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Testing theoretical explanations of mammography use

D Lauver1, S Nabholz, K Scott

  • 1School of Nursing, University of Wisconsin, Madison, USA.

Nursing Research
|January 1, 1997
PubMed
Summary

This study examined mammography use in midwestern women, finding that adherence depends on habit, anxiety, perceived risk, and family history. Different factors influenced recent use and intention, highlighting distinct mammography-related outcomes.

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Area of Science:

  • Health Services Research
  • Behavioral Science
  • Public Health

Background:

  • Mammography screening is crucial for early breast cancer detection.
  • Understanding the determinants of mammography use is essential for improving adherence.
  • The theory of care-seeking behavior provides a framework for analyzing health-related decisions.

Purpose of the Study:

  • To test the theory of care-seeking behavior in relation to mammography use among midwestern women.
  • To identify predictors of mammography adherence, recent use, and intention.

Main Methods:

  • A multivariate logistic regression analysis was conducted on data from 178 midwestern women.
  • The study examined relationships between various psychosocial and demographic factors and mammography utilization.

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Main Results:

  • Mammography adherence was associated with habit, anxiety-barrier interaction, perceived risk, age, and family history.
  • Recent mammogram use was linked to social norms and habit.
  • Intention to use mammography was related to utility beliefs, norms, habit, and perceived risk.
  • Some factors (perceived risk, age, family history) influenced adherence/intention beyond theoretically predicted variables.

Conclusions:

  • Mammography adherence, recent use, and intention are influenced by a complex interplay of factors.
  • The theory of care-seeking behavior partially explains mammography use, but other variables are also significant.
  • Different outcomes related to mammography (adherence, recent use, intention) are distinct and have unique predictors.