Scheel JR, Molina Y, Coronado G, Bishop S, Doty S, Jimenez R, Thompson B, Lehman CD, Beresford SAA. Healthcare Factors for Obtaining a Mammogram in Latinas With a Variable Mammography History.
Oncol Nurs Forum 2017;
44:66-76. [PMID:
27991613 DOI:
10.1188/17.onf.66-76]
[Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PURPOSE/OBJECTIVES
To understand the relationship between mammography history and current thoughts about obtaining a mammogram among Latinas and examine the mediation effects of several healthcare factors.
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DESIGN
Cross-sectional survey.
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SETTING
Federally qualified health centers (Sea Mar Community Health Centers) in western Washington.
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SAMPLE
641 Latinas nonadherent and adherent with screening mammography.
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METHODS
Baseline survey data from Latinas with a mammography history of never, not recent (more than two years), or recent (less than two years) were analyzed. Preacher and Hayes methods were used to estimate the mediation effect of healthcare factors.
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MAIN RESEARCH VARIABLES
The survey assessed mammography history, sociodemographic and healthcare factors, and current thoughts about obtaining a mammogram.
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FINDINGS
Latinas' thoughts about obtaining a mammogram were associated with mammography history. Having had a clinical breast examination mediated 70% of differences between Latinas with a never and recent mammography history. Receipt of a provider recommendation mediated 54% of differences between Latinas with and without a recent mammography history.
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CONCLUSIONS
These findings emphasize the importance of the patient-provider relationship during a clinic visit and help inform how nurses may be incorporated into subsequent screening mammography interventions tailored to Latinas.
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IMPLICATIONS FOR NURSING
As providers, health educators, and researchers, nurses have critical roles in encouraging adherence to screening mammography guidelines among Latinas.
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