Title

Andersen’s Behavioral Model to Identify Correlates of Breast Cancer Screening Behaviors among Indigenous Women

Journal Title

Journal of Evidence-Based Social Work

Publication Date

2020

Abstract

This study examined predictive models of utilization of mammograms among Indigenous women adapting Andersen’s behavioral model. Using a sample of 285 Indigenous women residing in South Dakota, nested logistic regression analyses were conducted to assess predisposing (age and marital status), need (personal and family cancer history), and enabling factors (education, monthly household income, mammogram screening awareness, breast cancer knowledge, self-rated health, and cultural practice to breast cancer screening). Results indicated that only 55.5% of participants reported having had a breast cancer screening within the past 2 years. After controlling for predisposing and need factors, higher education, greater awareness of mammogram, and higher utilization of traditional Native American approaches were significant predictors of mammogram uptake. The results provide important implications for intervention strategies aimed at improving breast cancer screening and service use among Indigenous women.

Keywords

Indigenous women, breast cancer screening, cancer awareness, mammogram

Document Type

Article

Disciplines

Social and Behavioral Sciences | Social Work

Volume

17

Issue

1

First Page

117

Last Page

135

DOI

10.1080/26408066.2019.1650316

Link to Full Text

Share

COinS