In the United States, breast cancer is the second leading cause of death for women, and as a result, the American Cancer Society, has recommended annual mammography screening for women age 40 years and older. It is estimated that the risk of mortality can be reduced through this procedure by approximately 20-25% during a ten-year period for women age 40 years and older.
In general, cancer screening behaviors have increased in the United States. According to the National Health Interview Survey, in 1987, approximately 29% of women age 40 years and older reported having had a mammogram in the last 2 years. By 2000, this increased to 70%. However, there are racial disparities, as fewer African American and Hispanic women have mammograms compared to their Caucasian female counterparts. Some studies have looked into these differences. Cultural factors seem to play a role in minority women obtaining fewer mammograms. Asian women, for example, do not like to discuss sensitive topics with strangers.
Prevention promotions have been designed to increase awareness for the need of breast cancer screening, particularly for women in racial and ethnic minority groups. An innovative breast cancer education program, called the Educational Intervention Asian Grocery Store-Based Education Program, was designed to target Asian women. Located in 20 different Asian grocery stores in communities, the cancer screening exhibits were placed at the entrances of the stores. As Asian women came into the grocery store, health information was passed out to Asian women. Even though only a small amount of women who were considered non-adherents to breast cancer screening ended up scheduling a screening, the study demonstrated an innovative culturally competent approach to health promotion.
Source: Adapted from G.R. Sadler, P.R. Beerman, K. Lee et al. "Promoting Breast Cancer Screening Among Asian American Women: The Asian Grocery Store Based Cancer Education Program." Copyright 2012 Journal of Cancer Education.
If the goal of the health communication is to influence individuals, families, neighborhoods, medical and social service organizations, and ultimately public health policy, health promoters are adhering to:
Show answer and explanation
Correct answer: A
A is correct. Ecological systems theory was first applied to understand child development and their socialization. It maintains that human behavior (in this case, health behavior) is influenced by multiple levels or spheres of influence of different orders, including the microsystem, which is related to the individual (e.g., the patient's beliefs, personality, past experiences, etc.); the mesosystem, which is related
to those with whom the person relates to directly (e.g., the family, community, neighborhood, workplace, school, friends, etc.); the exosystem, which relates to institutions and organizations which regulate that
person's community and with which the person does not often interact directly (e.g., health services, social services, legal institutions, industry, mass media, etc.); the macrosystem, which relates to that person's
cultural milieu (e.g., culture, traditions, laws, etc.); and the chronosystem, which relates to the dimension of time (e.g., when the person was born, when they lost their parents, etc.). The latter system was introduced a later stage of his career.
B. This is incorrect. Family systems theory argues that individual behaviors must be understood within the
family system they come about. That is, one cannot understand individuals outside their family unit. It does not identify a wider frame of influence, as ecological system theory does.
C. This is incorrect. Attachment theory emphasizes that behavior stem from the emotional attachments
developed between infant and parents/caregivers. There are several types of attachment, characterized by the different sets of behaviors and experiences, and that influence relationship patterns established during adulthood. This theory is not concerned with the spheres of social influence upon the individual, as ecological system theory is. D. This is incorrect. Assimilation theory is used in sociology to understand how immigrants adopt the cultural norms of the new host country. It is not concerned with the spheres of social influence upon the individual, as ecological system theory is.












