Psychosocial determinants of mammography follow-up after receipt of abnormal mammography results in medically underserved women

Alecia Malin Fair, Debra Wujcik, Jin Mann Sally Lin, Wei Zheng, Kathleen M. Egan, Ana M. Grau, Victoria Champion, Kenneth A. Wallston

Research output: Contribution to journalArticle

Abstract

This article targets the relationship between psychosocial determinants and abnormal screening mammography follow-up in a medically underserved population. Health belief scales were modified to refer to diagnostic follow-up versus annual screening. A retrospective cohort study design was used. Statistical analyses were performed examining relationships among sociodemographic factors, psychosocial determinants, and abnormal mammography follow-up. Women with lower mean internal health locus of control scores (3.14) were two times more likely than women with higher mean internal health locus of control scores (3.98) to have inadequate follow-up (OR52.53, 95% CI51.12-5.36). Women with less than a high school education had lower cancer fatalism scores than women who had completed high school (47.5 vs. 55.2, p-value5.02) and lower mean external health locus of control scores (3.0 vs. 5.3) (p-value,.01). These constructs have implications for understanding mammography follow-up among minority and medically underserved women. Further comprehensive study of these concepts is warranted.

Original languageEnglish (US)
Pages (from-to)71-94
Number of pages24
JournalJournal of Health Care for the Poor and Underserved
Volume21
Issue numberSUPPL. 2
DOIs
StatePublished - May 2010

Fingerprint

Mammography
Internal-External Control
Health
Vulnerable Populations
Cohort Studies
Retrospective Studies
Psychology
Education
Neoplasms

Keywords

  • Follow-up studies.
  • Health beliefs.
  • Mammography.
  • Medically underinsured.

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Psychosocial determinants of mammography follow-up after receipt of abnormal mammography results in medically underserved women. / Fair, Alecia Malin; Wujcik, Debra; Lin, Jin Mann Sally; Zheng, Wei; Egan, Kathleen M.; Grau, Ana M.; Champion, Victoria; Wallston, Kenneth A.

In: Journal of Health Care for the Poor and Underserved, Vol. 21, No. SUPPL. 2, 05.2010, p. 71-94.

Research output: Contribution to journalArticle

Fair, Alecia Malin ; Wujcik, Debra ; Lin, Jin Mann Sally ; Zheng, Wei ; Egan, Kathleen M. ; Grau, Ana M. ; Champion, Victoria ; Wallston, Kenneth A. / Psychosocial determinants of mammography follow-up after receipt of abnormal mammography results in medically underserved women. In: Journal of Health Care for the Poor and Underserved. 2010 ; Vol. 21, No. SUPPL. 2. pp. 71-94.
@article{941534c9684a4a678437605fac3c20b8,
title = "Psychosocial determinants of mammography follow-up after receipt of abnormal mammography results in medically underserved women",
abstract = "This article targets the relationship between psychosocial determinants and abnormal screening mammography follow-up in a medically underserved population. Health belief scales were modified to refer to diagnostic follow-up versus annual screening. A retrospective cohort study design was used. Statistical analyses were performed examining relationships among sociodemographic factors, psychosocial determinants, and abnormal mammography follow-up. Women with lower mean internal health locus of control scores (3.14) were two times more likely than women with higher mean internal health locus of control scores (3.98) to have inadequate follow-up (OR52.53, 95{\%} CI51.12-5.36). Women with less than a high school education had lower cancer fatalism scores than women who had completed high school (47.5 vs. 55.2, p-value5.02) and lower mean external health locus of control scores (3.0 vs. 5.3) (p-value,.01). These constructs have implications for understanding mammography follow-up among minority and medically underserved women. Further comprehensive study of these concepts is warranted.",
keywords = "Follow-up studies., Health beliefs., Mammography., Medically underinsured.",
author = "Fair, {Alecia Malin} and Debra Wujcik and Lin, {Jin Mann Sally} and Wei Zheng and Egan, {Kathleen M.} and Grau, {Ana M.} and Victoria Champion and Wallston, {Kenneth A.}",
year = "2010",
month = "5",
doi = "10.1353/hpu.0.0264",
language = "English (US)",
volume = "21",
pages = "71--94",
journal = "Journal of Health Care for the Poor and Underserved",
issn = "1049-2089",
publisher = "Johns Hopkins University Press",
number = "SUPPL. 2",

}

TY - JOUR

T1 - Psychosocial determinants of mammography follow-up after receipt of abnormal mammography results in medically underserved women

AU - Fair, Alecia Malin

AU - Wujcik, Debra

AU - Lin, Jin Mann Sally

AU - Zheng, Wei

AU - Egan, Kathleen M.

AU - Grau, Ana M.

AU - Champion, Victoria

AU - Wallston, Kenneth A.

PY - 2010/5

Y1 - 2010/5

N2 - This article targets the relationship between psychosocial determinants and abnormal screening mammography follow-up in a medically underserved population. Health belief scales were modified to refer to diagnostic follow-up versus annual screening. A retrospective cohort study design was used. Statistical analyses were performed examining relationships among sociodemographic factors, psychosocial determinants, and abnormal mammography follow-up. Women with lower mean internal health locus of control scores (3.14) were two times more likely than women with higher mean internal health locus of control scores (3.98) to have inadequate follow-up (OR52.53, 95% CI51.12-5.36). Women with less than a high school education had lower cancer fatalism scores than women who had completed high school (47.5 vs. 55.2, p-value5.02) and lower mean external health locus of control scores (3.0 vs. 5.3) (p-value,.01). These constructs have implications for understanding mammography follow-up among minority and medically underserved women. Further comprehensive study of these concepts is warranted.

AB - This article targets the relationship between psychosocial determinants and abnormal screening mammography follow-up in a medically underserved population. Health belief scales were modified to refer to diagnostic follow-up versus annual screening. A retrospective cohort study design was used. Statistical analyses were performed examining relationships among sociodemographic factors, psychosocial determinants, and abnormal mammography follow-up. Women with lower mean internal health locus of control scores (3.14) were two times more likely than women with higher mean internal health locus of control scores (3.98) to have inadequate follow-up (OR52.53, 95% CI51.12-5.36). Women with less than a high school education had lower cancer fatalism scores than women who had completed high school (47.5 vs. 55.2, p-value5.02) and lower mean external health locus of control scores (3.0 vs. 5.3) (p-value,.01). These constructs have implications for understanding mammography follow-up among minority and medically underserved women. Further comprehensive study of these concepts is warranted.

KW - Follow-up studies.

KW - Health beliefs.

KW - Mammography.

KW - Medically underinsured.

UR - http://www.scopus.com/inward/record.url?scp=77952925273&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77952925273&partnerID=8YFLogxK

U2 - 10.1353/hpu.0.0264

DO - 10.1353/hpu.0.0264

M3 - Article

VL - 21

SP - 71

EP - 94

JO - Journal of Health Care for the Poor and Underserved

JF - Journal of Health Care for the Poor and Underserved

SN - 1049-2089

IS - SUPPL. 2

ER -