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2022: Two-year Impact Factor: 4.4
Scopus Journal Metrics
CiteScore (2022): 5.3
SNIP(2022):1.389
SJR(2022): 0.78
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Open Access

Health Promot Perspect. 2022;12(1): 110-119.
doi: 10.34172/hpp.2022.14
PMID: 35854851
PMCID: PMC9277286
Scopus ID: 85133083302
  Abstract View: 535
  PDF Download: 425
  Full Text View: 43

Original Article

A multi-theory model based analysis of correlates for initiating and sustaining mammography screening behavior among Hispanic American women in the United States

Manoj Sharma 1 ORCID logo, Kavita Batra 2* ORCID logo, Amanda H. Wilkerson 3, Francesco Chirico 4, Siddharth Raich 1

1 Department of Social & Behavioral Health, School of Public Health, University of Nevada, Las Vegas, USA
2 UNLV Medicine Trauma and Critical Care, Department of Medical Education, Kirk Kerkorian School of Medicine at UNLV, University of Nevada, Las Vegas, USA
3 Department of Health Science, The University of Alabama, Alabama, USA
4 Università Cattolica del Sacro Cuore, Post-Graduate Specialization, Rome, Italy
*Corresponding Author: Corresponding Author: Kavita Batra, Email: , Email: kavita.batra@unlv.edu

Abstract

Background: Despite the known advantages of mammography, screening rates among Hispanic American women are lower compared to other ethnic groups. Therefore, this cross-sectional study aimed to explore correlates of mammography screening behavior among a sample of Hispanic women aged 45-54 years living in the United States using the multi-theory model (MTM).

Methods: A 50-item web-based survey consisting of psychometrically valid tools based on MTM theoretical framework was administered through non-random sampling procedures using Qualtrics. Univariate, bivariate, and multivariate statistics were used to analyze the data.

Results: Out of 370 participants, nearly 49% (n=189) reported not having a mammogram in the past two years. The mean age of the sample was 48.8±2.8 years. A greater proportion of participants who have had a mammogram reported having health insurance compared to those who have not had a mammogram (93.1% vs. 75.7%, P<0.001). Results of hierarchical regression suggest that all MTM constructs, including participatory dialogue, behavioral confidence, and changes in the physical environment explained 33.4% of variance in initiating mammography behavior among those who have not had a mammogram. Similarly, practice for change, emotional transformation, and changes in the social environment explained 53% of the variance in sustenance of the behavior change.

Conclusion: Along with the MTM subscales, this study points to the important correlates such as health insurance and messaging by healthcare providers to promote the mammography seeking behavior among Hispanic women.

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Submitted: 01 Mar 2022
Accepted: 16 Mar 2022
ePublished: 29 May 2022
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