Health Beliefs and Breast Cancer Screening in Rural Appalachia: An Evaluation of the Health Belief Model.
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| Title: | Health Beliefs and Breast Cancer Screening in Rural Appalachia: An Evaluation of the Health Belief Model. |
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| Authors: | VanDyke, Santana D.1, Shell, Madelynn D.2 mjs5ma@uvawise.edu |
| Source: | Journal of Rural Health. Autumn2017, Vol. 33 Issue 4, p350-360. 11p. |
| Subject Terms: | *Health services accessibility, Breast tumor diagnosis, Breast tumor risk factors, Age distribution, Mammograms, Health attitudes, Rural conditions, Surveys, Health Belief Model |
| Geographic Terms: | Appalachian Region |
| Abstract: | Purpose This study explored the role of the Health Belief Model in predicting breast cancer screening among women in rural Appalachia. Health beliefs (perceived susceptibility to breast cancer, severity of breast cancer, and benefits and barriers to screening) were used to predict health behavior (mammogram frequency). Method A total of 170 women aged 18-78 were recruited at a free health clinic in central Appalachia. Women completed surveys that assessed demographic characteristics, mammogram frequency, and perceived susceptibility, severity, and benefits and barriers to mammography. Findings Consistent with expectations, women with objectively elevated risks for breast cancer (history of abnormal mammograms or family history of breast cancer) perceived themselves to be at higher risk for breast cancer, and those with a history of abnormal mammograms were more likely to receive mammograms regularly. In addition, older women expected their prognosis to be marginally poorer following a diagnosis, perceived greater benefits and fewer barriers to mammography, and were significantly more likely to receive mammograms regularly. Consistent with the Health Belief Model, fewer perceived barriers to mammography predicted greater mammogram frequency. However, the model was not fully supported because perceived susceptibility, severity, and benefits to mammography did not predict mammogram frequency. Conclusions Results highlight the importance of reducing real and perceived barriers to screening in order to improve mammography rates among rural populations. [ABSTRACT FROM AUTHOR] |
| Copyright of Journal of Rural Health is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Education Research Complete |
| FullText | Text: Availability: 0 |
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| Header | DbId: ehh DbLabel: Education Research Complete An: 125542104 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Health Beliefs and Breast Cancer Screening in Rural Appalachia: An Evaluation of the Health Belief Model. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22VanDyke%2C+Santana+D%2E%22">VanDyke, Santana D.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Shell%2C+Madelynn+D%2E%22">Shell, Madelynn D.</searchLink><relatesTo>2</relatesTo><i> mjs5ma@uvawise.edu</i> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Journal+of+Rural+Health%22">Journal of Rural Health</searchLink>. Autumn2017, Vol. 33 Issue 4, p350-360. 11p. – Name: Subject Label: Subject Terms Group: Su Data: *<searchLink fieldCode="DE" term="%22Health+services+accessibility%22">Health services accessibility</searchLink><br /><searchLink fieldCode="DE" term="%22Breast+tumor+diagnosis%22">Breast tumor diagnosis</searchLink><br /><searchLink fieldCode="DE" term="%22Breast+tumor+risk+factors%22">Breast tumor risk factors</searchLink><br /><searchLink fieldCode="DE" term="%22Age+distribution%22">Age distribution</searchLink><br /><searchLink fieldCode="DE" term="%22Mammograms%22">Mammograms</searchLink><br /><searchLink fieldCode="DE" term="%22Health+attitudes%22">Health attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Rural+conditions%22">Rural conditions</searchLink><br /><searchLink fieldCode="DE" term="%22Surveys%22">Surveys</searchLink><br /><searchLink fieldCode="DE" term="%22Health+Belief+Model%22">Health Belief Model</searchLink> – Name: SubjectGeographic Label: Geographic Terms Group: Su Data: <searchLink fieldCode="DE" term="%22Appalachian+Region%22">Appalachian Region</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Purpose This study explored the role of the Health Belief Model in predicting breast cancer screening among women in rural Appalachia. Health beliefs (perceived susceptibility to breast cancer, severity of breast cancer, and benefits and barriers to screening) were used to predict health behavior (mammogram frequency). Method A total of 170 women aged 18-78 were recruited at a free health clinic in central Appalachia. Women completed surveys that assessed demographic characteristics, mammogram frequency, and perceived susceptibility, severity, and benefits and barriers to mammography. Findings Consistent with expectations, women with objectively elevated risks for breast cancer (history of abnormal mammograms or family history of breast cancer) perceived themselves to be at higher risk for breast cancer, and those with a history of abnormal mammograms were more likely to receive mammograms regularly. In addition, older women expected their prognosis to be marginally poorer following a diagnosis, perceived greater benefits and fewer barriers to mammography, and were significantly more likely to receive mammograms regularly. Consistent with the Health Belief Model, fewer perceived barriers to mammography predicted greater mammogram frequency. However, the model was not fully supported because perceived susceptibility, severity, and benefits to mammography did not predict mammogram frequency. Conclusions Results highlight the importance of reducing real and perceived barriers to screening in order to improve mammography rates among rural populations. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Journal of Rural Health is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1111/jrh.12204 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 11 StartPage: 350 Subjects: – SubjectFull: Health services accessibility Type: general – SubjectFull: Breast tumor diagnosis Type: general – SubjectFull: Breast tumor risk factors Type: general – SubjectFull: Age distribution Type: general – SubjectFull: Mammograms Type: general – SubjectFull: Health attitudes Type: general – SubjectFull: Rural conditions Type: general – SubjectFull: Surveys Type: general – SubjectFull: Health Belief Model Type: general – SubjectFull: Appalachian Region Type: general Titles: – TitleFull: Health Beliefs and Breast Cancer Screening in Rural Appalachia: An Evaluation of the Health Belief Model. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: VanDyke, Santana D. – PersonEntity: Name: NameFull: Shell, Madelynn D. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 09 Text: Autumn2017 Type: published Y: 2017 Identifiers: – Type: issn-print Value: 0890765X Numbering: – Type: volume Value: 33 – Type: issue Value: 4 Titles: – TitleFull: Journal of Rural Health Type: main |
| ResultId | 1 |
