Minority migrant populations, such as older Samoan women, are likely
to underuse preventive health services, including mammography screening.
The purpose of this paper is to explore how informal (lay peers from
churches) and formal (health care providers) health communication
networks influence mammography screening use among older Samoan women.
To do so, we apply diffusion of innovation theory and network analysis
to understand how interpersonal networks may affect mammography use
in this urban-dwelling, migrant population. The data come from a
survey of 260 Samoan women, aged 50 years or older, who attended
39 randomly sampled Samoan churches in Los Angeles County (USA) between
1996 and 1997. Retrospective data, based over a 20-year period from
this sample's year of first use of mammography screening, suggest
that interpersonal networks may have accounted for the dramatic increase
in the rate of adoption within the past 5 years of the survey. Using
this information, we categorized women into mutually exclusive stages
of mammography use and regressed these stages of mammography use
on formal (had a provider referral) and informal (level of connectedness
with peers in churches) health communication networks. The results
indicated that being well-connected within women's informal, church-based
health communication networks increased the likelihood of being in
the decision (planned to have) and implementation and confirmation
(had a recent mammogram) stages, but having a provider referral for
a mammogram (formal networks) only increased the likelihood of being
in the latter stages compared to women in the knowledge and persuasion
stages. Formal and informal health communication networks influence
recent use of mammography screening, but informal networks, in and
of themselves, are also influential on future intention to use mammography
screening.
%0 Journal Article
%1 Levy-Storms2003/9
%A Levy-Storms, Lene
%A Wallace, Steven P.
%D 2003/9
%J Social Science & Medicine
%K Communication; Diffusion Mammography Samoan Social USA innovations; networks; of screening; women;
%N 6
%P 987-1000
%T Use of mammography screening among older Samoan women in Los Angeles
county: a diffusion network approach
%V 57
%X Minority migrant populations, such as older Samoan women, are likely
to underuse preventive health services, including mammography screening.
The purpose of this paper is to explore how informal (lay peers from
churches) and formal (health care providers) health communication
networks influence mammography screening use among older Samoan women.
To do so, we apply diffusion of innovation theory and network analysis
to understand how interpersonal networks may affect mammography use
in this urban-dwelling, migrant population. The data come from a
survey of 260 Samoan women, aged 50 years or older, who attended
39 randomly sampled Samoan churches in Los Angeles County (USA) between
1996 and 1997. Retrospective data, based over a 20-year period from
this sample's year of first use of mammography screening, suggest
that interpersonal networks may have accounted for the dramatic increase
in the rate of adoption within the past 5 years of the survey. Using
this information, we categorized women into mutually exclusive stages
of mammography use and regressed these stages of mammography use
on formal (had a provider referral) and informal (level of connectedness
with peers in churches) health communication networks. The results
indicated that being well-connected within women's informal, church-based
health communication networks increased the likelihood of being in
the decision (planned to have) and implementation and confirmation
(had a recent mammogram) stages, but having a provider referral for
a mammogram (formal networks) only increased the likelihood of being
in the latter stages compared to women in the knowledge and persuasion
stages. Formal and informal health communication networks influence
recent use of mammography screening, but informal networks, in and
of themselves, are also influential on future intention to use mammography
screening.
@article{Levy-Storms2003/9,
abstract = {Minority migrant populations, such as older Samoan women, are likely
to underuse preventive health services, including mammography screening.
The purpose of this paper is to explore how informal (lay peers from
churches) and formal (health care providers) health communication
networks influence mammography screening use among older Samoan women.
To do so, we apply diffusion of innovation theory and network analysis
to understand how interpersonal networks may affect mammography use
in this urban-dwelling, migrant population. The data come from a
survey of 260 Samoan women, aged 50 years or older, who attended
39 randomly sampled Samoan churches in Los Angeles County (USA) between
1996 and 1997. Retrospective data, based over a 20-year period from
this sample's year of first use of mammography screening, suggest
that interpersonal networks may have accounted for the dramatic increase
in the rate of adoption within the past 5 years of the survey. Using
this information, we categorized women into mutually exclusive stages
of mammography use and regressed these stages of mammography use
on formal (had a provider referral) and informal (level of connectedness
with peers in churches) health communication networks. The results
indicated that being well-connected within women's informal, church-based
health communication networks increased the likelihood of being in
the decision (planned to have) and implementation and confirmation
(had a recent mammogram) stages, but having a provider referral for
a mammogram (formal networks) only increased the likelihood of being
in the latter stages compared to women in the knowledge and persuasion
stages. Formal and informal health communication networks influence
recent use of mammography screening, but informal networks, in and
of themselves, are also influential on future intention to use mammography
screening.},
added-at = {2008-08-31T18:03:07.000+0200},
author = {Levy-Storms, Lene and Wallace, Steven P.},
biburl = {https://www.bibsonomy.org/bibtex/27da5a4c783dbd54eeced8a390687b9e0/jomiralb},
description = {Old biblio},
interhash = {c160e7cc35352339023d6dd5a5e71e2f},
intrahash = {7da5a4c783dbd54eeced8a390687b9e0},
journal = {Social Science \& Medicine},
keywords = {Communication; Diffusion Mammography Samoan Social USA innovations; networks; of screening; women;},
number = 6,
owner = {oriol},
pages = {987-1000},
timestamp = {2008-08-31T18:03:17.000+0200},
title = {Use of mammography screening among older Samoan women in Los Angeles
county: a diffusion network approach},
volume = 57,
year = {2003/9}
}