Older Women and Mammography Screening Behavior: Do Possible Selves Contribute?

This study sought to explore the contribution of the self-concept to older women’s adherence to regular mammography screening behavior. The PRECEDE and health belief model concepts were incorporated with a measure of the women’s future selves to determine whether the self-concept adds to our ability...

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Bibliographic Details
Published in:Health education & behavior 2001-04, Vol.28 (2), p.200-216
Main Authors: Black, Margaret E. A., Stein, Karen F., Loveland-Cherry, Carol J.
Format: Article
Language:English
Subjects:
Aged
Aging (Individuals)
Barriers
Behavior
Beliefs
Biological and medical sciences
Breast Neoplasms - prevention & control
Canada
Cancer
Cross-Sectional Studies
Diagnostic Tests, Routine - utilization
Female
Females
Gynecology. Andrology. Obstetrics
Health Behavior
Health Knowledge, Attitudes, Practice
Health Services
Humans
Knowledge Level
Mammary gland diseases
Mammography
Mammography - utilization
Marital Status
Medical sciences
Medical screening
Middle Aged
Models, Psychological
Motivation
Older Adults
Older people
Patient Acceptance of Health Care - psychology
Peer Influence
Physicians
Screening Tests
Self Concept
Self Efficacy
Studies
Surveys and Questionnaires
Tumors
Women
Women's Health
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Summary:This study sought to explore the contribution of the self-concept to older women’s adherence to regular mammography screening behavior. The PRECEDE and health belief model concepts were incorporated with a measure of the women’s future selves to determine whether the self-concept adds to our ability to predict screening. A self-administered questionnaire was completed by 210 community-dwelling women ages 50 to 75 years, recruited from urban and rural women’s groups. Logistic regression analyses revealed that predictors of adherence were clinical breast examination, physician recommendation, age, barriers, benefits, feared health-related possible self, and self-efficacy in the feared domain. The addition of the self measures significantly improved the overall fit of the model. Implications for theory development, practice, and future research are discussed.
ISSN:1090-1981
1552-6127
DOI:10.1177/109019810102800206