Although intervention trials have demonstrated significant improvement in mammography adherence for African American women, many of the current measurement tools used in these interventions have not been assessed for validity and reliability in ethnic minorities. This study assessed the validity and reliability of Health Belief Model (HBM) variables that are often the target of mammography interventions. Scale validity and reliability was assessed for HBM scales in a sample of 344 low-income African American women. Validity was supported through exploratory factor analysis and theoretical prediction of relationships. Internal consistency reliability was .73 or above for all scales.
American Cancer Society. (1999). Cancer facts and figures. Atlanta, GA: American Cancer Society.
2.
American Cancer Society. (2000). Cancer facts & figures. Atlanta, GA: American Cancer Society.
3.
American Cancer Society. (2004). Cancer facts & figures 2004. Atlanta, GA: American Cancer Society.
4.
Becker, M.H. (1974). The Health Belief Model and personal health behavior . San Francisco, CA: Society for Public Health Education.
5.
Burns, R.B., McCarthy, E.P., Freund, K.M., Marwill, S.L., Shwartz, M., Ash, A. et al. (1996). Black women receive less mammography even with similar use of primary care. Annals of Internal Medicine , 125(3), 173-182.
6.
Champion, V.L. (1991). The relationship of selected variables to breast cancer detection behaviors in women 35 and older. Oncology Nursing Forum, 18(4), 733-739.
7.
Champion, V., Maraj, M., Hui, S., Perkins, A.J., Tierney, W.M., Menon, U. et al. (2003). Comparison of tailored interventions to increase mammography screening in nonadherent older women. Preventive Medicine, 36(2), 150-158.
8.
Champion, V.L., Menon, U., Rawl, S., & Skinner, C.S. (2004). A breast cancer fear scale: Psychometric development . Journal of Health Psychology, 9(6), 769-778.
9.
Champion, V.L., Ray, D.W., Heilman, D.K., & Springston, J.K. (2000). A tailored intervention for mammography among low-income African-American women. Journal of Psychosocial Oncology, 18(4), 1-13.
10.
Champion, V.L., & Scott, C.R. (1997). Reliability and validity of breast cancer screening belief scales in AfricanAmerican women. Nursing Research , 46(6), 331-337.
11.
Champion, V., Skinner, C.S., & Menon, U. (2005). Development of a self-efficacy scale for mammography . Research in Nursing and Health, 28(4), 329-336.
12.
Champion, V.L., & Springston, J. (1999). Mammography adherence and beliefs in a sample of low-income AfricanAmerican women. International Journal of Behavioral Medicine, 6(3), 228-240.
13.
Eley, J.W., Hill, H.A., Chen, V.W., Austin, D.F., Wesley, M.N., Muss, H.B. et al. (1994). Racial differences in survival from breast cancer: Results of the National Cancer Institute Black/White Cancer Survival Study. Journal of the American Medical Association, 272(12), 947-954.
14.
Fulton, J.P., Buechner, J.S., Scott, H.D., DeBuono, B.A., Feldman, J.P., Smith, R.A. et al. (1991). A study guided by the Health Belief Model of the predictors of breast cancer screening of women ages 40 and older. Public Health Reports, 106(4), 410-420.
15.
Janz, N.K., & Becker, M.H. (1984). The Health Belief Model: A decade later. Health Education Quarterly, 11(1), 1-47.
16.
Jazieh, A.R., & Buncher, C.R. (2002). Racial and age-related disparities in obtaining screening mammography: Results of a statewide database. Southern Medical Journal, 95(10), 1145-1148.
17.
Jemal, A., Murray, T., Ward, E., Samuels, A., Tiwari, R.C., Ghafoor, A. et al. (2005). Cancer statistics, 2005. CA: A Cancer Journal for Clinicians, 55(1), 10-30.
18.
Jemal, A., Siegel, R., Ward, E., Hao, Y., Xu, J., Murray, T., & Thun, M.J., (2008). Cancer Statistics, 2008. CA: A Cancer Journal for Clinicians, 2008; 58(2): 71-96.
19.
Mayne, L., & Earp, J. (2003). Initial and repeat mammography screening: Different behaviors/different predictors. Journal of Rural Health, 19(1), 63-71.
20.
