The Relationship between Mammography and a Multi-factor Behavioral Index

dc.contributor.authorMarley, Andrew R.
dc.contributor.authorGathirua-Mwangi, Wambui
dc.contributor.authorForman, Michele R.
dc.contributor.authorStump, Timothy E.
dc.contributor.authorMonahan, Patrick
dc.contributor.authorChampion, Victoria L.
dc.contributor.departmentSchool of Nursingen_US
dc.date.accessioned2020-07-17T18:51:26Z
dc.date.available2020-07-17T18:51:26Z
dc.date.issued2019
dc.description.abstractObjective: 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). Selfreport and medical records were used to determine mammography screening 6-months postintervention. 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.en_US
dc.eprint.versionFinal published versionen_US
dc.identifier.citationMarley, A. R., Gathirua-Mwangi, W., Forman, M. R., Stump, T. E., Monahan, P., & Champion, V. L. (2019). The Relationship between Mammography and a Multi-factor Behavioral Index. Health Behavior and Policy Review, 6(6), 582–596. https://doi.org/10.14485/HBPR.6.6.4en_US
dc.identifier.urihttps://hdl.handle.net/1805/23266
dc.language.isoenen_US
dc.publisherParis Scholar Publishing Ltd.en_US
dc.relation.isversionof10.14485/HBPR.6.6.4en_US
dc.relation.journalHealth Behavior and Policy Reviewen_US
dc.rightsPublisher Policyen_US
dc.sourcePublisheren_US
dc.subjectbody mass indexen_US
dc.subjectbreast healthen_US
dc.subjecthealthy lifestyle indexen_US
dc.titleThe Relationship between Mammography and a Multi-factor Behavioral Indexen_US
dc.typeArticleen_US
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