TY - JOUR
T1 - Do perceived barriers and benefits vary by mammography stage?
AU - Skinner, C. S.
AU - Champion, V. L.
AU - Gonin, R.
AU - Hanna, M.
N1 - Funding Information:
This research was sponsored by a Faculty Development grant to Dr Champion from Indiana University-Purdue University at Indianapolis.
PY - 1997/2
Y1 - 1997/2
N2 - We investigated whether perceived barriers and benefits varied by stage of considering mammography. A total of 1,093 university employees completed questionnaires measuring constructs from the Transtheoretical and Health Belief Models. Action/Maintainers (the referent category) generally differed from Contemplators and Relapsers in perceived barriers and from Precontemplators and Contemplators in perceived benefits. Compared to Action/Maintainers, Relapsers were more likely to agree that mammograms take too much time; Contemplators and Relapsers were more likely to agree that mammograms are inconvenient, embarrassing, too costly, and hard to remember; and Precontemplators and Contemplators were less likely to agree that mammograms are painful. Lack of physician recommendation revealed the largest differences by stage (Precontemplators' odds ratios = 20.8, Contemplators'= 8.27, and Relapsers'= 4.05). For benefits, Precontemplators and Contemplators were less likely to agree that mammograms help find lumps early and find lumps before they can be felt; Precontemplators were less likely to agree that mammography can decrease mortality. Precontemplators may need more benefits-enhancing than barriers-reducing interventions. Contemplators may need persuasion that benefits are great while barriers are small. Relapsers may need barriers-reducing interventions. Physicians need to understand the importance of their role among women at all stages of considering mammography.
AB - We investigated whether perceived barriers and benefits varied by stage of considering mammography. A total of 1,093 university employees completed questionnaires measuring constructs from the Transtheoretical and Health Belief Models. Action/Maintainers (the referent category) generally differed from Contemplators and Relapsers in perceived barriers and from Precontemplators and Contemplators in perceived benefits. Compared to Action/Maintainers, Relapsers were more likely to agree that mammograms take too much time; Contemplators and Relapsers were more likely to agree that mammograms are inconvenient, embarrassing, too costly, and hard to remember; and Precontemplators and Contemplators were less likely to agree that mammograms are painful. Lack of physician recommendation revealed the largest differences by stage (Precontemplators' odds ratios = 20.8, Contemplators'= 8.27, and Relapsers'= 4.05). For benefits, Precontemplators and Contemplators were less likely to agree that mammograms help find lumps early and find lumps before they can be felt; Precontemplators were less likely to agree that mammography can decrease mortality. Precontemplators may need more benefits-enhancing than barriers-reducing interventions. Contemplators may need persuasion that benefits are great while barriers are small. Relapsers may need barriers-reducing interventions. Physicians need to understand the importance of their role among women at all stages of considering mammography.
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U2 - 10.1080/13548509708400561
DO - 10.1080/13548509708400561
M3 - Article
AN - SCOPUS:0030993493
SN - 1354-8506
VL - 2
SP - 65
EP - 75
JO - Psychology, Health and Medicine
JF - Psychology, Health and Medicine
IS - 1
ER -