ArticleCancer epidemiology2009
Relationships between decisional balance and stage of adopting mammography and Pap testing among Chinese American women.
Article in Cancer epidemiology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- The decisional balance sheet to promote healthy behavior among ethnically diverse older adults.Public health nursing (Boston, Mass.)Trial
- Breast Cancer Knowledge and Mammography Use Among Asian American Women Aged 40 and Older: Using the Transtheoretical Model Approach.Journal of immigrant and minority health · 2024Article
- Exploring Health Literacy and the Correlates of Pap Testing Among African Immigrant Women: Findings from the AfroPap Study.Journal of cancer education : the official journal of the American Association for Cancer Education · 2021Article
- Analyzing factors associated with decisional stage of adopting breast cancer screening among Korean American women using precaution adoption process model.Ethnicity & health · 2021Article
- Stage of Breast Cancer Screening Adoption; The Role of Cognitive Predictors.Asian Pacific journal of cancer prevention : APJCP · 2019Article
- Development of the Informed Choice in Mammography Screening Questionnaire (IMQ): factor structure, reliability, and validity.BMC psychology · 2019Article
- Analyzing Factors of Breast Cancer Screening Adherence among Korean American Women Using Andersen's Behavioral Model of Healthcare Services Utilization.Ethnicity & disease · 2019Article
- Stages of Change for Mammography Among Mexican Women and a Decisional Balance Comparison Across Countries.Journal of cancer education : the official journal of the American Association for Cancer Education · 2018Article
- Decisional balance and self-efficacy mediate the association among provider advice, health literacy and cervical cancer screening.European journal of oncology nursing : the official journal of European Oncology Nursing Society · 2018Article
- Effect of structured training programme on the knowledge and behaviors of breast and cervical cancer screening among the female teachers in Turkey.BMC women's health · 2017Article
- Validation of Health Behavior and Stages of Change Questionnaire.Breast cancer (Dove Medical Press) · 2017Article
- Self-Care Education Programs Based on a Trans-Theoretical Model in Women Referring to Health Centers: Breast Self-Examination Behavior in IranAsian Pacific journal of cancer prevention : APJCP · 2016Article
- Application of the Transtheoretical Model to Cervical Cancer Screening in Latina Women.Journal of immigrant and minority health · 2016Article
- Mammography stage of adoption among Iranian women.Journal of education and health promotion · 2012Article
- Predicting mammography stage of adoption among Iranian women.Journal of education and health promotion · 2012Article
- Analyzing factors enabling colorectal cancer screening adherence in Korean Americans using the Andersen's Behavioral Model of Health Services Utilization.Journal of psychosocial oncologyArticle
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
backgroundThe Transtheoretical Model has not been applied to explain cancer screening behavior among a large sample of Chinese Americans. This study examines the stage of adopting mammography and Pap testing in relation to women's decisional balance of cancer screening.
methodsWe surveyed a sample of 507 Chinese American women aged 50 and older in the DC area in 2003 and 2004. We categorized women into six screening stages (pre-contemplation, contemplation, action, relapse, risk of relapse, and maintenance) based on the frequency and regularity of past screening behaviors and future intentions. We measured women's attitudes toward mammography and Pap testing by 22 pro and con statements. Decisional balance was calculated by the mean difference between pro and con scores. Multinomial regression analyses were used to examine the associations between decisional balance and stage of adoption, controlling for sociodemographics, English fluency, and physician and family recommendations.
resultsMaintenance was the largest group among six stages (45% for mammography; 44% for Pap testing). Women in the maintenance group had the highest decisional balance scores, indicating more positive attitudes toward screening. Decisional balance was significantly related to stages of adopting mammograms and Pap testing after adjusting for other covariates.
conclusionsThis study demonstrated that Chinese American women's cancer screening behavior was associated with decisional balance, as described in the Transtheoretical Model. Cancer screening messages should be tailored to the needs of women in different stages of adopting mammography and Pap testing.
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