Steele-Moses Susan K, Russell Kathleen M, Kreuter Matthew, Monahan Patrick, Bourff Sara, Champion Victoria L
Our Lady of the Lake Regional Medical Center, Baton Rouge, LA 70808, USA.
J Health Care Poor Underserved. 2009 Feb;20(1):257-73. doi: 10.1353/hpu.0.0123.
The purpose of this study was to explore the predictive relationships between cultural belief and stage of change and mammography adherence in low-income Midwestern African American urban women (N=321). Secondary analysis of questionnaire data measuring religiosity, racial pride, family collectivism, future and present time orientation, and stage of mammography screening adoption was conducted. Religiosity (OR=1.12; p=.002) and future time orientation (OR=1.12; p=.05) predicted mammography adherence with a positive association, while present time orientation (OR=0.91; p=.05) was significantly negatively associated. Religiosity (OR=1.11; p=.002) and future time orientation (OR=1.12; p=.05) were positive predictions of stage progression, whereas present time orientation (OR=0.90; p=.03) had a significant negative relationship. By identifying cultural variables that are related to mammography adherence in African American women, mammography-promoting interventions can be more effectively tailored.
本研究旨在探讨文化信仰与行为改变阶段之间的预测关系，以及低收入中西部非裔美国城市女性（N = 321）的乳房X光检查依从性。对测量宗教信仰、种族自豪感、家庭集体主义、未来和当下时间取向以及乳房X光检查采用阶段的问卷数据进行了二次分析。宗教信仰（OR = 1.12；p = .002）和未来时间取向（OR = 1.12；p = .05）与乳房X光检查依从性呈正相关，而当下时间取向（OR = 0.91；p = .05）与乳房X光检查依从性呈显著负相关。宗教信仰（OR = 1.11；p = .002）和未来时间取向（OR = 1.12；p = .05）对阶段进展有积极预测作用，而当下时间取向（OR = 0.90；p = .03）与之呈显著负相关。通过识别与非裔美国女性乳房X光检查依从性相关的文化变量，可以更有效地制定促进乳房X光检查的干预措施。
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