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Content loaded within last 14 days The Relationship between Mammography and a Multi-factor Behavioral Index

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Objective: In this study, we sought to determine whether a multi-factor behavioral index predicts mammography screening in US women. Methods: Women aged 50-75 years were enrolled in an intervention study and provided their vegetable intake, physical activity (PA), smoking, body mass index (BMI), and alcohol intake. Each factor was scored from 0 (least healthy) to 4 (most healthy) then summed to form a multi-factor behavioral index (ranging from 0-20). Self-report and medical records were used to determine mammography screening 6-months post-intervention. Logistic regression was used to estimate multivariable-adjusted odds ratios (OR) and 95% confidence intervals (CI) for the association with 6-month mammography. Results: The mean score for the multi-factor index was 11.8. An increased index score marginally predicted mammography adherence [OR = 1.05 (0.99-1.11)], with a stronger association among women receiving a doctor's recommendation for mammography [OR = 1.12 (1.04-1.20)]. Of the independent behavioral factors, high PA [OR = 1.13 (0.99-1.30), p = .075] and low BMI [OR = 1.25 (1.04-1.51), p = .017] were marginal and significant predictors of mammography, respectively. Conclusion: Women who engaged in a healthier behavioral lifestyle were more likely to utilize mammography screening, especially if they received a physician recommendation. Physicians should encourage mammography screening as part of a healthy behavioral lifestyle.
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Keywords: BODY MASS INDEX (BMI); BREAST HEALTH; HEALTHY LIFESTYLE INDEX; MAMMOGRAPHY; MULTI-FACTOR BEHAVIORAL INDEX; WOMEN'S HEALTH

Document Type: Research Article

Publication date: November 1, 2019

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  • Health Behavior and Policy Review is a rigorously peer-reviewed scholarly bi-monthly publication that seeks manuscripts on health behavior or policy topics that represent original research, including papers that examine the development, advocacy, implementation, or evaluation of policies around specific health issues. The Review especially welcomes papers that tie together health behavior and policy recommendations. Articles are available through subscription or can be ordered individually from the Health Behavior and Policy Review site.
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