I have intention to get a mammogram: Stages of adoption for monitoring mammography in women of different social and cultural background

Abstract

Objective: To describe the stage of adoption in terms of decision making regular checkups for breast cancer in women of different sociocultural backgrounds living in Barcelona in 2009. Methods: A cross-sectional survey of a sample of 960 women aged 45 to 69 years living in Barcelona in 2009, native and immigrants from developing countries. We developed a telephone questionnaire. The dependent variables were the stages of adoption in which women were under the Transtheoretical Model: precontemplation, contemplation, action, maintenance and relapse. The independent variables were: Country of origin, social class, age, length of stay in the host country, language skills, have children, family history of cancer and educational level. We performed a descriptive analysis and regression models were estimated robust Poisson each stage in order to obtain the prevalence ratios as independent variables and multivariate models to compare the different stages versus maintenance. Results: Ninety percent of native women are in the maintenance stage, 73% of Latin American, 41% of Eastern Europe, 47% of Chinese (47%), 58% of the Philippines, 70% of Maghrebi and 80% of Pakistani-Indian. Conclusions: To improve knowledge of breast cancer and its prevention by working with people from the community itself especially in the case of Chinese women, Filipino and Eastern European women.