A critical review of theory in breast cancer screening promotion across cultures

This article reviews the contribution and potential of widely used health behavior theories in research designed to understand and redress the disproportionate burden of breast cancer borne by diverse race/ethnic, immigrant, and low-income groups associated with unequal use of mammography. We review...

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Published inAnnual review of public health Vol. 29; p. 351
Main Authors Pasick, Rena J, Burke, Nancy J
Format Journal Article
LanguageEnglish
Published United States 01.01.2008
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Abstract This article reviews the contribution and potential of widely used health behavior theories in research designed to understand and redress the disproportionate burden of breast cancer borne by diverse race/ethnic, immigrant, and low-income groups associated with unequal use of mammography. We review the strengths and limitations of widely used theories and the extent to which theory contributes to the understanding of screening disparities and informs effective intervention. The dominant focus of most theories on individual cognition is critically assessed as the abstraction of behavior from its social context. Proposed alternatives emphasize multilevel ecological approaches and the use of anthropologic theory and methods for more culturally grounded understandings of screening behavior. Common and alternative treatments of fatalism exemplify this approach, and descriptive and intervention research exemplars further highlight the integration of screening behavior and sociocultural context.
AbstractList This article reviews the contribution and potential of widely used health behavior theories in research designed to understand and redress the disproportionate burden of breast cancer borne by diverse race/ethnic, immigrant, and low-income groups associated with unequal use of mammography. We review the strengths and limitations of widely used theories and the extent to which theory contributes to the understanding of screening disparities and informs effective intervention. The dominant focus of most theories on individual cognition is critically assessed as the abstraction of behavior from its social context. Proposed alternatives emphasize multilevel ecological approaches and the use of anthropologic theory and methods for more culturally grounded understandings of screening behavior. Common and alternative treatments of fatalism exemplify this approach, and descriptive and intervention research exemplars further highlight the integration of screening behavior and sociocultural context.
Author Pasick, Rena J
Burke, Nancy J
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– sequence: 2
  givenname: Nancy J
  surname: Burke
  fullname: Burke, Nancy J
BackLink https://www.ncbi.nlm.nih.gov/pubmed/17914932$$D View this record in MEDLINE/PubMed
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Snippet This article reviews the contribution and potential of widely used health behavior theories in research designed to understand and redress the disproportionate...
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StartPage 351
SubjectTerms Breast Neoplasms - diagnosis
Breast Neoplasms - ethnology
Breast Neoplasms - prevention & control
Cultural Competency
Female
Health Knowledge, Attitudes, Practice
Health Promotion - methods
Health Promotion - standards
Health Services Accessibility
Health Status Disparities
Healthcare Disparities
Humans
Mammography
Mass Screening - methods
Qualitative Research
Socioeconomic Factors
Title A critical review of theory in breast cancer screening promotion across cultures
URI https://www.ncbi.nlm.nih.gov/pubmed/17914932
Volume 29
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