Tabriz University of Medical Sciences Health Promotion Perspectives 2228-6497 12 1 2022 05 29 A multi-theory model based analysis of correlates for initiating and sustaining mammography screening behavior among Hispanic American women in the United States 110 119 10.34172/hpp.2022.14 EN Manoj Sharma https://orcid.org/0000-0002-4624-2414 Kavita Batra https://orcid.org/0000-0002-0722-0191 Amanda H. Wilkerson Francesco Chirico Siddharth Raich Journal Article 10.34172/hpp.2022.14 2022 03 01 2022 03 16 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.