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Psychosocial Factors Related to Repeat Mammography Screening Over 5 Years in African American Women

Russell, Kathleen M. DNS, RN; Champion, Victoria L. DNS, RN, FAAN; Skinner, Celette Sugg PhD


The purpose of this study was to investigate health beliefs associated with repeat mammography screening in African American women 51 years or older over a 5-year period. Long-term repeat mammography screening is inconsistent in African American women; therefore, this study measured demographic, knowledge, and health belief predictors of repeat screening. The theoretical framework for this study was the health belief model. Baseline data from a larger randomized controlled trial were analyzed using descriptive statistics and logistic regression. The sample consisted of 602 African American women with no breast cancer history and at least 1 reported screening mammogram in the past 5 years. They were recruited from 3 primary care health settings. Having been screened 4 to 5 times in the past 5 years was associated with more knowledge about screening guidelines and fewer perceived barriers to screening. Results point to the importance of collaborating with African American communities to promote life-long mammography screening by increasing access to culturally appropriate information on screening guidelines and ameliorating barriers to screening within the context of the African American experience.

From the Indiana University School of Nursing, Indianapolis, Ind (Drs Russell and Champion); and the Department of Surgery and Department of Community and Family Medicine, Duke Comprehensive Cancer Center, Durham, NC (Dr Skinner).

This work was funded by National Institute of Nursing Research, National Institutes of Health, #R01NR04081.

Corresponding author: Kathleen M. Russell, DNS, RN, Indiana University School of Nursing, Indianapolis, IN 46202-5107, (e-mail:

Accepted for publication November 23, 2005.

© 2006 Lippincott Williams & Wilkins, Inc.