Cultural constructs, stage of change, and adherence to mammography among low-Income African American women

Susan K. Steele-Moses, Kathleen M. Russell, Matthew Kreuter, Patrick Monahan, Sara Bourff, Victoria L. Champion

Research output: Contribution to journalArticle

17 Scopus citations


The purpose of this study was to explore the predictive relationships between cultural belief and stage of change and mammography adherence in low-income Midwestern African American urban women (N=321). Secondary analysis of questionnaire data measuring religiosity, racial pride, family collectivism, future and present time orientation, and stage of mammography screening adoption was conducted. Religiosity (OR= 1.12; p=.002) and future time orientation (OR=1.12; p=.05) predicted mammography adherence with a positive association, while present time orientation (OR=0.91; p=.05) was significantly negatively associated. Religiosity (OR= 1.11; p=.002) and future time orientation (OR= 1.12; p=.05) were positive predictions of stage progression, whereas present time orientation (OR=0.90; p=.03) had a significant negative relationship. By identifying cultural variables that are related to mammography adherence in African American women, mammography- promoting interventions can be more effectively tailored.

Original languageEnglish (US)
Pages (from-to)257-273
Number of pages17
JournalJournal of Health Care for the Poor and Underserved
Issue number1
StatePublished - Feb 1 2009



  • Blacks
  • Culture
  • Health belief model
  • Mammography
  • Transtheoretical stages of change model

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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