Message Received: African American Women and Breast Cancer Screening
| Autor: | Stephen B. Thomas, Kester F. Williams-Parry, Susan Racine Passmore, Erica Casper |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
medicine.medical_specialty Nursing (miscellaneous) Population Decision Making Breast Neoplasms Disease 03 medical and health sciences Breast cancer screening 0302 clinical medicine Breast cancer medicine Humans Patient Navigation 030212 general & internal medicine education Early Detection of Cancer Qualitative Research education.field_of_study 030505 public health medicine.diagnostic_test Public Health Environmental and Occupational Health Fear Middle Aged Patient Acceptance of Health Care medicine.disease Health equity Black or African American Health promotion Family medicine Female 0305 other medical science Psychology Psychosocial Qualitative research |
| Zdroj: | Health promotion practice. 18(5) |
| ISSN: | 1524-8399 |
| Popis: | African American women are more likely than other women to be diagnosed with breast cancer at a young age, to be diagnosed at a late stage, and to die from the disease. Yet we see evidence of irregular screening and follow-up. Previous research on psychosocial factors influencing decisions to screen reveals barriers: fear, fatalistic perceptions of cancer, inaccurate perceptions of risk, and associations with stigma. The current qualitative research with, largely, insured African American women ( n = 26), health navigators ( n = 6), and community stakeholders ( n = 24) indicates both positive and negative factors influencing decision making. The women in our sample believe in the value of early detection and are motivated to screen in response to encouragement from health providers. However, they also report several factors that contribute to their decisions to delay or not screen. These include (1) perceptions that the health community itself is confused about the need for screening, (2) perceptions that White women are the priority population for breast cancer, (3) family roles that prohibit self-care and encourage secrecy, and (4) fear of diagnosis. Participants report not feeling included in national-level health promotion campaigns. It is argued that African American women, in particular, may benefit from more nuanced health information about their risk. |
| Databáze: | OpenAIRE |
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