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


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
Issue numberSUPPL. 2
StatePublished - May 2010



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

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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