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Timely Follow-up Among Multicultural Women With Abnormal Mammograms

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Objective: To examine factors influencing time from screening to final diagnosis among multicultural women with abnormal mammograms using the precede-proceed model. Methods: Staff of 58 clinics and a sample of 436 women served by these clinics were interviewed and their medical records examined. Results: Longer duration from screening to diagnosis was associated with speaking Spanish and having clinic staff make appointments. Ease of access to health care, provision of early morning screening services and higher levels of patient anxiety shortened the time to diagnosis. Conclusion: The precede-proceed model is useful in delineating personal and structural factors that affect timely diagnosis.

Keywords: anxiety; language barriers; mammography follow-up

Document Type: Research Article


Affiliations: 1: School of Social Work, University of Hawaii at Manoa, Honolulu, HI. 2: Institute for Health and Aging, University of California, San Francisco CA. 3: Dept of Epidemiology and Preventive Medicine, University of Maryland at Baltimore, College Park MD. 4: Institute for Health and Aging, University of California, San Francisco, San Francisco CA. 5: Institute of Social Development and Public Policy, Beijing Normal University, Beijing, China. 6: Institute for Health and Aging, University of California, San Francisco San Francisco CA.

Publication date: January 1, 2006

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  • The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.

    The Journal aims to provide a comprehensive understanding of the impact of personal attributes, personality characteristics, behavior patterns, social structure, and processes on health maintenance, health restoration, and health improvement; to disseminate knowledge of holistic, multidisciplinary approaches to designing and implementing effective health programs; and to showcase health behavior analysis skills that have been proven to affect health improvement and recovery.

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