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Related Experiment Videos

Do social network characteristics predict mammography screening practices?

Jennifer D Allen1, Anne M Stoddard, Glorian Sorensen

  • 1Dana-Farber Cancer Institute, Boston, Massachusetts 02115, USA. jennifer_allen@dfci.harvard.edu

Health Education & Behavior : the Official Publication of the Society for Public Health Education
|July 11, 2007
PubMed
Summary
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Previous mammography use strongly predicts future screening. Social networks have a modest impact, so outreach should target women who have underutilized mammograms.

Area of Science:

  • Public Health
  • Social Epidemiology
  • Health Behavior

Background:

  • Breast cancer screening programs often rely on social networks and support to encourage mammography.
  • This study prospectively examines the link between social network characteristics and adherence to screening guidelines.

Purpose of the Study:

  • To investigate the influence of social network characteristics on mammography screening adherence.
  • To identify key social factors that predict adherence to breast cancer screening guidelines.

Main Methods:

  • Prospective study involving 1,475 employed women aged 40 and older.
  • Baseline and 2-year follow-up assessments were used to model screening adherence based on baseline social network characteristics.

Main Results:

Related Experiment Videos

  • Previous mammography use was the strongest predictor of adherence at follow-up.
  • For younger women (40-51), encouragement from family/friends and subjective norms predicted mammography use.
  • For older women (52+), the perception of screening as normative was associated with adherence.

Conclusions:

  • Past mammography behavior is a critical determinant of future screening.
  • Social network characteristics play a minor role in screening adherence.
  • Outreach programs should prioritize women with a history of underutilizing mammography.