Plans to obtain a mammogram among Chilean women: the roles of recommendations and self-efficacy.

Social factors may heavily influence cancer screening decisions and practices among Latinas, given the importance their culture places on close, interpersonal relationships. Recommendations by healthcare providers, family and friends have been associated with early detection strategies among US-base...

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Published in:Health Education Research Vol. 28; no. 5; pp. 784 - 793
Main Authors: Molina, Yamile, Martínez-Gutiérrez, Javiera, Püschel, Klaus, Thompson, Beti
Format: pictorial research tables/charts randomized controlled trial Journal Article
Published: Oxford University Press / USA Oct2013
Online Access:View this record in EBSCOhost
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      dt: Oct2013
      vid: 28
      iid: 5
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      pub: Oxford University Press / USA
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        90503661
        107929839
        107929839
        10.1093/her/cyt047
        90503661
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        atl: Plans to obtain a mammogram among Chilean women: the roles of recommendations and self-efficacy.
      aug:
        au:
          Molina, Yamile
          Martínez-Gutiérrez, Javiera
          Püschel, Klaus
          Thompson, Beti
        affil: Cancer Prevention Program, Fred Hutchinson Cancer Research Center, Seattle, WA, USA
      sug:
        subj:
          Women's Health
          Mammography
          Health Behavior Chile
          Self-Efficacy
          Decision Making
          Intention
          Human
          Female
          Chile
          Randomized Controlled Trials
          Middle Age
          Aged
          Random Sample
          Questionnaires
          Chi Square Test
          Logistic Regression
          Odds Ratio
          Confidence Intervals
          Models, Theoretical
          Funding Source
          Middle Aged: 45-64 years
          Aged: 65+ years
          Female
      ab: Social factors may heavily influence cancer screening decisions and practices among Latinas, given the importance their culture places on close, interpersonal relationships. Recommendations by healthcare providers, family and friends have been associated with early detection strategies among US-based Latina populations, but little is known about other Latin American populations. Furthermore, less is known about mechanisms underlying this relationship. In this study, we sought to (i) understand if different types of recommendations were associated with subsequent plans to obtain a mammogram and (ii) assess the potential mediating roles of perceived importance of these recommendations and self-efficacy. Our sample included 250 women residing in a low-income, urban area of Santiago, Chile, and who had participated in a 6-month intervention to increase mammography screening, but remained non-compliant. Women who received family recommendations were more likely to indicate they planned to receive a mammogram in the next 6 months. Perceived self-efficacy mediated this relationship, such that women who received a family recommendation appeared to be more likely to plan to get a mammogram because of increased perceived capabilities to do so. Future research should consider the cultural context of family and self-efficacy in the development of screening interventions for Latinas.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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