INTENTION TO HAVE A MAMMOGRAM IN THE FUTURE AMONG WOMEN WHO HAVE UNDERUSED MAMMOGRAPHY IN THE PAST

This study investigated associations between confidence in one's abili ty to discuss mammography with health providers and to obtain regular mammograms (self-efficacy), social network members' attitudes toward m ammograms (social influence), mammography experiences, and intention t o have a mammogram in the next 1 to 2 years among women who were not i n adherence with screening guidelines. Data were collected as part of a baseline assessment for a work site intervention study. Women 52 yea rs and older completed a self-administered survey. Those not in compli ance with screening guidelines (n = 194) were included in the analyses . Logistic regression revealed that self-efficacy and strong supportiv e social influences were significantly associated with mammography int ention (odds ratio [OR] = 2.50, OR = 2.22, respectively), adjusting fo r prior mammography use. Findings suggest that interventions designed to promote mammography should build women's confidence in their abilit y to discuss mammography with health providers and to obtain regular m ammograms. Intervention among social networks may also be an effective means of promoting mammography.