This article reviews the contribution and potential of widely used health behavior theories in research designed to understand and redress the disproportionate burden of breast cancer borne by diverse race/ethnic, immigrant, and low-income groups associated with unequal use of mammography. We review the strengths and limitations of widely used theories and the extent to which theory contributes to the understanding of screening disparities and informs effective intervention. The dominant focus of most theories on individual cognition is critically assessed as the abstraction of behavior from its social context. Proposed alternatives emphasize multilevel ecological approaches and the use of anthropologic theory and methods for more culturally grounded understandings of screening behavior. Common and alternative treatments of fatalism exemplify this approach, and descriptive and intervention research exemplars further highlight the integration of screening behavior and sociocultural context.

中文翻译：

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对跨文化乳腺癌筛查促进理论的批判性评论。

本文回顾了广泛使用的健康行为理论在研究中的作用和潜力，这些研究旨在理解和纠正与乳房X线照相术使用不当相关的不同种族/族裔，移民和低收入人群所承担的乳腺癌不成比例的负担。我们回顾了广泛使用的理论的优势和局限性，以及理论在多大程度上有助于理解筛查差异并为有效干预提供信息。大多数理论对个人认知的主要关注被严格地评估为行为从其社会环境中的抽象。拟议的替代方案强调多层次生态学方法，以及使用人类学理论和方法来获得更多基于文化的筛查行为理解。