Mammography screening and pacific islanders: role of cultural and psychosocial factors

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Abstract
Background. There is little information on the associations between cultural and psychosocial factors and not receiving a mammogram by Samoan women.Methods. Survey of 809 Samoan women aged 42 years and older.Results. The likelihood of nonreceipt waslower for women who had higher perceptions of severity, agreement with a mammogram’s efficacy, higher group norms, higher self-efficacy, and those who placed greater importance on the breast. The likelihood of nonreceipt washigher for women who harbored misconceptions and endorsed culture-specific beliefs.Conclusions. Samoan women need specifically tailored breast cancer education which incorporates cultural and psychosocial factors important for behavior change.

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