Mammography ; Social network ; Social support ; Social norm ; Subjective norm
Abstract
Purpose: This study was done to examine differences in mammography screening according to breast cancer and
social network characteristic. Methods: Data were collected from 187 married women 35 years and older who were
using public health centers, health promotion centers, cultural centers, obstetrics and gynecology hospitals or other
relevant community sites. Data were collected between October 24 and December 4, 2008. Data were analyzed
using the SPSS/WIN 15.0 program. Results: The participation rate for mammography screening was 35.3%. The
following general and breast cancer characteristics showed statistically significant differences: religion, family
incomes, regular medical-care, general health examinations during past 2 years, and history of breast disease. The
following social network characteristics showed statistically significant differences: social norms and subjective norms.
Using logistic regression analysis, regular medical-care, breast cancer risk appraisal, social norm, and subjective
norms were highly predictive of subsequent mammography. Conclusion: The results of this study indicate that it is
important to develop and provide tailored intervention programs through integrated socially mediated programs. By
consciously including social network and support systems, breast cancer detection efforts would not end as a one-time
event, but naturally build on network structure of adults women, thus facilitating regular mammography screening.