Cited by 138Global Cancer Incidence and ScreeningWomen's cancer prevention and managementDigital Radiography and Breast Imaging

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The contribution of emotional characteristics to breast cancer screening among women from six ethnic groups

Consedine, N·2004·Preventive Medicine

DOI 10.1016/j.ypmed.2003.09.030

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Abstract

Background This study was designed to determine which of several emotional propensities were associated with the frequency of mammograms and clinical breast exams among six groups of minority women. Three emotion-related variables that have been identified in the previous literature as influencing screening were examined: Repression, cancer worry, and embarrassment. However, these variables have never been examined within the same study, nor where relevant background variables are controlled.Methods 1364 African American, US-born white, English-speaking Caribbean, Haitian, Dominican, and Eastern European women were recruited via stratified-cluster sampling. Participants provided demographics and measures of beliefs and knowledge.Results As expected, self-regulation and cancer worry were both positively associated with mammogram and clinical breast exam frequency, while embarrassment regarding having a mammogram was negatively associated with screening. These results held even after controlling for demographic variables and the presence or absence of physician recommendation. Screening rates for African American women equaled or exceeded the rates for European Americans. Other minority subpopulations had even lower screening rates, including women from the English-speaking Caribbean and Haitians.Conclusions Results are discussed in terms of their implications for screening intervention, models of health behavior, and the need for more precise operationalizations of ethnicity in screening research.

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Authors: Consedine, N.
Affiliations: Long Island University (US)
Corresponding author: Consedine, N
ORCID: Consedine, N
Venue: Preventive Medicine
Publisher: Elsevier BV
Published: 2004-01
Volume: 38
Issue: 1
Pages: 64-77
ISSN: 0091-7435 (ISSN-L)
DOI: 10.1016/j.ypmed.2003.09.030
OpenAlex: W2056411993
Cited by: 138
References: 136
Citations by year: 2026: 1 · 2025: 3 · 2024: 4 · 2023: 5 · 2021: 8 · 2020: 7 · 2019: 3 · 2018: 6 · 2017: 6 · 2016: 5 · 2015: 4 · 2014: 12 · 2013: 9 · 2012: 7
FWCI: 2.38
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Preventive Medicine (publishedVersion)
PubMed (publishedVersion)
Funders: National Institutes of Health (5k07ag000921-05)
National Institute on Aging (K07 AG00921)
National Cancer Institute (P20CA091372)
National Institute of General Medical Sciences (S06GM054650, 2SO6 GM54650)
Topics: Health Sciences › Medicine › Oncology › Global Cancer Incidence and Screening
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Digital Radiography and Breast Imaging
Keywords: breast cancer screening, mammography, clinical breast examination, emotional characteristics, repression, fear of cancer, embarrassment, self-regulation, minority women, African American women, Caribbean women, Haitian women, Dominican women, Eastern European women, ethnic differences, health behavior models, physician recommendations
MeSH terms: Aged, Breast Neoplasms, Emotions, Ethnicity, Female, Humans, Mass Screening, Middle Aged, New York City

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The contribution of emotional characteristics to breast cancer screening among women from six ethnic groups

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