Cultural constructs, stage of change, and adherence to mammography among Low-Income African American women

The purpose of this study was to explore the predictive relationships between cultural belief and stage of change and mammography adherence in low-income Midwestern African American urban women (N = 321). Secondary analysis of questionnaire data measuring religiosity, racial pride, family collectivism, future and present time orientation, and stage of mammography screening adoption was conducted. Religiosity (OR = 1.12; p = .002) and future time orientation (OR = 1.12; p = .05) predicted mammography adherence with a positive association, while present time orientation (OR = 0.91; p = .05) was significantly negatively associated. Religiosity (OR = 1.11; p = .002) and future time orientation (OR = 1.12; p = .05) were positive predictions of stage progression, whereas present time orientation (OR = 0.90; p = .03) had a significant negative relationship. By identifying cultural variables that are related to mammography adherence in African American women, mammography-promoting interventions can be more effectively tailored.