Although self-efficacy, a construct from social cognitive theory, has been shown to influence other screening behaviors, few measures currently exist for measuring Papanicolaou test self-efficacy. This article describes the development and psychometric testing of such a measure for Mexican American women. Data from two separate samples of Mexican American women ages>or=50 years, obtained as part of a study to develop and evaluate a breast and cervical cancer screening educational program, were used in the current study. Exploratory factor analysis indicated a single-factor solution and all item loadings were >0.73. Confirmatory analysis confirmed a single-factor structure with all standardized loadings>0.40 as hypothesized. The eight-item self-efficacy scale showed high internal consistency (Cronbach's alpha=0.95). As hypothesized, self-efficacy was correlated with knowledge, prior experience, and screening intention. Logistic regression supported the theoretical relationship that women with higher self-efficacy were more likely to have had a recent Papanicolaou test. Findings showed a significant increase in self-efficacy following the intervention, indicating that the measure has good sensitivity to change over time.
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http://dx.doi.org/10.1158/1055-9965.EPI-07-2950 | DOI Listing |
J Gen Intern Med
January 2025
Department of Neurology, University of Michigan Medical School, Ann Arbor, MI, USA.
Background: Previous reports suggest patient and caregiver lack of awareness of dementia. Little is known about how this varies by ethnicity and how informal (family) caregiver burden is associated with knowing a dementia diagnosis.
Objective: To investigate whether participants with probable dementia were aware of a diagnosis provided by a physician and how this differed among Mexican American and non-Hispanic White participants; whether having a primary care physician was associated with dementia diagnosis unawareness; and the association of dementia diagnosis unawareness with caregiver burden.
World Neurosurg
January 2025
Neurosurgical Fellow, Stroke Team México, American Association of Neurological Surgeons Student Chapter, Universidad Autónoma del Estado de Hidalgo, Hidalgo, 42160, México.
Introduction: Meningiomas are the most common primary central nervous system tumors, often requiring surgical resection. Presurgical embolization (PSE) is used to reduce intraoperative bleeding, although its effectiveness varies. This study evaluates the safety and efficacy of PSE using ethyl-vinyl alcohol (EVOH) in meningioma surgeries.
View Article and Find Full Text PDFPublic Health Nutr
January 2025
Department of Anthropology and Institute for Policy Research, Northwestern University, Evanston, IL, USA.
Objective: Explore the relationship between water insecurity and food security and their covariates in Mexican households.
Design: A cross-sectional study with nationally representative data from the National Health and Nutrition Survey-Continuous 2021 (in Spanish, ENSANUT-Continua 2021), collected data from 12,619 households.
Setting: Water insecurity was measured using the Household Water Insecurity Experiences (HWISE) Scale in Spanish and adapted to the Mexican context.
Dev Psychol
January 2025
Department of Psychology, Arizona State University.
Maternal postpartum depressive (PPD) symptoms have the potential to negatively impact mother-infant interactions, particularly in populations experiencing contextual stress. We used a resilience perspective to examine maternal perceptions of partner support as a protective factor in the relation between PPD symptoms and mother-infant dyadic reciprocity. Low income, Mexican-origin women ( = 322; = 27.
View Article and Find Full Text PDFRes Aging
January 2025
LBJ School of Public Affairs, The University of Texas at Austin, Austin, TX, USA.
The current study examines cohort (i.e., Generation X, Baby Boomers, and Silent Generation) and gender differences in the stability of Mexican-origin family caregivers over time.
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