VL: Compliance with guidelines for mammography screening. Cancer Detect Prev 16:253-258, 1992. |
Библиографическая ссылка |
8. Stein JA, Fox SA, Murata PJ, Morisky DE: Mammography usage and the health belief model. Health Educ Q 19:447-462, 1992. |
Библиографическая ссылка |
9. Price JH, Desmond SM, Slenker S, Smith D, Stewart PW: Urban black women's perceptions of breast cancer and mammography. J Community Health 17:191-204, 1992. |
Библиографическая ссылка |
10. Champion VL: Beliefs about breast cancer and mammography by behavioral stage. Oncol Nurs Forum 21:1009-1014,1994. |
Библиографическая ссылка |
11. Hyman RB, Baker S, Ephraim R, Moadel A, Philips J: Health belief model variables as predictors of screening mammography utilization. J Behav Med 17:391-406, 1994. |
Библиографическая ссылка |
12. Slenker SE, Spreitzer EA: Public perceptions of behaviors regarding cancer control. J Cancer Educ 3:71-80,1988. |
Библиографическая ссылка |
13. Kreuter MW, Strecher VJ: Changing inaccurate perceptions of health risk: Results from a randomized trial. Health Psych 14:56-63, 1995. |
Библиографическая ссылка |
14. Pennebraker JW: The Psychology of Physical Symptoms. New York, Springer-Verlag, 1982. |
Библиографическая ссылка |
15. Leventhal H, Cameron L: Behavioral theories and the problem of compliance. Patient Educ & Counsl 10:117-138, 1987. |
Библиографическая ссылка |
16. Littell RC, Milliken GA, Stroup WW, Wolfinger RD: SASR System for Mixed Models. Cary, NC, SAS Institute, 1996. |
Библиографическая ссылка |
17. Belsley DA, Kuh E, Welsch RE: Regression Diagnostics. New York, John Wiley, 1980. |
Библиографическая ссылка |
18. Fox SA, Siu AL, Stein JA: The importance of physician communication on breast cancer screening of older women. Arch Intern Med 154:2058-2068, 1994. |
Библиографическая ссылка |
19. U.S. Preventive Services Task Force: Guide to Clinical Preventive Services: An Assessment of the Effectiveness of 169 Interventions. Baltimore, MD, Williams & Williams, 1989. |