Meissner, H.I., Vernon, S.W., Rimer, B.K., Wilson, K.M., Rakowski, W., Briss, P.A. et al. (2004). The future of research that promotes cancer screening. Cancer, 101(5 Suppl.), 1251-1259.
21.
Mikhail, B.I., & Petro-Nustas, W.I. (2001). Transcultural adaptation of Champion's Health Belief Model Scales. Journal of Nursing Scholarship, 33(2), 159-165.
22.
Panel on Racial and Ethnic Disparities in Medical Care. ( 2003). The right to equal treatment: An action plan to end racial and ethnic disparities in clinical diagnosis and treatment in the United States . http://www.phr.usa.org/research/domestic/race/race_report/report.html (accessed 31 March 2004).
23.
Phillips, J.M., Cohen, M.Z., & Moses, G. (1999). Breast cancer screening and African American women: Fear, fatalism, and silence. Oncology Nursing Forum, 26(3), 561-571.
24.
Prochaska, J.O., & DiClemente, C.C. (1983). Stages and processes of self-change of smoking: Toward an integrative model of change. Journal of Consulting and Clinical Psychology, 51(3), 390-395.
25.
Prochaska, J.O., Velicer, W.F., DiClemente, C.C., & Fava, J. (1988). Measuring processes of change: Applications to the cessation of smoking. Journal of Consulting and Clinical Psychology, 56(4), 520-528.
26.
Rakowski, W., Stoddard, A.M., Rimer, B.K., Anderson, M.R., Urban, N., Lane, D.S. et al. (1997). Confirmatory analysis of opinions regarding the pros and cons of mammography. Health Psychology, 16(5), 433-441.
27.
Ries, L., Eisner, M., Kosary, C., Hankey, B., Miller, B., Clegg, L. et al. (2003). SEER cancer statistics review, 1975-2000 . http://seer.cancer.gov/csr/1975_2000 (accessed 31 March 2004).
28.
Rimer, B.K., Davis, S.W., Engstrom, P.F., Myers, R.E., & Rosan, J.R. (1988). Some reasons for compliance and noncompliance in a health maintenance organization breast cancer screening program. Journal of Compliance in Health Care, 3(2), 103-114.
29.
Rosenstock, I.M., Strecher, V.J., & Becker, M.H. (1988). Social learning theory and the Health Belief Model . Health Education Quarterly, 15(2), 175-183.
30.
Rubio, M., & Williams, D.R. (2004). The social dimension of race. In B. M. Beech & M. Goodman (Eds.), Race & research: Perspectives on minority participation in research (pp. 1-25). Washington, DC : American Public Health Association.
31.
Schechter, C., Vanchieri, C.F., & Crofton, C. (1990). Evaluating women's attitudes and perceptions in developing mammography promotion messages. Public Health Reports , 105(3), 253-257.
32.
Secginli, S., & Nahcivan, N.O. (2004). Reliability and validity of the breast cancer screening belief scale among Turkish women. Cancer Nursing, 27(4), 287-294.
33.
Taplin, S.H., & Montano, D.E. (1993). Attitudes, age, and participation in mammographic screening: A prospective analysis. Journal of the American Board of Family Practice, 6, 13-23.
34.
US Census Bureau. (2000). US interim projections by age, sex, race, and Hispanic origin. http://www.census.gov/ipc/www./usinterimproj/ (accessed 5th November 2000).
35.
US Department of Health and Human Services. ( 2000). Healthy people 2010: Understanding and improving health . Washington, DC: US Government Printing Office.
36.
Vernon, S.W., Laville, E.A., & Jackson, G.L. (1990). Participation in breast screening programs: A review. Social Science & Medicine, 30(10), 1107-1118.
37.
Ward, E., Jemal, A., Cokkinides, V., Singh, G.K., Cardinez, C., Ghafoor, A. et al. (2004). Cancer disparities by race/ethnicity and socioeconomic status. CA: A Cancer Journal for Clinicians , 54(2), 78-93.
38.
Witte, K. (1992). Putting the fear back into fear appeals: The extended parallel process model. Communication Monographs, 59(4), 329-349.
39.
Wu, T.Y., & Yu, M.Y. (2003). Reliability and validity of the mammography screening beliefs questionnaire among ChineseAmerican women. Cancer Nursing, 26(2), 131-142.
