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Health Promotion Practice
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*Breast Cancer
*Health Literacy
*Mammography
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Article

Knowledge About Breast Cancer and Participation in a Faith-Based Breast Cancer Program and Other Predictors of Mammography Screening Among African American Women and Latinas

Julie S. Darnell, MHSA, AM1, Chih-Hung Chang, PhD2, Elizabeth A. Calhoun, PhD3

1 senior research scientist in the School of Public Health at the University of Illinois at Chicago and a doctoral candidate in social service administration at the University of Chicago in Chicago, Illinois.
2 an assistant professor at Northwestern University Feinberg School of Medicine in Chicago, Illinois.
3 an associate professor at the University of Illinois at Chicago, Division of Health Policy and Administration in Chicago, Illinois.

* To whom correspondence should be addressed.


  Abstract

This article assessed the impact of knowledge of breast cancer and type and intensity of participation in a church-based breast cancer education program and other factors on mammography screening among African Americans and Latinas. Logistic regression was used to assess the impact of these factors on self-reported mammography utilization. Passive participation in church-sponsored activities, measured by breast cancer information that was heard, seen, or read, was found to be significantly associated with the likelihood of mammography use among African Americans. Moreover, African Americans who reported hearing, seeing, or reading about mammograms at their churches four or more times were 15 times more likely to report mammography use within the past year than were those who encountered information only once. Messages from pastors and church bulletin announcements were the most significant predictors. An increase in knowledge was not associated with higher mammography use. For Latinas, none of the hypothesized knowledge or participation variables was found to be significant. The results suggest that faith-based breast cancer programs can be effective by adopting tailored strategies to raise awareness about the importance of early detection.

Key Words: breast cancer screening, mammography, health disparities, health belief model, health education, health promotion, interventions

First published on June 7, 2006, doi:10.1177/1524839906288693

Health Promotion Practice 2006;7:201S.

A more recent version of this article appeared on July 1, 2006

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